Vaginal Dryness

Dr Shirin Lakhani

Adviser: Dr Shirin Lakhani

Vaginal Dryness Image

Introduction

Vaginal dryness is a common symptom that occurs during menopause and perimenopause, primarily due to the decline in oestrogen levels. Oestrogen is responsible for maintaining the health and lubrication of the vaginal tissues. As oestrogen levels decrease, the vaginal walls become thinner, drier, and less elastic. This condition is often referred to as vaginal atrophy or genitourinary syndrome of menopause (GSM).

Additionally, lower oestrogen levels can lead to a reduced production of natural lubrication, making sexual activity and even everyday movements uncomfortable or painful. Other factors, such as stress, certain medications, and lifestyle habits, may also contribute to vaginal dryness.

Signs

What Are the Typical Signs?

Signs of vaginal dryness can vary in intensity but often include:

  • Dryness or a feeling of tightness in the vaginal area
  • Itching or irritation around the vaginal opening
  • Painful intercourse or discomfort during sexual activity (dyspareunia)
  • Burning sensation in the vagina or vulva
  • Light bleeding or spotting after intercourse
  • Frequent urinary tract infections (UTIs) or urinary discomfort

These symptoms can impact daily comfort, intimate relationships, and overall well-being.

Tips

Tips on How to Manage or Reduce Symptoms

Lifestyle Tips:

  1. Stay Hydrated: Drinking plenty of water helps keep your body, including vaginal tissues, hydrated.
  2. Regular Sexual Activity: Engaging in sexual activity or using vaginal dilators can help maintain vaginal elasticity and lubrication.
  3. Use Water-Based Lubricants: During sexual activity, use water-based, fragrance-free lubricants to reduce discomfort.
  4. Vaginal Moisturizers: Over-the-counter vaginal moisturizers can be applied regularly to keep the vaginal tissues hydrated.
  5. Wear Breathable Underwear: Choose cotton underwear and avoid tight-fitting clothing to prevent irritation and promote air circulation.
  6. Avoid Irritants: Stay away from perfumed soaps, douches, and harsh chemicals that can irritate the vaginal area.

Dietary Tips:

  • Omega-3 Fatty Acids: Include foods rich in omega-3s, such as salmon, flaxseeds, and walnuts, to support overall tissue health.
  • Phytooestrogens: Consider consuming foods like soy, flaxseed, and legumes that contain plant-based oestrogens, which may help relieve some menopausal symptoms.

Treatment

Treatment Options:

  • Vaginal Oestrogen Therapy: Low-dose oestrogen creams, tablets, or rings can help restore vaginal moisture and tissue health.
  • Hormone Replacement Therapy (HRT): Systemic HRT may be recommended if you have other menopausal symptoms, such as hot flashes, alongside vaginal dryness.
  • Non-Hormonal Medications: In some cases, non-hormonal treatments like ospemifene may be prescribed to help alleviate symptoms.

Conclusion

Conclusion

Vaginal dryness is a common but manageable symptom of menopause and perimenopause. Understanding the hormonal changes that contribute to this discomfort can help you take steps to alleviate symptoms. Lifestyle adjustments, the use of lubricants and moisturizers, and professional treatment options are available to help you feel more comfortable and maintain your quality of life.

FAQ's

Vaginal dryness is unlikely to improve on its own without intervention. Hormonal changes associated with menopause are typically permanent, so using treatments like lubricants, moisturizers, or hormone therapy may be necessary.

No, vaginal moisturizers are designed for regular use to provide long-term hydration, while lubricants are used during sexual activity to reduce friction and discomfort.

Vaginal oestrogen therapy is generally considered safe for most women and carries a lower risk of side effects compared to systemic hormone therapy. However, it’s important to discuss your medical history with your healthcare provider to determine the best treatment option for you.