Materiały źródłowe

• #1 Vaginal Dryness: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/symptoms/21027-vaginal-dryness

  Vaginal dryness is a painful symptom that affects your quality of life. It can cause pain during sitting, exercising, peeing and sexual intercourse. […] Vaginal dryness happens when your vaginal lining is thin and dry. […] Vaginal dryness occurs at any age. Its most common during or after menopause when estrogen levels decline. The hormone estrogen helps keep your vaginal lining moisturized and healthy. Low levels of estrogen cause your vaginal walls to become thin and dry. This is a common condition of menopause called vaginal atrophy. […] Healthcare providers diagnose vaginal dryness based on your medical history and a physical exam. To find the cause, your provider will ask about your symptoms and any medications you take. They may perform the following tests: Pelvic exam to view the inside of your vagina, which may be thin, dry and red. Blood test to determine if hormone levels or a health condition are causing vaginal dryness. […] Your provider may also test a sample of your vaginal discharge to rule out other causes or to check for signs of infection.

• #2 Vaginal dryness: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/article/000892.htm

  Vaginal dryness is present when the tissues of the vagina are not well-lubricated and healthy. […] A pelvic exam shows that the walls of the vagina are thin, pale or red. […] Your vaginal discharge may be tested to check for other causes for the condition. You may also have hormone level tests to find out if you are in menopause. […] Contact 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.

• #3 Vaginal dryness: Symptoms, remedies – Mayo Clinic Health System

  https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/vaginal-dryness-symptoms-causes-and-remedies

  Vaginal dryness can cause painful intercourse and persistent pelvic pain, among other symptoms. While it’s more common in menopausal women, it also affects younger women. […] Women bothered by vaginal dryness should have a thorough discussion and exam with their health care provider to determine the most likely cause for these symptoms. Other causes of vulvovaginal pain and irritation may be responsible for the symptoms. […] An exam will ensure the correct diagnosis is made and less common, but more serious, conditions are not missed. Your provider will help you determine the best course of treatment. […] While these recommendations can be helpful for many women, if symptoms persist despite these changes, your health care provider can suggest treatment options for vaginal dryness. This is a manageable condition for most women, and treatment can be life-changing for those with severe symptoms.

• #4 Vaginal atrophy – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/diagnosis-treatment/drc-20352294

  Diagnosis of genitourinary syndrome of menopause (GSM) may involve: […] Pelvic exam, during which your doctor feels your pelvic organs and visually examines your external genitalia, vagina and cervix. […] Urine test, which involves collecting and testing your urine, if you have urinary symptoms. […] Acid balance test, which involves taking a sample of vaginal fluids or placing a paper indicator strip in your vagina to test its acid balance. […] Your doctor will ask questions about your symptoms and assess your hormonal status. Questions your doctor may ask include: What vaginal or urinary symptoms have you noticed? […] Have you tried any over-the-counter moisturizers or lubricants?

• #5 Genitourinary Syndrome of Menopause – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK559297/

  Genitourinary syndrome of menopause (GSM) is a term that encompasses a wide range of symptoms and conditions associated with changes in the genital and urinary systems due to the decline in estrogen levels during menopause. […] GSM is highly prevalent, affecting over half of women who are postmenopausal, yet it remains underdiagnosed and undertreated. […] This activity reviews the identification, diagnosis, and management of GSM through a discussion of the physiological changes associated with menopause that lead to GSM, as well as the vast array of symptoms that can affect both the genital and urinary systems. […] Diagnosing GSM requires a comprehensive patient history and a thorough physical examination. Laboratory testing is not required. Common symptoms include genital dryness, burning, and irritation.

• #6 Genitourinary Syndrome of Menopause – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK559297/

  Many symptoms of GSM can be mistaken for other genitourinary conditions, such as vaginal or urinary tract infections, making it crucial for clinicians to obtain a detailed history, including a sexual history. […] Clinicians should ask about obstetric and gynecologic histories, menstrual history, current and past medications, and the use of any potential irritants in the area. […] Laboratory tests such as urinalysis and culture, sexually transmitted infection testing, and vaginal pathogen swabs may be employed to rule out genitourinary infections; they are typically not necessary for diagnosing GSM. […] In 2020, the Menopause Society clarified that these laboratory tests are not essential for diagnosing GSM. […] The differential diagnosis of GSM is essential for distinguishing it from other conditions with overlapping symptoms. Accurate diagnosis involves a thorough patient history, physical examination, and appropriate diagnostic tests to differentiate GSM from other conditions.

• #7 Vaginal dryness Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/diseases-conditions/vaginal-dryness

  Vaginal dryness is present when the tissues of the vagina are not well-lubricated and healthy. […] A pelvic exam shows that the walls of the vagina are thin, pale or red. […] Your vaginal discharge may be tested to check for other causes for the condition. You may also have hormone level tests to find out if you are in menopause.

• #8 Vaginal Atrophy: Causes, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/15500-vaginal-atrophy

  Vaginal atrophy is a condition where the lining of your vagina gets drier and thinner. This results in itching, burning and pain during sex, among other symptoms. The condition also includes urinary tract problems such as urinary tract infections (UTIs) and urinary incontinence. […] Vaginal dryness is typically the first indication that you’re developing vaginal atrophy. […] A healthcare provider can diagnose vaginal atrophy based on your symptoms and a pelvic exam to look at your vagina and cervix. Classic signs of atrophy during a pelvic exam include: a shortened or narrowed vagina, dryness, redness and swelling, loss of stretchiness, whitish discoloration to your vagina, vulvar skin conditions, vulvar lesions and/or vulvar patch redness, minor cuts (lacerations) near your vaginal opening, decrease in size of the labia.

• #9 Diagnosis and Treatment of Atrophic Vaginitis | AAFP

  https://www.aafp.org/pubs/afp/issues/2000/0515/p3090.html

  Genital symptoms include dryness, burning, dyspareunia, loss of vaginal secretions, leukorrhea, vulvar pruritus, feeling of pressure, itching and yellow malodorous discharge. […] Urinary symptoms of urethral discomfort, frequency, hematuria, urinary tract infection, dysuria and stress incontinence may be later symptoms of vaginal atrophy. […] It is important not to assume a diagnosis of atrophic vaginitis (or solely a diagnosis of atrophic vaginitis) in the postmenopausal patient who presents with urogenital complaints. […] On examination, several signs of vaginal atrophy will be evident. […] Atrophic epithelium appears pale, smooth and shiny. […] Laboratory diagnostic testing, including serum hormone levels and Papanicolaou smear, can confirm the presence of urogenital atrophy. […] Cytologic examination of smears from the upper one third of the vagina show an increased proportion of parabasal cells and a decreased percentage of superficial cells.

• #10 Vaginal Atrophy: Causes, Symptoms, Diagnosis & Treatment

  https://my.clevelandclinic.org/health/diseases/15500-vaginal-atrophy

  While healthcare providers typically rely on examinations to diagnose atrophic changes or GSM, they may do the following tests to rule out other conditions: Pap test, urine sample, ultrasound, vaginal pH (acid test), vaginal infection testing. […] You dont have to just live with vaginal atrophy. Even if youre in menopause or postmenopausal, that doesnt mean you should have to deal with UTIs, vaginal itching or painful sex. Treatment for GSM can be very successful. […] Vaginal atrophy cant be cured, but you dont have to live with the discomfort. With proper diagnosis and treatment, the symptoms can be managed. […] Yes, it can. Thats why prompt treatment is important. The sooner you get treatment, the less likely it is that your vaginal atrophy will worsen. For example, the longer you go without estrogen, the dryer your vagina will become. Without treatment, your vaginal atrophy may get worse. Occasionally, atrophy can become so severe that it can significantly narrow your vaginal opening. This may make it harder to treat the atrophy if treatment is started too late.

• #11 Diagnosis and Treatment of Atrophic Vaginitis | AAFP

  https://www.aafp.org/pubs/afp/issues/2000/0515/p3090.html

  An elevated pH level (postmenopausal pH levels exceeding 5) may also be a sign of vaginal atrophy. […] Estrogen replacement restores normal pH levels and thickens and revascularizes the epithelium. […] Adequate estrogen replacement therapy increases the number of superficial cells. […] Systemic administration of estrogen has been shown to have a therapeutic effect on symptoms of atrophic vaginitis. […] Other treatment options include transvaginal delivery of estrogen in the form of creams, pessaries or a hormone-releasing ring (Estring). […] Vaginal atrophy need not be an inevitable consequence of menopause or other events that result in long-term estrogen loss. […] Active diagnosis and intervention may prevent development of atrophic vaginitis or eliminate existing symptoms.

• #12 Patient education: Vaginal dryness (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/vaginal-dryness-beyond-the-basics

  Vaginal dryness occurs when your ovaries do not produce enough estrogen. This can be permanent or temporary and can occur at different times throughout life, such as: […] There are several treatment options for vaginal dryness. Some, such as vaginal moisturizers or lubricants, are available without a prescription. Others require a prescription; these include a vaginal estrogen cream, tablet, capsule, or ring; an oral medication called ospemifene; and a vaginal tablet called prasterone. […] Vaginal estrogen is one of the most effective treatment options for vaginal dryness. Vaginal estrogen requires a prescription from your health care provider, so ask about this if lubricants and moisturizers are not doing enough to relieve your symptoms. […] If your symptoms do not improve with the above treatments, see your health care provider to check for vaginal infections, skin conditions, and allergic reactions that are not due to vaginal dryness.

• #13 Gynecologic Problems : Johns Hopkins Sjögren’s Center

  https://www.hopkinssjogrens.org/disease-information/sjogrens-disease/vaginal-dryness/

  Gynecologic manifestations of Sjgrens are an important, yet often overlooked, aspect of the disease. Even though vaginal dryness is a common occurrence during menopause, women with Sjgrens disease report this symptom 2-3 times more often than comparably aged women without Sjgrens. Vaginal atrophy develops during menopause as a consequence of a marked decline in serum levels of estrogen. The presence of Sjgrens disease appears to aggravate the symptoms of vaginal atrophy. This may be manifested by thinning of the pubic hair, loss of vaginal rugae, decreased vaginal moisture, and narrowing of the vaginal introitus. As a consequence, women with vaginal atrophy may note vaginal burning or itching, pain with intercourse, and vaginal spotting or discharge. […] Accordingly, it is important that women with these symptoms be evaluated by a gynecologist. […] The treatment of vaginal dryness in the setting of Sjgrens disease includes the use of vaginal moisturizers, water soluble lubricants during sexual activity, and vaginal estrogen creams.

• #14 Vaginal atrophy – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/symptoms-causes/syc-20352288

  Vaginal atrophy (atrophic vaginitis) is thinning, drying and inflammation of the vaginal walls that may occur when your body has less estrogen. Vaginal atrophy occurs most often after menopause. […] Genitourinary syndrome of menopause (GSM) signs and symptoms may include: Vaginal dryness. […] Make an appointment with your doctor if you have any unexplained vaginal spotting or bleeding, unusual discharge, burning, or soreness. […] Also make an appointment to see your doctor if you experience painful intercourse that’s not resolved by using a vaginal moisturizer (K-Y Liquibeads, Replens, Sliquid, others) or water-based lubricant (Astroglide, K-Y Jelly, Sliquid, others). […] Genitourinary syndrome of menopause is caused by a decrease in estrogen production. Less estrogen makes your vaginal tissues thinner, drier, less elastic and more fragile.

• #15 Experiencing Vaginal Dryness? Here’s What You Need to Know. | ACOG

  https://www.acog.org/womens-health/experts-and-stories/the-latest/experiencing-vaginal-dryness-heres-what-you-need-to-know

  Some women also have increased urinary frequency or repeated urinary tract infections (UTIs) along with vaginal dryness. When this group of symptoms happens during menopause, ob-gyns call it genitourinary syndrome of menopause. […] For vaginal dryness by itself, I recommend trying over-the-counter moisturizers and lubricants. […] See your ob-gyn if irritation and pain during sex dont improve after 2 months of use, or if you have other symptoms. […] I often talk with patients about hormonal treatments when vaginal dryness comes along with urinary symptoms or menopausal symptoms, such as hot flashes. […] These treatments deliver less estrogen than typical hormone therapy and have fewer risks. Talk with your ob-gyn about the pros and cons of different hormonal options.

• #16 Don’t ignore vaginal dryness and pain – Harvard Health

  https://www.health.harvard.edu/womens-health/dont-ignore-vaginal-dryness-and-pain

  Vaginal dryness occurs in women of all ages, but it becomes much more common after menopause. […] It’s estimated that the problem affects about half of postmenopausal women most of whom, possibly as many as 90%, don’t seek treatment for their symptoms, which include not only dryness, but also irritation and pain during sexual intercourse. […] The North American Menopause Society and the International Society for the Study of Women’s Sexual Health refer to this combination of menopausal symptoms, which are brought on by a drop in the body’s estrogen production, as genitourinary syndrome of menopause (GSM). […] While existing treatments for this condition can definitely help symptoms, they fall short of a cure for most women. […] If you are experiencing symptoms related to GSM, it’s worth a visit to your doctor. […] Once other conditions are ruled out, your doctor can work with you to find solutions for GSM, whether that includes a vaginal moisturizer, vaginal estrogen, or another treatment. […] Your doctor may also recommend that you use a lubricant during sex or may offer other forms of hormone therapy.

• #17 How to Solve Vaginal Dryness Symptoms – Coyle Institute

  https://coyleinstitute.com/how-to-solve-vaginal-dryness-symptoms/

  Vaginal dryness is a lack of natural lubrication that is usually produced by the lining of the vaginal canal. Vaginal dryness can cause daily irritation, painful intercourse and urinary incontinence and a loss of sexual confidence. […] Symptoms of vaginal dryness can reflect a lack of elasticity, thinning vaginal walls and other accompanying vaginal health issues stemming from hormonal imbalances. However, vaginal dryness also can be an indicator of a hormonal imbalance or an illness that should be taken seriously and treated quickly. […] Depending on a womans specific vaginal dryness symptoms, there are a wide variety of treatments available. For women who are experiencing irritation or painful intercourse, a high-quality vaginal lubricant can be an easy first step to alleviating symptoms and providing everyday comfort.

• #18 Diagnosis and Treatment of Atrophic Vaginitis | AAFP

  https://www.aafp.org/pubs/afp/issues/2000/0515/p3090.html

  Up to 40 percent of postmenopausal women have symptoms of atrophic vaginitis. […] The earliest symptoms are decreased vaginal lubrication, followed by other vaginal and urinary symptoms that may be exacerbated by superimposed infection. […] Once other causes of symptoms have been eliminated, treatment usually depends on estrogen replacement. […] An estimated 10 to 40 percent of postmenopausal women have symptoms of atrophic vaginitis, also referred to as urogenital atrophy. […] Therefore, physicians have an opportunity to improve the urogenital health and quality of life of a large patient population through identification of and intervention in this often overlooked and underdiagnosed condition. […] A long-term decrease in estrogen stimulation is generally required before symptoms of atrophic vaginitis arise.

• #19 Get Prescription Treatment for Vaginal Atrophy Online with Prescription Included

  https://getinterlude.com/vaginal-atrophy/?srsltid=AfmBOorYkqna0qTu-Zjt3k_cQek0atSDK83NnbqEo0osapIiJFNnRDgF

  Vaginal atrophy is a condition that happens when the vaginal skin becomes thin and dry due to lack of estrogen. Vaginal atrophy is a component of the genitourinary syndrome of menopause. […] The genitourinary syndrome of menopause (GSM) is a term that is meant to replace the term „vaginal atrophy”. GSM describes the symptoms and signs of lack of estrogen in the vagina, labia, urethra, and bladder. […] You might experience some or all of the symptoms and signs of GSM. […] Initially you might notice irritation of the vulva, lack of vaginal lubrication, burning, pain when peeing, pain with sex, and vaginal discharge. […] If you examine your body, you might see labial atrophy, vaginal dryness, shortening of the vaginal canal, clitoral atrophy, an elevated vaginal pH, and loss of volume in the vulva.

• #20 Vaginal Dryness: Causes and Moisturizing Treatments

  https://www.webmd.com/women/vaginal-dryness-causes-moisturizing-treatments

  Vaginal dryness is common symptom of menopause — and close to 1 in 3 women deal with it while going through „the change.” […] Any burning, itching, or discomfort in the area is worth a call to your doctor or gynecologist. They’ll ask about your past health and find out how long you’ve had symptoms and what seems to make them worse or better. […] Your doctor will do a pelvic exam, checking your vagina for any thinning or redness. The exam will help rule out other causes for your discomfort, including a vaginal or urinary tract infection. The doctor may also remove cells from your vaginal wall or cervix for a Pap test.

• #21 Vaginal Dryness: What It Is, Symptoms, Treatment & More – Southern Iowa Mental Health Center

  https://simhcottumwa.org/vaginal-dryness/

  Vaginal dryness. It happens to most postmenopausal women, but few talk about it and even fewer get treated for it. […] Vaginal dryness is a painful condition that occurs when the lining of the vagina does not produce enough lubrication. A healthy vagina has a thick discharge that keeps the tissues lubricated and healthy. When the body no longer makes adequate lubrication, the tissue becomes thin and dry, which may cause discomfort. […] According to an article in the International Journal of Womens Health, approximately 50% to 60% of postmenopausal women suffer from this condition. Yet, only 25% receive treatment. […] Vaginal dryness can wreak havoc on a woman’s quality of life. Painful sexual intimacy can be challenging to navigate in a relationship. Vaginal dryness can also cause discomfort when sitting or exercising, and it can lead to an increase in urinary tract infections (UTIs).

• #22 Reddit – The heart of the internet

  https://www.reddit.com/r/Healthyhooha/comments/phdgqc/diagnosed_with_vaginal_dryness_feeling_embarrassed/

  been struggling for a while with the inability to produce enough lubrication during sex. […] i went to the obgyn today for my annual and without me even telling her about my problem, she said she was shocked by how dry i was inside and that she had trouble collecting enough cells for a swab. she diagnosed me with vaginal dryness and told me to lubricate my vagina daily for the foreseeable future. […] i have never heard of vaginal dryness being an issue for someone in their 20s.

• #23 Vaginal dryness – symptoms, causes & treatment

  https://www.drwolffsvsan.com/en-gb/symptoms/vaginal-dryness

  Younger women may also be affected by vaginal dryness, for example after uterine or ovarian surgery, when breastfeeding or taking the pill. Furthermore, chemotherapy, radiation and medication used to treat cancer can also have the side effect of vaginal dryness. Vaginal dryness can also occur under stress or as a side effect of some medication, e.g. for treating diabetes, depression, asthma or endometriosis. […] Do you suffer from vaginal dryness? Dr. Wolff’s V-san Moisturising Cream with dual effect can help all women with vaginal dryness: it provides moisture and soothing lipids (fats) to the skin in the external genital area and in the vagina. Dr. Wolff’s V-san Moisturising Cream leaves the sensitive vaginal lining pleasantly soft without the need for hormones. Dr. Wolff’s V-san Moisturising Cream can be applied in the vagina with or without an applicator. […] For women who do not want to use an applicator, there is the Dr. Wolff’s V-san Moisturising Cremolum; the smooth-melting vaginal pessary against vaginal dryness.

• #24 Vaginal Dryness Causes, Diagnosis, and Treatment

  https://www.verywellhealth.com/vaginal-dryness-causes-and-treatments-3522435

  If you have symptoms of vaginal dryness before you have reached the age of perimenopause, which typically does not begin before age 45, you should see your healthcare provider. […] Symptoms of vaginal dryness can also overlap with symptoms of infection, so it is best to have your healthcare provider identify and treat an infection if you have one. […] There are several prescription and non-prescription treatments that can help improve symptoms or treat the underlying cause of vaginal dryness. […] Your healthcare provider may suggest one or more, depending on your circumstance. […] Often, even when vaginal dryness is caused by a hormonal problem, an over-the-counter topical therapy can be very effective. […] If you are suffering from chronic vaginal dryness related to perimenopause or menopause, your healthcare provider may prescribe a topical medication to increase estrogen.

• #25 Vaginal dryness

  https://www.nhs.uk/conditions/vaginal-dryness/

  See a GP if: you’ve had vaginal dryness for a few weeks and things you’ve tried yourself are not working, vaginal dryness is affecting your daily life, you have unusual discharge or bleeding from your vagina, you have bleeding after sex or in between your periods. […] If you’re getting vaginal dryness because of changes in your hormone levels, you may be prescribed creams, gels, patches or medicines to increase a hormone called oestrogen. This is called HRT.

• #26 Vaginal dryness: Causes, treatments, and natural remedies

  https://www.medicalnewstoday.com/articles/321615

  Vaginal dryness is a health issue that affects many people. A doctor can suggest treatment to help resolve the discomfort it can cause. […] No single test can diagnose vaginal atrophy and vaginal dryness. A doctor will usually base the diagnosis on the symptoms. […] It might feel embarrassing and uncomfortable to discuss such personal details, but doctors are used to having these types of conversations. Seeking help is the first step toward managing symptoms.

• #27 'Vaginal Dryness’ Can Be Fatal. No, Really.

  https://www.medscape.com/viewarticle/996829

  I’m here to tell you that vaginal dryness is killing women. I mean it. It’s actually killing women. […] When women come to our offices and complain of a little vaginal dryness or they don’t even come to our office to complain of it because the doctor can’t be bothered with a little vaginal dryness what they don’t understand is that this „little vaginal dryness” is really something called genitourinary syndrome of menopause (GSM). […] It turns out that all of the genital and urinary symptoms from menopause just get worse over time. […] The thing that kills women is recurrent urinary tract infections (UTIs). […] Did you know we’ve had safe and effective treatment options for GSM since the 1970s? […] In fact, data show that by using vaginal hormones, we can prevent UTIs by more than 50%.

• #28 Patient education: Vaginal dryness (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/vaginal-dryness-beyond-the-basics/print

  Vaginal estrogen is one of the most effective treatment options for vaginal dryness. Vaginal estrogen requires a prescription from your health care provider, so ask about this if lubricants and moisturizers are not doing enough to relieve your symptoms. […] If your symptoms do not improve with the above treatments, see your health care provider to check for vaginal infections, skin conditions, and allergic reactions that are not due to vaginal dryness.

• #29 Vaginal dryness: a review of current understanding and management strategies – PubMed

  https://pubmed.ncbi.nlm.nih.gov/38318859/

  The issue of vaginal dryness in genitourinary syndrome of menopause (GSM) and its pervasive impact on women’s quality of life is often overlooked. […] Physician knowledge on menopause medicine varies globally, highlighting the need for standardized training. Effective communication between physicians and patients plays a crucial role in diagnosing and treating GSM symptoms. […] There are multiple treatment options to improve vaginal lubrication, including hormonal and non-hormonal therapies, along with lifestyle modifications. Tailoring treatments to individual patient preferences is crucial for compliance. Overall, GSM is multifaceted, from the prevalence of vaginal dryness to the nuances of treatment preferences. The urgency of widespread education and awareness of this matter must be underscored to meet the aim of enhancing the well-being and quality of life for women.

• #30 Vaginal dryness: 'Women, please report symptoms,’ urge experts

  https://www.medicalnewstoday.com/articles/322214

  Despite the fact that these symptoms are felt by so many women, 50 percent of them fail to report them to their physicians. […] Moreover, less than 4 percent of the women with vaginal dryness use any kind of therapy such as estrogen tablets, vaginal creams, or vaginal rings to address this problem. […] Studies have confirmed that although more than half of women develop vaginal dryness as they become more postmenopausal, most do not report symptoms, explains the NAMS executive director Dr. JoAnn Pinkerton. […] Its shocking that less than 4 percent of women in the SWAN study were using these effective therapies by the end of the study period. For women, please report symptoms, and for healthcare providers, please offer safe, effective therapies.

• #31 What Is Vaginal Dryness? Symptoms, Causes, Diagnosis, Treatment, and Prevention

  https://www.everydayhealth.com/vaginal-dryness/guide/

  Regular sexual stimulation and activity, with a partner or alone (masturbation), can help keep tissue in the vagina moist and promote healthy vaginal tissue. […] You can prevent or minimize vaginal dryness by: […] Having regular sexual activity […] Not using douches, perfumes, or deodorants in or near your vaginal area and washing only with perfume- and dye-free soaps […] Allowing more time for foreplay before sex to arouse and stimulate yourself, which will increase vaginal secretions. […] Vaginal dryness can lead to: […] Painful sexual intercourse […] Low sexual desire […] Bacterial or yeast infections.

• #32 Vaginal Dryness: Symptoms, Causes, and Treatments

  https://www.health.com/vaginal-dryness-8774193

  If you are experiencing vaginal dryness along with other symptoms that may signal an infection or underlying condition, it’s important to visit your healthcare provider right away for treatment. […] There are several effective treatments for easing the symptoms of vaginal dryness. […] Vaginal lubricants are available over-the-counter (OTC) and are used to lubricate (wet) the vagina, usually for intercourse or sexual activity. […] Vaginal moisturizers typically contain hyaluronic acid. Their purpose is to help your vaginal tissues preserve moisture. […] There are several hormonal options available to treat vaginal dryness. […] There are two nonhormonal medications available to help treat vaginal dryness. […] Vaginal dryness can cause an increased risk of urinary tract infections (UTIs) and recurring UTIs.

• #33 Vaginal atrophy – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/symptoms-causes/syc-20352288

  Typically, the vaginal lining consists of healthy tissues that are several layers thick and naturally moist. A dry vaginal lining becomes thinner and loses natural moisture. […] Regular sexual activity, either with or without a partner, may help prevent genitourinary syndrome of menopause. Sexual activity increases blood flow to your vagina, which helps keep vaginal tissues healthy.

• #34 Patient education: Vaginal dryness (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/vaginal-dryness-beyond-the-basics/print

  Vaginal dryness is a common condition in people who have been through menopause (when a person no longer gets monthly periods). Vaginal dryness is also common in people who have had both of their ovaries surgically removed, for example, to treat or prevent cancer. […] In some cases, vaginal dryness can lead to other bothersome symptoms, such as pain with sex, vaginal burning or itching, or abnormal vaginal discharge that is thin, white, and non-foul-smelling. […] Fortunately, there are several effective treatments available. If you have symptoms of vaginal dryness, talk to your health care provider about which treatment is right for you. […] Vaginal dryness occurs when your ovaries do not produce enough estrogen. […] There are several treatment options for vaginal dryness. Some, such as vaginal moisturizers or lubricants, are available without a prescription. Others require a prescription; these include a vaginal estrogen cream, tablet, capsule, or ring; an oral medication called ospemifene; and a vaginal tablet called prasterone.

• #35 What Is Vaginal Dryness? Symptoms, Causes, Diagnosis, Treatment, and Prevention

  https://www.everydayhealth.com/vaginal-dryness/guide/

  There are various ways to treat vaginal dryness, depending on its cause: […] Topical Estrogen Available as a tablet, cream, vaginal suppository, or ring that’s placed directly into the vagina, it can alleviate symptoms of vaginal dryness. […] Osphena (ospemifene) This estrogen agonist-antagonist is the only oral product approved by the U.S. Food and Drug Administration for the treatment of vaginal dryness and moderate to severe dyspareunia (painful sex). […] Intrarosa (dehydroepiandrosterone) This vaginal suppository can help alleviate painful sexual intercourse. […] Vaginal moisturizers (such as Replens, Lubrin, Sylk, and vitamin E vaginal suppositories) are to be used regularly, regardless of whether you have sexual intercourse or not. […] Vaginal lubricants are used just prior to penetrative sexual intercourse.

• #36 Vaginal Dryness: Common Causes and What You Can Do About It | University Hospitals

  https://www.uhhospitals.org/blog/articles/2019/11/vaginal-dryness-what-are-its-causes-and-what-you-can-do

  Do you have vaginal dryness, burning, decreased lubrication, or pain during sex? You’re not alone. […] These symptoms commonly occur when estrogen levels decline, typically when a woman is breastfeeding or as a result of menopausal changes, known as as genitourinary syndrome of menopause (GSM). […] About 30 to 50 percent of postmenopausal women experience these symptoms. […] The first step is to tell your healthcare provider. […] There are a number of treatment options that can help relieve your symptoms. […] Vaginal estrogen is a treatment that helps with the thickness and elasticity of the vulva and vagina. […] Ospemifene is an oral tablet that treats painful intercourse caused by GSM. […] Prasterone (DHEA or Intrarosa), is a vaginal suppository taken nightly for pain with sex caused by GSM in menopause.

• #37 Vaginal Dryness: Common Causes and What You Can Do About It | University Hospitals

  https://www.uhhospitals.org/blog/articles/2019/11/vaginal-dryness-what-are-its-causes-and-what-you-can-do

  Stopping any of these medications will cause the symptoms to return, so the medications need to be continued for ongoing relief. […] Non-medication options include vaginal stimulation, which can help keep vaginal tissues healthy by increasing blood flow. […] Over-the-counter options include vaginal moisturizers that help with vaginal and vulvar dryness, and lubricants that can be used during sexual intercourse. […] Lastly, vaginal laser treatment has shown promise in many studies of improving the symptoms of GSM. […] Vaginal dryness is very common and there are treatments that are available to increase your quality of life.

• #38 How to Treat Vaginal Dryness After Breast Cancer | Northwestern Medicine

  https://www.nm.org/healthbeat/healthy-tips/treating-vaginal-dryness-after-breast-cancer

  After menopause (when menstruation stops), many people develop vaginal dryness and thinning of the tissue of the vagina because of lower estrogen levels, which can result in painful intercourse. This condition is known as genitourinary syndrome of menopause (GSM), or vulvovaginal atrophy. […] Vaginal dryness is the most common symptom of GSM. […] GSM is particularly common in people diagnosed with breast cancer since chemotherapy can suppress their body’s ability to produce estrogen, which can cause an earlier menopause. […] „There are a variety of hormonal and non-hormonal treatments for vaginal dryness, and it is important to rule out other causes of pain.” […] „The CO2 laser treatment is an effective, non-hormonal option to treat the vaginal dryness and sexual pain associated with GSM,” says Dr. Kurtzer.

• #39 How to Treat Vaginal Dryness After Breast Cancer | Northwestern Medicine

  https://www.nm.org/healthbeat/healthy-tips/treating-vaginal-dryness-after-breast-cancer

  Prescription vaginal estrogen or steroid hormones (such as DHEA) in the form of a tablet, cream, suppository or vaginal ring are safe for most people to use and can help alleviate symptoms of GSM. However, many people with breast cancer are advised against using, or prefer not to use, hormone treatments because additional estrogen in their body could increase the risk of breast cancer recurring. […] If you have a breast cancer diagnosis and are experiencing vaginal dryness, talk to your physician about whether vaginal hormonal treatment is right for you.

• #40 Vaginal health after breast cancer: A guide for patients – Australasian Menopause Society

  https://www.menopause.org.au/health-info/fact-sheets/vaginal-health-after-breast-cancer-a-guide-for-patients

  Women who have had breast cancer treatment before menopause might find they develop symptoms such as vaginal dryness. […] When the amount of oestrogen in the body decreases this is commonly associated with dryness of the vulva and vagina. […] Dryness due to decreased vaginal secretions, which may also mean sexual intercourse becomes uncomfortable or painful. […] Vaginal oestrogen, which comes in the form of pessaries or creams inserted with an applicator, may sometimes be recommended because it mainly acts locally, but some oestrogens are also absorbed into the circulation. This decision needs careful consideration. […] For women with problematic vaginal dryness, it is essential to discuss management options with your oncologist or breast cancer specialist as quality of life issues are considered as part of your overall treatment.

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