Vaginal Dryness

Vaginal dryness is an extremely common condition that can affect women at various life stages. It is often caused by decreased estrogen levels, particularly during and after menopause, a condition known as Genitourinary Syndrome of Menopause (GSM). It can cause significant discomfort, itching, burning, or pain during intimacy.

Please know that you are not alone, and this is a medical concern with many effective management strategies. This page provides general information to help you understand your options.

Important: This information is general in nature. For personalised advice and a vaginal dryness treatment plan that is right for you, it is essential to have a consultation with Dr. Li so she can understand your specific health needs.

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What Causes Vaginal Dryness?

Vaginal dryness occurs when the vaginal tissues lack moisture and become thin or inflamed. Common causes include:

• Menopause and Perimenopause (GSM): A natural drop in estrogen levels is the most common cause. Estrogen is vital for keeping vaginal tissue thick, elastic, and well-lubricated.

• Other Medical Conditions: Certain autoimmune conditions can contribute to dryness.

• Medical Treatments: Some cancer treatments (like chemotherapy) or surgical procedures can affect hormone levels.

• Medications: Certain medicines, including some for allergies or colds (antihistamines), can reduce natural bodily fluids.

• Insufficient Arousal: Sometimes, dryness is related to the natural need for more stimulation during sexual activity.

• Everyday Factors: Stress, fatigue, or using harsh soaps can irritate the area. It is important to not do vaginal douching, as this disrupts the natural pH balance and healthy bacteria, often worsening dryness.

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Treatment Options

Managing vaginal dryness effectively often involves a combination of approaches. The right vaginal dryness treatment for you depends on your individual health, the cause of your symptoms, and your preferences. Dr. Li will work with you to develop a personalised plan, which may include:

1. Non-Hormonal Options:

• Vaginal Lubricants: Used during sexual activity to reduce friction and discomfort. Water-based or silicone-based products are recommended.

• Vaginal Moisturisers: These are creams for vaginal dryness  that are applied regularly (every few days) to help maintain ongoing vaginal moisture and improve tissue health.

• Pelvic Floor Physiotherapy: This can be a very helpful option for women who also experience tightness or pain in their pelvic floor muscles.

2. Hormonal Options:

• Vaginal Estrogen Therapy: This is a standard and highly effective vaginal dryness treatment for GSM. It involves a low-dose estrogen cream or tablet, placed directly into the vagina. This minimises absorption into the bloodstream while effectively restoring moisture and thickness to the vaginal tissue. The Australian Menopause Society recommends these preparations.

• Other Prescription Medications: For some women, other treatments like vaginal DHEA may be appropriate. Dr. Li can explain these options in detail during a consultation if required.

Please note: Dr. Li emphasises collaborative care. For patients with a history of hormone-sensitive cancers, she will collaborate with your oncologist before discussing any hormonal treatments.

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Lifestyle Tips and Information on Natural Approaches

Many women ask about vaginal dryness natural remedies and natural cures for female dryness. It is important to discuss any new approach with your doctor to ensure it is safe and appropriate for your individual situation. The following tips may help support overall vaginal health:

• Avoid Irritants: Use mild, fragrance-free soaps for washing and wear breathable cotton underwear. Remember, do not do vaginal douching.

• Stay Hydrated: Drinking plenty of water is beneficial for your entire body’s health, including your tissues.

• Consider Dietary Support: A balanced diet rich in Omega-3 fatty acids (found in fish and flaxseeds) may support the body’s natural processes.

• Open Communication: Discussing your sexual health openly can reduce embarrassment and is key to finding the right management strategy for you.

Please note: Dr. Li provides evidence-based care. The most effective plan for managing vaginal dryness is one developed in partnership with a qualified health professional based on your specific needs.

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When to Seek Professional Advice

We encourage you to book an appointment with Dr. Li to discuss vaginal dryness treatment if:

• Your symptoms are causing you persistent discomfort or concern.

• You experience pain during intercourse.

• You have any unusual bleeding or discharge.

• Over-the-counter options have not provided sufficient relief.

Your comfort and health are important. Dr. Li provides a compassionate, professional, and confidential environment to discuss these concerns and work with you on an evidence-based management plan.

To discuss your concerns, please call us at 07 3219 6868 to book in your consultation. A GP referral is required for all consultations.

 

-Dr Sharon Xian Li (MED0001402739)

Registered Medical Practitioner, Obstetrician and Gynaecologist

Bachelor of Medicine and a Bachelor of Surgery (MBBS)

Fellow of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists