Vaginal dryness

Vaginal dryness is present when the tissues of the vagina are no longer well-lubricated and healthy.

Causes

Atrophic vaginitis is caused by a decrease in estrogen.

Estrogen keeps the tissues of the vagina lubricated and healthy. Normally, the lining of the vagina makes a clear, lubricating fluid. This fluid makes sexual intercourse more comfortable. It also helps decrease vaginal dryness.

If estrogen levels drop off, the vaginal tissue shrinks and becomes thinner. This causes dryness and inflammation.

Estrogen levels normally drop after menopause. The following may also cause estrogen levels to drop:

• Medicines or hormones used in the treatment of breast cancer, endometriosis, fibroids, or infertility
• Surgery to remove the ovaries
• Radiation treatment to the pelvic area
• Chemotherap.
• Severe stress, depression, or intense exercise

Some women develop this problem right after childbirth or while breastfeeding. Estrogen levels are lower at these times.

The vagina can also become further irritated from soaps, laundry detergents, lotions, perfumes, or douches. Certain medicines, smoking, tampons, and condoms may also cause or worsen vaginal dryness.

Vagina can also become further irritate

Vulvovaginitis or vaginitis is swelling or infection of the vulva and vagina. Vaginitis is a common problem that can affect women and girls of all ag...

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Symptoms

Symptoms include:

• Burning on urination
• Light bleeding after intercourse

  Bleeding

  Bleeding is the loss of blood. Bleeding may be:Inside the body (internally) Outside the body (externally)Bleeding may occur:Inside the body when blo...

  

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• Painful sexual intercourse
• Slight vaginal discharge

  Vaginal discharge

  Vaginal discharge refers to secretions from the vagina. The discharge may be:Thick, pasty, or thinClear, cloudy, bloody, white, yellow, or greenOdor...

  

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• Vaginal soreness, itching or burning

  Itching

  Itching is a tingling or irritation of the skin that makes you want to scratch the area. Itching may occur all over the body or only in one location...

  

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Exams and Tests

A pelvic exam shows that the walls of the vagina are thin, pale or red.

Your vaginal discharge may be tested to rule out other causes for the condition. You may also have hormone level tests to find out if you are in menopause.

Treatment

There are many treatments for vaginal dryness. Before treating your symptoms on your own, a health care provider must determine the cause of the problem.

• Try using lubricants and vaginal moisturizing creams . They will often moisten the area for several hours, up to a day. These can be bought without prescription.

  Vaginal moisturizing creams

  Question: Is there a drug-free treatment for vaginal dryness? Answer: There are many causes of vaginal dryness. It may be caused by reduced estrogen...

  

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• Use a water-soluble vaginal lubricant during intercourse may help. Products with petroleum jelly, mineral oil, or other oils may damage latex condoms or diaphragms.
• Avoid scented soaps, lotions, perfumes, or douches.

Prescription estrogen can work well to treat atrophic vaginitis. It is available as a cream, tablet, suppository, or ring. All of these are placed directly into the vagina. These medicines deliver estrogen directly to the vaginal area. Only a little estrogen is absorbed into the bloodstream.

You may take estrogen ( hormone therapy ) in the form of a skin patch, or in a pill that you take by mouth if you have hot flashes or other symptoms of menopause.

Women should discuss the risks and benefits of estrogen replacement therapy with their provider.

Outlook (Prognosis)

Proper treatment will ease symptoms most of the time.

Possible Complications

Vaginal dryness can:

• Make you more likely to get yeast or bacterial infections of the vagina.
• Cause sores or cracks in the walls of the vagina.
• Cause pain with sexual intercourse, which may affect your relationship with your partner or spouse. (Talking openly with your partner may help.)

When to Contact a Medical Professional

Call your provider if you have vaginal dryness or soreness, burning, itching, or painful sexual intercourse that does not go away when you use a water-soluble lubricant.