Vaginal Dryness and Sexual Health

Symptoms of Vaginal Dryness

It manifests as a lack of sufficient lubrication in the vagina. This can lead to several uncomfortable symptoms, including:

• Dryness: A feeling of roughness or lack of moisture in the vaginal area.
  
   
• Itching: Irritation or a persistent urge to scratch. 
  
   
• Burning: A sensation of heat or stinging.
  
   
• Painful intercourse (dyspareunia): Discomfort or pain during sexual activity.
  
   
• Spotting or light bleeding after intercourse: Due to the fragile and easily irritated vaginal tissues.
  
   

How Does Vaginal Dryness Affect Sexual Health?

Vaginal dryness can lead to several challenges related to sexual health, including:

• Discomfort or pain during intercourse: This can make intimacy less enjoyable and lead to avoidance of sexual activity.
• Decreased libido: Changes in hormone levels and the discomfort can contribute to a reduced desire for sex.

Causes of Vaginal Dryness

• Hormonal Changes:
  
  • Menopause: The decline in oestrogen levels during menopause is a primary cause.
    
     
  • Postpartum: Hormonal shifts after childbirth, especially during breastfeeding, and can lead to temporary dryness.
    
     
• Medications: Certain medications, such as oral contraception, antihistamines, decongestants, and some antidepressants, can contribute to vaginal dryness.
  
   
• Medical Conditions: Some medical conditions, such as Sjögren’s syndrome (an autoimmune disorder), can cause dryness throughout the body, including the vagina. 
  
   
• Cancer Treatment: Chemotherapy and radiation therapy can damage the ovaries and reduce estrogen production, leading to vaginal dryness. 
  
   
• Douching: Douching disrupts the natural balance of bacteria in the vagina and can cause dryness and irritation. Douching is not a recommended practice. 
  
   
• Stress: Stress can affect hormone levels and contribute to vaginal dryness. 
  
   
• Lifestyle Factors: Smoking can reduce blood flow to the vagina and contribute to dryness.

Managing Vaginal Dryness and Supporting Sexual Health

There are several effective ways to manage vaginal dryness and maintain a healthy and fulfilling sex life.

Lifestyle Strategies:

• Open communication with your partner: Discuss your concerns and explore ways to maintain intimacy and connection.
• Extended foreplay: Allow ample time for lubrication before intercourse.
• Lubricants: Water-based or silicone-based lubricants can significantly reduce friction and discomfort during sex. Avoid petroleum-based products as they can irritate the vaginal tissues.

Medical Treatments:

• Menopausal Hormone Therapy (MHT) / also referred to Hormone Replacement Therapy (HRT): Local oestrogen therapy, such as vaginal creams or pessaries, can be very effective in treating vaginal dryness. Systemic MHT may also be an option in some patients.

Other Considerations for Sexual Health During Menopause

• Addressing other symptoms: Managing other menopause symptoms, such as hot flashes or mood changes, can also positively impact sexual desire and function.
• Exploring alternative forms of intimacy: If intercourse is uncomfortable, explore other ways to maintain intimacy and connection with your partner.
• Seeking professional help: If you are experiencing significant sexual difficulties, consider seeking guidance from a therapist specialising in sexual health.

When to See a Doctor

It’s essential to consult with a medical professional if you are experiencing:

• Persistent vaginal dryness: That doesn’t improve with over-the-counter lubricants or moisturisers.
• Pain during intercourse
• Any unusual vaginal discharge or bleeding

About Dr. Basu’s Approach

We understand that discussing this can be personal. Dr. Basu provides a safe and supportive environment where you can openly discuss your concerns and receive personalised care. Our goal is to help you maintain comfort, intimacy, and a healthy sex life.

Schedule a consultation to safely discuss your concerns with Dr. Basu now.