What is vaginal dryness? Here are the causes, symptoms and how it can be treated

Vaginal dryness affects many women. Picture: Cliff Booth/Pexels

Vaginal dryness affects many women. Picture: Cliff Booth/Pexels

Published Nov 19, 2024

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Vaginal dryness is a common condition that many women at various stages of life experience.

Often associated with hormonal changes, particularly during menopause, it can also occur due to other factors such as medications, health conditions, or lifestyle choices.

Here we shed light on what vaginal dryness is, its symptoms, and the available treatment options.

What is vaginal dryness?

Vaginal dryness (also known as vaginal atrophy or atrophic vaginitis) occurs when there is insufficient moisture in the vaginal tissues.

This lack of lubrication can lead to discomfort and can affect a woman’s quality of life, particularly in sexual situations.

While vaginal dryness is often linked to menopause when estrogen levels drop, it can also occur in younger women for various reasons.

Symptoms of vaginal dryness

The symptoms of vaginal dryness can vary in intensity and may include:

Dryness and itching: A feeling of dryness or soreness in the vaginal area, often accompanied by itching.

Burning sensation: Discomfort or burning during activities like urination or intimacy.

Pain during intercourse: Vaginal dryness can lead to painful sex, making intimacy less enjoyable and potentially leading to decreased sexual desire.

Increased Urinary Tract Infections (UTIs): Women with vaginal dryness may experience more frequent UTIs due to changes in the vaginal environment.

Discharge changes: Less vaginal lubrication may result in changes to normal discharge patterns.

Causes of vaginal dryness

Several factors can contribute to vaginal dryness:

Hormonal changes: Menopause is the most common cause, but hormonal fluctuations during menstruation or pregnancy can also play a role.

Medications: Certain medications, such as antihistamines, antidepressants, and hormone therapies, can lead to vaginal dryness.

Health conditions: Conditions like Sjögren’s syndrome, diabetes, and other autoimmune disorders can affect moisture levels.

Radiation and chemotherapy: Cancer treatments can lead to significant changes in vaginal health.

Lifestyle factors: Stress, smoking, and inadequate hydration can all impact vaginal moisture levels.

Treatment options for vaginal dryness

Fortunately, there are several effective treatments for vaginal dryness, which can help alleviate symptoms and improve quality of life:

Lubricants: Over-the-counter water-based or silicone-based lubricants can provide immediate relief during sexual activity.

These products help reduce friction and improve comfort.

Moisturisers: Vaginal moisturisers are designed for regular use and can help maintain moisture levels.

These products are different from lubricants and can be used for ongoing care.

Hormonal treatments: For women experiencing significant discomfort, hormone replacement therapy (HRT) may be an option.

This can include systemic hormones or localised treatments like vaginal oestrogen (in creams, tablets, or rings), which can help restore moisture to the vaginal tissues.

Lifestyle adjustments: Staying hydrated, managing stress, practising pelvic floor exercises, and avoiding irritants (like perfumes or harsh soaps) can help maintain vaginal health.

Sexual intercourse: Engaging in regular sexual activity can promote blood flow to the vaginal area and help maintain natural lubrication.

It’s essential for women experiencing significant symptoms to consult a doctor.

They can discuss specific symptoms, and underlying causes, and tailor treatment options based on individual health needs.

IOL Lifestyle