Vaginal dryness is a common but treatable problem that many women experience at some point in their lives.
It can be a problem at any age, but is a particular issue for women who are going through or have experienced the Menopause.
Don’t ignore a dry vagina or feel embarrassed to seek help if it’s a problem for you. There are a number of treatments that can help.
Some women only have symptoms of vaginal dryness at certain times, such as during sex, while others have them all the time.
Problems associated with having a dry vagina include:
Causes of a dry vagina include:
Vaginal dryness is also sometimes caused by an underlying condition such as Diabetes or Sjögren’s syndrome, where the immune attacks the glands in the body that produce fluid.
If you’re having problems with vaginal dryness, it’s worth trying self-help options first. It can help to:
It’s a good idea to see your doctor for advice if:
Don’t feel embarrassed about seeking help. Vaginal dryness is a common problem that doctors see frequently.
The main treatments that can help if you have a dry vagina are:
Hormone Replacement Therapy (HRT)
Lubricants are liquids or gels that you apply to your vulva, vagina or your partner’s penis just before having sex to keep your vagina moist. They offer immediate but short-term relief from vaginal dryness.
Several different brands of lubricant are available to buy from shops and pharmacies without a prescription. You may need to experiment with a few different types to find one that works best for you.
Vaginal moisturisers are creams that you apply inside your vagina to keep it moist.
They may be better than lubricants if the dryness isn’t just causing problems during sex, as they tend to have a longer-lasting effect. They usually need to be applied every few days.
As with lubricants, several different brands are available to buy. You may need to experiment with a few different types to find one that works best for you.
Water-based moisturisers are generally best, as oil or petroleum-based products can damage latex condoms and sometimes irritate the vagina.
Your doctor may prescribe vaginal oestrogen if your dryness is caused by the menopause. This works by increasing the level of oestrogen that declines during and after the menopause.
Vaginal oestrogen is available as pills you place in your vagina (pessaries), vaginal creams and vaginal rings. These all work equally well, but you may find one type more convenient to use.
Oestrogen treatment can be more effective than lubricants and moisturisers for menopausal women, and it generally causes few side effects.
However, it can take a few weeks to start working, so you may want to use a lubricant or moisturiser as well to begin with. Treatment usually needs to be continued indefinitely, as the dryness tends to return if treatment stops.
HRT is a treatment that involves taking medication to replace the hormones that start to decline during the menopause.
It’s available on prescription from your doctor either as tablets, a skin patch, an implant under the skin, or a gel that’s applied to the skin.
HRT has a wider effect on the body than vaginal oestrogen, so may be best if you have other menopause symptoms, such as hot flushes. However, it also has more side effects.
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SOURCE: NHS UK