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Vaginal Dryness

vaginal dryness treatment

Vaginal Dryness Symptoms & Treatment

Vaginal dryness is a persistent problem for women after menopause, causing discomfort and painful intercourse. If you suffer from vaginal dryness, visit Kiarash Michel, MD, and his team of board-certified urologists at Comprehensive Urology in the Beverly Grove neighborhood of Los Angeles, California. They offer advanced treatments, including bioidentical hormone replacement therapy (BHRT) and vaginal revitalization to treat your vaginal dryness. Call Comprehensive Urology today or book an appointment online to benefit from cutting-edge treatment.

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Kia Michel, MD

Kia Michel, MD

Written by Dr. Kia Michel, a board certified urologist, surgeon, and founding member of Comprehensive Urology in Beverly Hills, Los Angeles. Dr. Michel's expertise includes focal therapy (HIFU/TULSA), prostate cancer treatment, robotic surgery, and male enhancement treatments such as Shockwave Therapy for ED and penile injections.

Dr. Michel's Bio

What is Vaginal Dryness?

 

Vaginal dryness is a condition that occurs when the vagina stops producing lubricating fluids. This can cause daily itchiness, irritation, and soreness. Lack of lubricating fluid also causes uncomfortable or painful sexual intercourse. Normally, the vagina releases a clear fluid that coats the tissues and keeps them hydrated. However, sometimes the production of this natural lubricant slows or stops, and the vagina dries out. 

 

Vaginal Dryness Symptoms

 

Vaginal dryness is a common condition that affects women of all ages, but it is most prevalent in postmenopausal women. Symptoms of vaginal dryness include:

  • Pain during intercourse
  • Burning or itching sensation in the vaginal area
  • Vaginal discomfort or irritation
  • Decreased vaginal lubrication

If you experience any of these symptoms, it is essential to seek medical attention. A doctor can help you determine the underlying cause of your vaginal dryness and recommend appropriate treatment options. At Comprehensive Urology, advanced treatments such as bioidentical hormone replacement therapy (BHRT) and vaginal revitalization are available to alleviate vaginal dryness symptoms.

 

Vaginal Dryness Diagnosis

 

Diagnosing vaginal dryness involves a physical exam and a discussion of symptoms. Your doctor may also perform a pelvic exam to check for any underlying issues, such as atrophy or infection. Blood tests may also be used to check hormone levels. It’s important to discuss any symptoms you may be experiencing with your doctor, as they can help determine the best course of treatment for you. At Comprehensive Urology in Los Angeles, California, board-certified doctors offer advanced treatments, including bioidentical hormone replacement therapy (BHRT) and vaginal revitalization to treat vaginal dryness.

 

Causes of Vaginal Dryness

 

The most likely cause of vaginal dryness is low estrogen levels. This female sex hormone is vital for lubricant production and helps create collagen, keeping the vaginal walls elastic.

Causes of a drop in estrogen include:

  • Childbirth
  • Breastfeeding
  • Oovectomy (removal of the ovaries)
  • Cancer treatments
  • Antiestrogen treatments for endometriosis and uterine fibroids
  • Menopause

 

Estrogen is a hormone that promotes the production of vaginal lubricants and helps maintain the elasticity of the vaginal walls. Childbirth, breastfeeding, oophorectomy (removal of the ovaries), cancer treatments, antiestrogen treatments for endometriosis and uterine fibroids, and menopause are all potential causes of low estrogen levels.

Menopause, which occurs in middle age when women stop menstruating, is the most common cause of low estrogen and vaginal dryness. Estrogen is the hormone that regulates reproduction, so it drops to very low levels after menopause. Other factors that can cause vaginal dryness include the autoimmune disorder Sjögren’s syndrome, antihistamines (medicines for allergies), and some antidepressant medication.

Other causes include the autoimmune disorder Sjögren’s syndrome, antihistamines (medicines for allergies), and some antidepressant medication.

 

Vaginal Dryness Treatment

 

The most common treatment for vaginal dryness is estrogen therapy, which can be administered in the form of a cream, tablet, or ring. Estrogen therapy works by restoring the hormone levels in the body, which helps to increase lubrication and elasticity in the vaginal walls. However, estrogen therapy may not be suitable for everyone, especially women who have had breast cancer or are at high risk of developing it.

Top Treatments for Vaginal Dryness include:

1. Estrogen Therapy such as Bioidentical Hormone Replacement Therapy

2. ThermiVa Radio Frequency Treatment

3. Lubricants and Vaginal Moisturizers

Vaginal dryness products include:

  • Vaginal moisturizers: These are applied regularly to treat and prevent dryness and discomfort.

  • Vaginal lubricants: These are applied at the time of sexual activity to reduce friction and increase comfort.

  • Pure vegetable oil or olive oil: A small amount can be helpful for intercourse-related symptoms.

  • Avoiding bath soaps, lotions, or gels that contain perfumes, bubble baths, bath salts, and scented oils.

It is important to consult a healthcare provider to determine the best treatment option for vaginal dryness.

 

How Does ThermiVa Help with Dryness?

 

ThermiVa is a non-surgical treatment that uses radiofrequency energy to stimulate the production of collagen and elastin in the vaginal tissues. This results in improved lubrication, which can help alleviate vaginal dryness. Additionally, ThermiVa can help reduce the risk of urinary incontinence, treat loose vagina and improve orgasms.

According to Comprehensive Urology, patients typically require a series of ThermiVa treatments a few weeks apart to achieve the best results. Results can be noticed immediately, and typically last between nine months to two years. Follow-up treatments every year or two can help prevent dryness from returning.

ThermiVa treatment requires no downtime or recovery, making it a convenient option for those seeking relief from vaginal dryness.

 

Vaginal Dryness During Sex

Vaginal dryness during sex is a common problem among women, which can cause pain, discomfort, and even bleeding. The most common cause of vaginal dryness is low estrogen levels, which can occur due to several reasons such as menopause, childbirth, breastfeeding, and cancer treatments. Estrogen is a hormone that helps in lubricant production and keeps the vaginal walls elastic.

Other causes of vaginal dryness include the autoimmune disorder Sjögren’s syndrome, antihistamines, and some antidepressant medications. Women experiencing vaginal dryness during sex can use vaginal moisturizers, water-based lubricants, and hormone therapy to help alleviate the symptoms. It is important to consult a healthcare provider before using any medication or treatment.

 

Frequently Asked Questions

 

What are effective treatments for managing perimenopausal vaginal dryness?

Perimenopausal vaginal dryness can be treated with a variety of methods. Some effective treatments include:

  • Vaginal moisturizers: These are applied regularly to the vagina to keep it moist and reduce dryness.
  • Lubricants: These are used during sexual activity to reduce friction and increase comfort.
  • Hormonal therapy: This involves the use of estrogen to help restore vaginal moisture and elasticity.
  • Lifestyle changes: These include avoiding irritants such as douches, using mild soaps, wearing cotton underwear, and staying hydrated.
 

Which lubricants are recommended for alleviating vaginal dryness?

Water-based lubricants are recommended for alleviating vaginal dryness. They are safe to use with condoms and sex toys, and are easily washed off with water.

 

How can hormonal therapies, such as estrogen, help with vaginal dryness?

Hormonal therapies, such as estrogen, can help with vaginal dryness by restoring vaginal moisture and elasticity. Estrogen can be administered in the form of a cream, ring, tablet, or patch.

 

Are there any natural remedies or herbs that can alleviate symptoms of vaginal dryness?

Some natural remedies and herbs that may alleviate symptoms of vaginal dryness include:

  • Vitamin E oil: This can be applied to the vagina to moisturize and soothe dryness.
  • Black cohosh: This herb has been shown to improve vaginal dryness in some women.
  • Soy: Soy contains phytoestrogens, which may help to alleviate vaginal dryness.

It is important to consult with a healthcare provider before using any natural remedies or herbs.

 

What are the best creams available for treating vaginal dryness during pregnancy?

Some of the best creams available for treating vaginal dryness during pregnancy include:

  • Replens Long-Lasting Vaginal Moisturizer
  • K-Y Liquibeads Vaginal Moisturizer
  • Hyalo Gyn Vaginal Hydrating Gel

It is important to consult with a healthcare provider before using any creams or treatments during pregnancy.

 

Can vaginal dryness be a sign of vulvar atrophy and what does it look like?

 

Yes, vaginal dryness can be a sign of vulvar atrophy. Vulvar atrophy is a condition that occurs when the tissues of the vulva become thin, dry, and less elastic. It can cause itching, burning, and pain in the vulva and vagina. The vulva may also appear pale, thin, and wrinkled. It is important to consult with a healthcare provider for diagnosis and treatment of vulvar atrophy.