Vaginal dryness | Women’s Health Concern

About vaginal dryness

Vaginal dryness can affect any woman, however after the menopause it is very common, affecting over half of post-menopausal women aged between 51 and 60. This article will help you to understand vaginal dryness, the symptoms, causes and treatment, and allow you to approach your health care professional with confidence. It will help you to understand that you are not alone in suffering from this common condition, and encourage you to take the first steps towards regaining your sexual confidence and quality of life.

Vaginal moisture

Natural lubrication produced by glands at the neck of the womb (the cervix) keeps the vagina supple and moist. The moisture moves slowly down through the vagina, keeping it clean and removing dead cells. The vaginal moisture is slightly acidic and this helps to keep the area healthy, preventing infections such as thrush. It is perfectly normal for the majority of women to notice a slight white vaginal discharge.

During sexual excitement the Bartholin’s glands (two glands at the entrance of the vagina) produce extra moisture to aid sexual intercourse. However, a quarter of women aged 50-59 experience vaginal dryness problems during sex and 16% experience pain.

Before the menopause

Around 17% of women aged 18-50 experience problems with vaginal dryness during sex, even before the menopause takes place. Many women may experience vaginal dryness during sex because they are not sexually aroused – this is often caused by insufficient foreplay or psychological reasons such as stress. Other reasons for vaginal dryness before the menopause can be linked to hygiene products such as feminine sprays and harsh soaps, swimming pool and hot tub chemicals and some washing powders. Certain drug treatments such as allergy and cold medications and some antidepressants, can also dry out mucous membranes, including vaginal tissues.

There are a number of simple ways in which to lubricate a dry vagina:

• Lubricants – these are similar to natural lubrication and should be applied to the area around the lips (vulva) and vagina just before sexual intercourse takes place
• Vaginal moisturisers – these are used two to three times a week and last for up to three days, therefore they do not have to be applied directly before sexual intercourse takes place

Vaginal dryness can be a common problem for pre-menopausal women with low levels of estrogen, such as breastfeeding mothers, those who have had a hysterectomy and those who have received chemotherapy.

Pre-menopausal women who have their ovaries removed during a hysterectomy are likely to experience menopausal symptoms, including vaginal dryness, as a result of a loss of hormones. These changes are more dramatic in women whose ovaries have been removed as this causes menopause to occur more abruptly, however, even women requiring hysterectomy whose ovaries remain intact will experience some drop in hormone levels as a result.

The hormonal changes that women experience due to chemotherapy also tend to be dramatic and abrupt, leading to more intense symptoms. Chemotherapy can damage the ovaries so that they no longer produce estrogen and this lowers the amount of vaginal lubrication produced. Decreased amounts of estrogen also leads to a thinner, less elastic and more fragile vaginal lining.

After the menopause

The average age of the menopause is 51 and after the menopause women find that their bodies change. The ovaries stop producing the female hormone estrogen and the levels begin to decrease. One of the early signs of reduced estrogen on the vagina is reduced lubrication during sexual activity.

Without the production of estrogen, the skin and support tissues of the lips (vulva) and vagina become thinner and less elastic and the vagina can become dry. Approximately half of post-menopausal women experience vaginal dryness.

Symptoms

Loss of lubrication and pain during sex – after the menopause, problems with lubrication and painful sex increase. Thinning of the skin around vagina makes it more easily damaged. This damage can often occur during sex, especially if lubrication is poor – even gentle friction can cause pain and discomfort. Painful intercourse can then have a knock on effect contributing to a loss of sexual desire. The relief of symptoms often leads to an increased sexual desire and arousal.

Pain during other times – in many cases vaginal dryness does not only cause pain during sex it can make it uncomfortable to sit, stand, exercise, urinate or even work. Vaginal dryness can affect everyday life, whether women are sexually active or not. This can have a detrimental effect on quality of life.

Many women also notice that having a cervical smear becomes more painful or difficult.

Change in the appearance of the vagina and vulva – it is common for the vagina to look different; the lips will be much thinner.

Changes to the vaginal discharge –many women also find that their vaginal discharge changes, becoming more watery, discoloured and slightly smelly and they may experience irritation and a burning feeling. These symptoms can be worrying but they are simply due to the hormonal changes and not an indication of something more serious.

Emotional impact – vaginal dryness can make women feel different. Changes to the body can be difficult to accept and pain and discomfort caused by the condition can lead to a loss in self- confidence and sexual confidence.

For many women these symptoms can lead to confusion as they are similar to symptoms of some sexually transmitted diseases or thrush. Some women who wrongly assume this to be an attack of thrush buy over-the-counter remedies, which can make the problem much worse. As this is an embarrassing problem many women keep it to themselves and this can put a large strain on their

relationship with their partner, especially if women feel unable to tell their partner why they are not interested in sexual activity.

Premature menopause

Around one percent of women experience a premature menopause (also called premature ovarian insufficiency) – this is when the menopause begins before the age of 40. A premature menopause can be an extremely difficult time for a younger woman with difficult physical and emotional changes.

Premature menopause leads to long-term infertility, which is for many women the most serious and upsetting consequence of an early menopause. However for young active women vaginal dryness can also impact on their relationship with their partner and their sex life.

A silent problem

Despite the high number of women experiencing problems related to vaginal dryness it is still a silent problem that many people feel embarrassed to talk to their partners, friends and even doctors about. Only a quarter of women with these problems actually seek treatment.

Remember, women spend a third of their lives in a post menopausal state and they need to make sure that they maintain the quality of life that they had before the menopause. Vaginal dryness does not need to be treated as an inevitable part of growing older – something can be done about it.

Things to look out for if you think you may be experiencing vaginal dryness:

• Do you experience pain, irritation, burning or dryness during sex?
• Do you experience bleeding or spotting during or after sex?
• When you go for your smear, has it become more difficult or uncomfortable?
• Has the appearance of your vagina changed?

What to do next

Recognising that vaginal dryness is normal and common is the first step to helping yourself. The next is to talk to your doctor, who can recommend a treatment to suit you.

Treatment

• Local estrogen – this is available in the form of small tablets inserted into the vagina with an applicator, a waxy pessary, vaginal gel, creams or a vaginal creams or a vaginal ring. The ring needs to be removed and replaced every three months. Vaginal dryness can respond well to local estrogen treatments, they can also help greatly with discomfort and pain during sex, correct the vaginal pH and regulate bacteria. Unlike conventional forms of HRT, the effects are local and therefore the risks are minimal
• DHEA – a once daily pessary containing dehydroepiandrosterone
• Ospemifene – a tablet treatment that has an estrogen like effect in the vagina, suitable for
  some women who are not candidates for vaginal estrogen
• Avoid perfumed soaps
• Use creams to treat skin irritation
• Lubricants and moisturisers can be useful, particularly for women who are not suited to estrogen replacement
• Take more time during sexual intercourse giving the Bartholin’s gland time to produce the maximum amount of lubrication before sexual intercourse.

Tips for talking to your doctor about vaginal dryness

Discussing vaginal dryness with a healthcare professional (HCP) can be daunting however it is often well worth it as they will be able to help. Here are a few tips to make the discussion as easy as possible:

• Make a list of what you want to discuss
• Discuss the most important or most difficult questions first
• Write down what the doctor tells you
• If there is anything that you don’t understand, ask for clarification
• If you feel embarrassed take along some information with you. It can be difficult to discuss embarrassing problems face to face, but if you find information on the internet about your symptoms you can use this to help explain and avoid having to make eye contact with your HCP whilst discussing the problem
• If you still feel unable to discuss the subject, write it all down and hand it to the HCP
• Don’t wait to be asked, give the HCP any information that you may feel is relevant including a history of the condition, symptoms, the impact they are having on you, any lifestyle factors that may have contributed and any medication you are taking
• Many women find that their smears become more difficult, if this is the case, speak to the nurse about your symptoms and ask for some further information and advice about vaginal dryness.

In summary

• Vaginal dryness is a very common problem and affects more than half of women after the menopause, however some women may experience problems with vaginal dryness before the menopause
• Vaginal dryness is a painful condition which can impact on quality of life and relationships
• There are a number of effective treatments that can treat vaginal dryness easily and effectively
• Vaginal dryness can be an embarrassing condition but it needs to be addressed and it is well worth discussing your symptoms with your HCP and also your partner.

What You Need to Know About Causes and Treatments

No one likes to talk about it, but almost every woman has experienced it.

A dry vagina is not only uncomfortable, but it can lead to painful sex, itching and other problems.

“Vaginal dryness is a common symptom of several conditions,” said Dr. Chappell. “This is one reason why we encourage you to schedule an appointment with us so we can get to the cause and offer effective treatment. ”

“Some women think that a dry vagina is just something they have to put up with, but nothing can be further from the truth. Vaginal dryness can affect the quality of your life and even cause painful intercourse.”

What Causes Vaginal Dryness?

The main cause of vaginal dryness is a decline in estrogen, the hormone that helps keep your vaginal tissue healthy.

While menopause is the primary reason for a decrease in estrogen levels, other causes can be:

• Giving birth
• Breastfeeding
• Immune disorders, including Sjogren’s syndrome, an autoimmune disease that affects your glands that make saliva and tears
• Smoking
• Depression 
• Severe stress
• Oophorectomy (removal of the ovaries)
• Chemotherapy
• Perimenopause
• Douching
• Allergy or cold medications
• Certain soaps or even certain kinds of laundry detergent

In some cases, diabetes may even contribute to vaginal dryness.

How Do You Treat a Dry Vagina?

When dryness is due to lack of lubrication, you can buy over-the-counter treatments like lubricants and moisturizers. Often, these therapies can alleviate most of the discomfort during sex. However, these methods only provide short-term relief.  

Other strategies to address vaginal dryness include avoiding irritants like douching, or using any perfumed soaps or lotions in the vaginal area. 

Estrogen therapy is particularly successful in treating vaginal dryness.

Estrogen Therapy for a Dry Vagina

Estrogen therapy includes hormone-containing vaginal creams, rings and tablets.

These treatments release estrogen directly into the tissue to restore the elasticity to the lining. Depending upon your individual situation, systemic estrogen therapy – where estrogen is released into the bloodstream through pills or patches – may be a good option. 

It’s important to note that if you have your uterus, you should also take progestin when you are undergoing systemic estrogen therapy. This can help reduce your risk of getting uterine cancer. (American College of Obstetricians and Gynecologists)

The risks and benefits are slightly different between local estrogen treatment and systemic estrogen treatment. We would be happy to help you figure out which option best addresses your needs.

Vaginal Dryness and Menopause

While almost half of postmenopausal women have trouble with a dry vagina, an estimated 90 percent don’t seek help for their symptoms.

This not only leads to further irritation, but it also contributes to painful sex. This group of symptoms is referred to as genitourinary syndrome of menopause (GSM). 

Symptoms include:

• Vaginal itching
• Bleeding after sexual intercourse
• More frequent vaginal infections
• Vaginal burning
• Urinary tract infections
• Frequent urination

GSM can dramatically reduce the quality of life for affected women. While other hallmarks of menopause such as hot flashes tend to decrease in severity over time, but vaginal dryness does not. (Harvard Medical School).

A Dry Vagina Can Cause Painful Sex

While sex should not cause pain or discomfort, thousands of American women have experienced painful intercourse.

In fact, 3 out of 4 women have experienced painful sex at some point. The medical term for painful intercourse is dyspareunia. 

Sex does not have to be painful, and at Chapel Hill OBGYN, we’re dedicated to helping you with any sexual condition.

Do not ever feel “embarrassed” to talk to us about your problems. Your sexual health is simply too important. 

See Why We’re the Provider of Choice in Chapel Hill and Durham

We’ve helped women of all ages and from all walks of life experience better gynecological health, whether they are here for their first Pap smear, their prenatal appointments or for help with menopausal symptoms.

Please contact us to schedule an appointment. Usually we can schedule it for that same week. 

For more than 40 years, Chapel Hill OBGYN has served women in the Triangle area, sharing the joy of little miracles and supporting them during challenges. Our board-certified physicians and certified nurse midwives bring together the personal experience and convenience of a private practice with the state-of-the-art resources found at larger organizations. To schedule an appointment, please contact us for more information.

Sources:

American College of Obstetricians and Gynecologists

Harvard Medical School. Don’t ignore vaginal dryness and pain

U.S. Library of Medicine. “Vaginal Dryness.”

Causes, treatments, and natural remedies

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Vaginal dryness is a common symptom during and after menopause, but it can happen at any age and for various reasons.

Vaginal dryness usually results from low estrogen levels. Estrogen is the hormone that keeps the lining of the vagina lubricated, thick, and elastic.

Vaginal dryness is a common problem, but many people do not seek help, as they may not realize it is a health issue for which they can get help.

It can lead to pain during intercourse, contributing to a loss of sexual desire. It can also cause discomfort during sports and other physical activity, and increase the risk of vaginal infections.

Several treatments are available to relieve the symptoms of vaginal dryness.

Vaginal dryness usually results from a drop in estrogen levels. Estrogen levels begin to decrease as menopause approaches.

The ovaries produce estrogen, and estrogen controls the development of female body characteristics, such as breasts and body shape. It also plays a key role in the menstrual cycle and pregnancy.

Estrogen helps keep the tissues lining the vagina thick, moisturized, and healthy. As levels decline, the lining becomes thinner, drier, and less elastic. These changes are known as vaginal atrophy.

Estrogen levels can drop for various reasons including:

• menopause
• surgical removal of the ovaries (which can trigger menopause)
• childbirth and breastfeeding
• treatments for cancer, including chemotherapy and radiation
• anti-estrogen drugs for treating breast cancer or endometriosis

Other causes of vaginal dryness can include:

• Sjögren’s syndrome, an autoimmune disorder that involves inflammation of the salivary and tear glands.
• Using antihistamines, which help manage cold and allergy symptoms by drying secretions. Side effects can include vaginal dryness and trouble urinating.
• Antidepressants, which sometimes have sexual side effects such as vaginal dryness, decreased libido, and difficulty having an orgasm.
• Stress and anxiety, which can affect libido and vaginal lubrication.
• Reduced blood supply to the vagina.
• Flammer syndrome, in which blood vessels react in an unusual way to stimuli such as cold and stress.

Females who smoke may experience menopause earlier than those who do not, and so vaginal dryness may occur at an earlier age in this group.

People with vaginal atrophy and vaginal dryness may experience:

• vaginal itching
• burning
• irritation
• pain during sex
• discomfort during physical activity
• a higher risk of vaginal infections and urinary tract infections

If the dryness is due to a fall in estrogen levels, they may also have:

• lower levels of natural vaginal secretions
• a tightening of the vaginal opening
• a narrowing of the vagina

Together, these changes are known as dyspareunia. They can lead to pain during penetrative sex.

Vaginal dryness is a health issue that affects many people. A doctor can suggest treatment to help resolve the discomfort it can cause.

People should seek medical advice if they experience the following symptoms or other signs of change in their vaginal health:

• burning
• itching
• dryness
• intercourse pain
• irritation

The doctor will likely:

• ask about vaginal and other symptoms
• ask about menstrual changes
• do a pelvic examination
• in some cases, take a swab for a lab test

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.

Various treatment options are available for vaginal dryness. Some are available over-the-counter, while others need a prescription.

Topical estrogen cream

One option is topical estrogen therapy, a medication in the form of a cream or ointment that a person can apply directly to the vaginal area to relieve symptoms.

A person using a topical cream will absorb less estrogen compared with taking estrogen as a pill. As a result, the risk of adverse effects is relatively low.

Examples of topical estrogen therapies include:

• Vaginal ring (Estring). The person inserts a flexible ring into the vagina where it continually releases low amounts of estrogen into the tissues. The person should replace the ring every 90 days.
• Vaginal cream (Estrace, Premarin). People can use an applicator to apply the cream into the vagina. Research shows that estrogen cream is an effective and well-tolerated treatment for vaginal atrophy and dryness, compared with a placebo.
• Vaginal tablet (Vagifem). The person will use an applicator to place a tablet into the vagina.

There is limited research into the long-term effects of topical estrogen, but these are more likely to be safe compared with oral hormone replacement therapy.

Females who have a history of breast cancer, who are or may be pregnant, or who are breastfeeding should talk to their doctor about the safety of topical estrogen therapy. The doctor may recommend non-hormonal treatments instead.

Over-the-counter treatments

Over-the-counter treatments may help with vaginal dryness.

For example, a person can use lubricants at the time of intercourse to increase moisture. Water-based lubricants may be preferable to oil-based lubricants, as oil-based ones can lead to irritation and condom breakage.

A person can also use vaginal moisturizers every 1 to 2 days to help maintain the vagina’s natural moisture. They are available for purchase online.

A number of lifestyle changes can help combat vaginal dryness and discomfort.

Regular sex

Regular sexual activity, whether alone or with a partner, can help manage vaginal dryness.

Blood flow to the vaginal tissues increases during arousal, and this helps stimulate moisture production.

Adequate foreplay and arousal before sex can help overcome vaginal dryness and make sex more enjoyable.

Avoid some hygiene products

Many body products and personal hygiene products contain fragrances and dyes that can irritate or dry out the vaginal tissue.

The vagina contains a delicate balance of good bacteria and is self-cleaning. There is no need for douching or using fragrant soaps around the sensitive vaginal area.

Phytoestrogen supplements

Phytoestrogens are compounds that act similarly to estrogen in the body. They occur in plant-based foods, including soy, nuts, seeds, and tofu.

One review suggests that consuming phytoestrogens may improve vaginal dryness and hot flashes slightly during menopause. However, the evidence is limited and more research is needed.

Vaginal dryness is a common symptom often linked to a drop in estrogen levels, including at the start of menopause. It is not likely to have significant health consequences, but it can be a source of discomfort.

Topical estrogen cream is one low-risk treatment. Mild symptoms can be treated with over-the-counter options, including vaginal moisturizers and using lubricants during sexual activity.

6 Moisturizing Remedies. Plus, What Causes It

When it comes to down there, mention the words itching or soreness and you’d be forgiven for thinking you’ve got a bad case of thrush or cystitis.

But before you head to the doc to load up on antibiotics or start pushing pessaries where the sun don’t shine, there may be another cause for these symptoms that’s often overlooked: vaginal dryness.

“Everyone thinks vaginal dryness is all about menopause,” states Dr. Anita Mitra, obstetrics and gynecology specialist and author of “The Gynae Geek.” “But there are so many times people might experience this when they are younger.”

In fact, almost a fifth of women between the ages of 17 and 50 encounter the condition and, while not harmful, it can be incredibly painful and uncomfortable.

We ain’t got no time for parched pussy, so it’s important to get wise to a complaint that can strike at any age.

The symptoms of vaginal dryness are hard to miss, so you’ll know when something is up down south.

As noted before, itching and soreness are two common signs, as is pain during and after sex and when urinating.

“Some women who have a really dry vagina on the outside will get fissures going down toward their bum — that’s the weak point on the vulva,” explains consultant gynecologist Dr. Tania Adib.

As if women don’t have enough to contend with when it comes to menstrual cycles and hormones, a drop in estrogen levels tend to be the key culprit behind vaginal dryness.

“Typically, you’ll feel more dryness when estrogen levels are lower in your cycle,” Dr Mitra reveals.

This means there’s a good chance your vagina might feel a bit drier around the time the crimson wave hits.

“Straight after your period, your estrogen levels will be quite low,” she adds. “But just before your period, you might feel quite dry and irritated, too.”

However, there are a variety of other factors that can affect your estrogen levels and potentially lead to dryness.

First up, take a look at your contraception. “You can certainly get vaginal dryness if you’re on the combined oral contraceptive pill, or the mini pill,” states Dr. Adib.

Our physical and mental health is inextricably linked, and the vagina may not be exempt from this connection. Experiencing depression, anxiety, or high levels of stress may negatively impact blood flow throughout the body — including to genitalia — which may lead to dryness.

Furthermore, “stress impacts how much hormone your brain produces, and that affects how your ovaries function,” Dr. Adib notes.

Breastfeeding? When you’re producing enough milk to feed a baby and start a side hustle as a boutique dairy, the hormonal changes linked with this can also impact your vagina.

Dr Mitra reveals: “During lactation your estrogen levels are low, so you tend to get a lot of dryness.” Because new moms are so busy, this is often something that gets overlooked — but should definitely be taken into consideration.

Last but not least, we’re sorry to report these vices could be behind symptoms of vaginal dryness: smoking and drinking alcohol.

Once you’ve gauged if it’s definitely vaginal dryness, there are a variety of easy measures you can take to help fix it.

1. Dampen down

Not just for getting frisky, lubricants and moisturizers can be used regularly to help stop your vagina resembling the Sahara.

“I’d use a really good quality lubricant, as they are well made and nice for the skin,” Dr Mitra explains. While many are water-based, there are oil-based options, too — but be aware of slathering on the latter if you’re using condoms, as the oil destroys the rubber.

2. Change up your contraception

It’s a no-brainer: If you’re on the pill and not tied to it, try “switching to a different pill or using the coil, [as this] can help,” reveals Dr. Adib.

3. Get appy

Period trackers are great for improving awareness of your menstrual cycle and discovering if your dryness is linked to this.

“Use one to keep an eye on when the dryness is occurring in the cycle,” suggests Dr. Mitra, “as that can help you work out if it’s something that’s meant to be happening.”

4. Food for thought

If you suspect alcohol consumption is a contributor, then you’ll need to cut back.

Otherwise, “there’s no evidence that cutting carbs or dairy will have an effect, and no population-level evidence that a particular food helps or hinders vaginal dryness,” Dr. Mitra states.

5. Supplement yo’self

While this is one medical complaint you don’t need to pop pills for, there is a supplement that can help provide relief, Dr. Adib reveals. “There’s some evidence that sea buckthorn oil — omega-7 — can be really good for vaginal dryness, and I often recommend that women take that.”

What about probiotics? “[They’re] great for vaginal health, but are all about balancing the bacteria, rather than improving moisture,” she says.

6. Cream of the crop

If trying all these measures fails to bring about any positive changes, don’t despair. See your doctor and let them know what you’ve tried and how long you’ve been trying them.

“A really low-dose, topical estrogen cream or tablets can be very helpful,” explains Dr. Adib. “These are also completely safe for breastfeeding moms to take, and available through prescription.”

A sore and itchy vajayjay is never comfortable, so you’ll want to sort it out ASAP. But, as tempting as it might be to become a Google Doctor and self-treat (and avoid any awkward conversations with your GP), it’s important to be examined to get an accurate diagnosis before inserting or applying anything.

This is because the symptoms of dryness are similar to those of some other conditions, often leading to confusion or incorrect treatment.

Thrush

Often presented as feelings of soreness and itching, thrush is a stubborn yeast overgrowth.

Creams that help fight this won’t keep you moisturized in the long run, just as using a lubricant won’t fight off the condition, so visit a doctor to get tested. This will help determine if symptoms are resulting from dryness or thrush and your doctor will indicate the best course of action.

Skin conditions

True fact: You can experience skin complaints on any area of your body, and this could also be behind any persistent vaginal itching and soreness.

“You can get lichen sclerosus, psoriasis, and eczema on the vulva — and they need to be checked for,” Dr. Mitra explains.

And, she reveals, it’s complaints such as these which highlight the importance of receiving the correct treatment — not only for your health now, but later on.

“Lichen sclerosus is usually treated with steroids, and there is a percentile risk of it becoming cancerous,” she says. “The risk is very small, but if you’re not treating yourself properly, then you’re taking that chance. Unfortunately, over the past few years, I’ve seen some older women who have pre-cancer or cancer of the vulva, and they’ve not sought treatment but just been [self-prescribing] creams and lotions. So before you use anything, get checked out.”

If you’ve been fortunate enough to not experience vaginal dryness, you can take action to help ensure it remains that way.

While elements such as menstruation or lactation are out of your control, what you put on or near your genitals is definitely within your remit.

First up, don’t be tempted to use fancy ‘feminine hygiene’ products

“You’re meant to have healthy bacteria in your vagina and, if you wash it away, you’re more likely to stop it growing,” explains Dr. Mitra. “In turn, this can cause the tissue to become super irritated, and even allow thrush or bacterial vaginosis to develop.”

Despite what your instincts (and advertisers) may tell you, using water alone is good enough.

Getting intimate? It’s worth reviewing your rubber of choice.

On occasion, condoms made of latex can contribute to dryness (sometimes as a result of an allergy), but there are plenty of non-latex options available, often being made from polythylene, polyurethane, or polyisoprene.

However, it’s also worth bearing in mind these are more likely to break or slip off during sex in comparison to their latex counterparts.

Consider new underwear

Finally, while that silk and lace underwear may look sexy, it holds less appeal for your vagina.

Synthetic fabrics can cause irritation to the delicate skin in that area, so stick to cotton where possible. That includes sanitary products, too: Aim to use pads or tampons with a high cotton content, or try a silicone menstrual cup.

If you’re experiencing problems, the message is clear: Seek help and wave buh-bye to those dry spells by speaking up. Embarrassment is no reason to live uncomfortably.

“Talking about genitalia is viewed as something dirty, but it’s not,” says Dr. Mitra. “We need to get more comfortable saying the words, and move it away from being a taboo.”

Chantelle Pattemore is a writer and editor based in London, UK. She focuses on lifestyle, travel, food, health and fitness.

Vaginal Itching & Dryness: Common Causes & Treatments

Vaginal Itching Due To Chemical Irritants

Like itching in other areas, vaginal itching is often the result of exposure to an irritant. In this case, any soap or chemical product you use on your vagina or vulva — or on clothing that touches the area — can cause irritation.

Sometimes the culprit is something obvious, like a new lubricant or spermicide. Other times the itching is actually the result of the detergent or fabric softener used on clothing. Even a douche, which is actually used to cleanse the vagina, can cause irritation for some women. This is one of the many reasons why you should avoid douching.

If your vaginal itching is a fairly new development, look at any products you’ve started using recently. Have you switched to a new brand of contraceptive foam or spermicidal condom? Are you using a different brand of detergent or fabric softener in your laundry? If so, the newly introduced chemical may be the culprit.

When your vaginal itching is persistent over a long period of time, irritants may still be to blame. If itching is your only symptom, try changing the products you use for contraception, cleansing and laundry.

For lubricant, consider trying a fragrance-free, water-based lubricant or coconut oil (if you aren’t using condoms). Use polyisoprene (latex-free) condoms to see if you have a latex allergy.

Sometimes the chemicals found in soap can cause vaginal irritation as well. Buy fragrance-free soap without perfume and only use it on the outside of the vulva. The interior of your vagina is self-cleaning and using soap or douching may disrupt its natural, healthy bacteria balance.

Also avoid vaginal wipes or deodorants.

Be sure to only change one product at a time so that you can correctly identify the cause of the issue.

Vaginal Itching as a Symptom of an Underlying Issue

When vaginal itching isn’t the result of an irritant or dryness, there may be another underlying cause that needs to be identified and treated.

Yeast Infections: Yeast infections are commonplace for many women, as evidenced by easy access to over-the-counter medication. Itching is a primary symptom of yeast infections, which can usually be treated quite effectively by your OB/GYN doctor once properly diagnosed.

Sexually Transmitted Illnesses: Nearly all sexually transmitted illnesses can cause vaginal itching. This includes chlamydia, gonorrhea and genital herpes, as well as cases of human papillomavirus (HPV) that present with other symptoms like vaginal warts (symptoms are not always present with HPV).

If your vaginal itching is a symptom of a sexually transmitted infection, most often treating the illness can help with the itching. The approach, however, depends on the illness itself. Chlamydia, for example, can usually be treated successfully with antibiotics. Herpes on the other hand is a chronic illness, so treatment usually focuses on alleviating symptoms.

Bacterial Vaginosis: Bacterial vaginosis is a fairly common condition in which the natural bacteria in the vagina can begin to over-produce, resulting in itching and vaginal discharge.

Many women become concerned by the somewhat troubling symptoms of bacterial vaginosis. In most cases though, antibiotics and other medications will return the vagina’s bacteria balance to normal. Bacterial vaginosis may also subside naturally.

To prevent bacterial vaginosis, consider taking a Pro-B Probiotic supplement, which has been clinically shown to help balance yeast and bacteria in the body.

Vaginal dryness — symptoms, causes and remedies

Vaginal dryness is a symptom that I discuss with women every week. Typically, it isn’t the main reason that brings a woman to the clinic, but the topic comes up when we discuss other related subjects, such as painful intercourse or persistent pelvic pain. Understandably, the problem of vaginal dryness is more common in menopausal women. Vaginal dryness sometimes can be more distressing for younger women who are still menstruating, because it causes discomfort with daily activities or during sex.

Vaginal dryness can be impacted by a handful of factors. Estrogen probably is the most important hormonal influence on the health of the vulva and vagina. Low estrogen can contribute to dryness. Diet and the use of other medications also are important factors. You can expect any medications that cause dry eyes and dry mouth to have a similar effect on the vagina, as well. An interesting study in 2015 showed that a daily oral soy supplement could improve vaginal dryness.

Estrogen levels in the blood vary during the month and follow a common pattern for each menstrual cycle. For women not on hormonal birth control, levels are lowest in the days just before and after the start of menstrual bleeding. This low level sometimes can contribute to vulvar and vaginal dryness.  Women on combination oral contraceptives containing both estrogen and progestin are unlikely to experience such dryness.

We don’t fully understand why some women develop uncomfortable symptoms, such as vaginal dryness, vulvar pain and itching towards the end of their menstrual cycle, while others have no problems. Most likely, there are additional factors that are made worse by the lower estrogen level expected at the end of the menstrual cycle. There are a lot of interesting theories and ongoing research into these symptoms.

Of course, I would encourage a woman to have a thorough discussion and exam with her provider to determine the most likely causes for these symptoms. An exam also will help ensure that less common, but more serious, conditions are not missed. Your provider will help you determine the best course of treatment. Many times, I meet women who, inadvertently, have made their symptoms worse by having tried multiple different creams or other home treatments before seeing their provider.

Here are a few things you can try to reduce vaginal dryness:

• Consider using a lubricant designed to have the appropriate pH for the vagina. 
• Incorporate more soy into your diet, as well as an oral probiotic supplement that enhances vaginal health.

For vulvar sensitivity during the period, consider a low-oxalate diet during the week prior to the expected bleeding. Some have questioned the effectiveness of a low-oxalate diet, but it does seem to improve pain for some women; and, certainly, there is no harm in trying it for a few menstrual cycles.

Read about some ideas for a low oxalate diet, which also is used to reduce the likelihood of kidney stones.

Robert Lee, M.D., is a physician in the Obstetrics & Gynecology department at Mayo Clinic Health System – Red Cedar in Menomonie.

For the safety of our patients, staff and visitors, Mayo Clinic has strict masking policies in place. Anyone shown without a mask was either recorded prior to COVID-19 or recorded in a non-patient care area where social distancing and other safety protocols were followed.

5 Reasons Your Vagina Is Going Dry

If you’ve never had a problem getting wet before but now your privates feel like the Sahara, don’t panic—you’re not going through early menopause. Fact is, there are many reasons why younger women experience vaginal dryness, and the problem is a lot more common than you’d think. Still, it’s not something you want to blow off. It’s important for your hoo-ha to be moist, and not just because lubrication makes sex feel more pleasurable. Vaginal wetness keeps tissues healthy and even serves as a line of defense against infections and STDs, says Alyssa Dweck, an ob-gyn in Westchester, New York, and co-author of V Is for Vagina. Use a water-based vaginal lubricant in the meantime as you suss out what’s leaving you dry.

1. Your Body Craves More Foreplay
The typical rom-com sex scene goes from locking lips to full-on intercourse in about 30 seconds. In the real world, we call b.s.—most women need at least a little more direct stimulation before they’re wet enough for penetration, says Dweck.

RELATED: Your Vagina On Sex

2. You’re Stressed Out
Stress takes the blame for a lot of health issues, and you can add vaginal dryness to the list. If it doesn’t temporarily kill your libido outright, feeling anxious or pressured can make it harder to get turned on, says Dweck. Once the stress lifts, your juices should start flowing.

3. You’re on Cold Meds
“Over-the-counter cold and allergy formulas contain antihistamines that dry out the mucus membranes in your nose, as well as your vagina,” says Dweck. Not all women experience it, but it can happen, and things will moisten up again once you stop dosing up.

4. Your Birth Control Pill Is Messing With You
“One little-known side effect of oral contraceptives is reduced vaginal lubrication,” says Dweck. And unlike some other side effects that happen when you first go on the Pill, this one probably won’t clear up in a few months. “I’ll usually advise my patients to use store-bought lubricant, or if it’s really uncomfortable, consider going off the Pill and trying another type of birth control,” she says.

5. You Just Had a Baby
Giving birth (and breastfeeding, too) does a number on your body and changes your sex life in unexpected ways, including lowering levels of estrogen—the hormone responsible for maintaining vaginal lubrication. A few months post-birth, when your regular cycle returns and you stop lactating, the slippery stuff will be back.

RELATED: 13 Brutally Honest Truths About Sex After a Baby

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90,000 6 Causes of Dry Vagina – HEROINE

One of the most common causes of discomfort during sex is vaginal dryness. It can appear at any age and does not necessarily mean that you have health problems. Heroine will tell you why there is a lack of lubrication in the intimate area.

1. You are breastfeeding

Breastfeeding increases the production of prolactin, a hormone that stimulates milk production. In addition, it suppresses estrogen and testosterone, which in turn leads to vaginal discomfort.

If you are a nursing mother, dry vagina is quite normal. Use a lubricant so that it doesn’t interfere with your comfortable sex. Keep in mind that silicone based lubricant provides better glide than water based lubricant, but should not be used with sex toys.

2. You are taking contraceptives

This is one of the most common causes of vaginal dryness in young girls. Contraceptives often suppress the body’s production of estrogen and testosterone.They do not work like that on everyone, it is possible that you have a genetic predisposition to such a reaction to contraceptives.

You should discuss your problem with your doctor, perhaps he will prescribe contraceptives with a higher dose of hormones.

3. You use the wrong hygiene products

If the feeling of dryness does not occur during sex, but simply on its own, maybe it’s not a lack of vaginal lubrication, but irritation of the skin around the vulva. Often women complain about vaginal discomfort, referring to the vulva, and this is not the only problem with how to call the genitals in our society.
For the outer genitals, use a mild intimate hygiene product. Normal water is enough for the skin at the entrance to the vagina: the vagina itself removes foreign substances, so you should not use soap or wipes.

4. You have a cold

If a runny nose and a feeling of dryness in the vagina occurred at about the same time, intimate discomfort is probably associated with the disease. Or rather, with treatment: antihistamines and other remedies for the common cold can dry out not only the nasal mucosa.

Once you finish your treatment, the dryness in your vagina will disappear, so you have nothing to worry about.

1Read on Topic: 7 Vaginal Smells You Need to Know

5. You smoke a lot

It is well known that nicotine has a negative effect on the mucous membranes of the body. Some animal studies have shown that smoking can suppress estrogen production. Therefore, vaginal dryness can occur due to nicotine addiction.

There is only one way out, and it is quite obvious: reduce the amount of nicotine or even give up this bad habit.

6. You have menopause

Menopause is not expected before 40 years, but in rare cases it can come much earlier, and we have already told you why.

During menopause, the level of estrogen and progesterone drops significantly, which affects the moisture and elasticity of the vagina.

The best way to get rid of the sensation of dryness in the vagina in this case is to use special moisturizers, silicone lubricant, or try hormone therapy.

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90,000 5 things that can cause vaginal dryness

One of the most important components of comfortable sex is that at the moment when a woman is sufficiently aroused, she becomes “ wet “.

The causes of vaginal dryness range from physiological factors such as hormonal changes or treatment side effects to emotional and psychological problems such as lack of desire or even anxiety. However, this leads to discomfort and pain during sex. Fortunately, there are many options for treating vaginal dryness. This may be good news for many women over the age of 60 who list vaginal dryness as one of their top two sexual health problems.Another is lack of interest in sex. A survey of more than 800 women to identify a genital health problem confirmed this. The results were published in 2015 issue of the Journal of Women’s Health . But vaginal dryness can also be a problem for women younger than 60. Every second woman experiences vaginal dryness.

The first step in treating vaginal dryness is to find out the source of the discomfort, especially if vaginal dryness causes pain during sex.A number of reasons can lead to a lack of lubrication in the vagina:

• Hormonal changes . One of the most common causes of vaginal dryness is a decrease in estrogen levels during menopause, pregnancy, breastfeeding, and after childbirth. Cancer treatments (chemotherapy, pelvic irradiation) can also lead to low estrogen levels and decreased vaginal lubrication.

• Medicines . Allergies and medications containing antihistamines as well as asthma medications can have a drying effect on the inside of the body and lead to decreased vaginal lubrication.

• Insufficient excitation . In some cases, vaginal dryness can be caused by low libido or sexual problems with a partner.

• Irritants in personal hygiene items . Aggressive chemical ingredients, dyes, fragrances, which are often found in soaps, foams, gels, intimate gel lubricants, intimate hygiene products, can cause vaginal dryness. Many women are allergic and irritated to poor quality soap and lubricants.The intimate detergent should have a pH of 4 -4.5. When buying, keep an eye on the composition.

• Anxiety . Psychological and emotional factors such as stress and anxiety can also lead to vaginal dryness.

PREVENTION AND TREATMENT OF VAGINAL DRY

Treatment for vaginal dryness depends on the cause. Women who have problems with vaginal lubrication should see a doctor for treatment.Depending on the situation, doctors may prescribe hormone replacement therapy. It is estrogen that restores the previous functions of the vagina much better, regenerates its protective layer.

There are also remedies that bring temporary relief, especially for pain during sex, moisturize and soothe the vaginal mucosa. Lubricants, lubricants, intimate moisturizing gels – help to make sex comfortable, moisturize, relieve itching, irritation. water-based grease is perfect for these purposes. It is suitable for daily use. Water-based lubricants tend to have a balanced pH level, thereby maintaining a healthy vaginal environment that is not conducive to bacteria.

Remember that not all lubricants work equally well on the vaginal mucosa. Gynecologists recommend paying attention to natural lubricants that do not contain dyes, fragrances, parabens, glycerin, etc. These substances often cause irritation, allergic reactions and only exacerbate the situation. Glycerin-Free Lubricants are important for women prone to yeast infections.

• Exercise regularly and eat healthy foods. Drink plenty of water.

• Make sure that your intimate hygiene products do not contain aggressive chemicals, perfume dyes, etc.

• Sex with a partner, oral sex, touching, masturbation – anything that increases blood flow to the genitals is vital for maintaining healthy vaginal moisture.Have sex more often. It is regular arousal and sex that increase the estrogen content and contribute to the appearance of lubrication, keep the vagina elastic.

• Kegel exercises help to keep the vagina in good shape. If there are no contraindications, exercise as much as possible.

• There are natural products that can work as a lubricant for vaginal dryness such as coconut oil, aloe gel.

Everyone knows their own body better than anyone, so choose the lubricant options that make you feel comfortable.

90,000 What your vagina will tell – Pink.ua

If the parts of the body could speak, first of all they would probably tell a little about themselves. Today we will talk about the vagina, and, most likely, we will answer the questions that have been spinning in your head for a long time.

No synonyms

The word “vagina” is not that official, rather rude and not melodic, that’s why we try to avoid it.When we come to the doctor, sometimes we try to find some worthy synonym, but nothing but “THERE” or “below” occurs to us. And this is not scary, because the vagina is not called otherwise.

It’s time to get to know him

There are girls who think that the vagina is a collective concept that means the clitoris, urethra, vulva, in short, all together. Not. The vagina is itself. So close the bathroom door, take the mirror and see what you have there.Yes, it is not as beautiful as we would like, and it will not be possible to see it well. The vagina is, in simple terms, the tube that connects the internal organs to the outside of the reproductive system.

Read also: what is not customary to talk about in bed

Lean discharge is normal!

A discharge that does not cause itching, does not have a pronounced odor and color is considered normal. During ovulation, the discharge becomes more abundant and viscous, but, nevertheless, it should still not have a color or an aggressive odor.If, long before menstruation, the discharge is yellow or has a tinge of blood, it is worth contacting a gynecologist. This is most likely a signal of the presence of harmful bacteria or infections.

Read also: 5 rules of holiday romance

You cannot lose anything in the vagina

One friend of mine suffered from a very atypical phobia – all the time it seemed to her that she could lose something inside herself: a tampon, a spiral, a condom or other means of contraception. I must say that the vagina has a bottom, its average length is twelve centimeters.And if you cannot get something out of yourself on your own, the doctor will definitely get it. Hopelessly, nothing can be lost in the vagina.

The labia are not the most beautiful part of a woman’s body

Yes, it’s worth admitting and accepting. The labia are different for everyone. Some are asymmetrical, some are more brown, some are pink. There is no single norm for the appearance of the labia.

Read also: interview with a girl of easy virtue

Give her air

Since harmful bacteria and infections adore the dark and wet environment, I strongly advise you not to walk in a wet swimsuit for a long time.The same goes for wetsuits or other clothing that retains moisture. Change your wet clothes to dry clothes immediately after exercising. Your vagina’s best friend is quality panties made from natural materials and panty liners. I advise you to choose odorless pads and change them several times a day. Your vagina will be very grateful to you for such care.

Read also: 7 most incredible sex records and the loudest sex scandals of Hollywood stars

Article author: Pink.ua

90,000 Top 10 things men ignore in bed

June 21, 2020

June 21, 2020

Cosmo

Sex with a guy should be fun, so forget about your fears and complexes

While you’re worried about your imperfect bikini line or your strange facial expression at the moment of orgasm, the guy is enjoying the process with might and main and has no idea why you are so tense.Perhaps you can relax and just have fun when you read the guys’ opinions about the things that cause fears and complexes in bed?

1. How you smell “there”

“I don’t care if my partner’s vagina smells like a field of fresh lilies or not. I don’t think that perfume companies will soon release scented candles with the name “Scrotum”, so I have no right to demand a heavenly fragrance from a girl “there”.The vagina should smell like a vagina – most guys either really like it or don’t care at all. ”- Bobby, 24.

2. Do you have body hair

“A girl doesn’t have to look like a perfectly sleek, hairless sexy dolphin. So if you do not suffer from hypertrichosis, you can safely skip epilation for several days in a row. I won’t faint if your hair is in my mouth – compared to the pleasure of sex, this is a mere trifle. ”- George, 27.

3. That you are too (or not enough) wet

“There is never a lot of lubrication, so get out of your head the thought that you are“ too ”wet. But even if it’s not enough, you can always use an artificial option, so you don’t have to worry about it in both cases. ”- Mark, 33.

4. What sounds the vagina makes during sex

“The weird squelching or popping sounds your vagina makes during sex is completely normal.It’s not okay to interrupt the process when you hear them and say, “Oh, that was disgusting.” Because it wasn’t disgusting. ”- Zach, 29.

5. How loud you are in bed

“You can express your feelings as loudly as you like, unless, of course, you are going to grab my head and yell in my ear. My neighbors will get through a little concert, so don’t worry about them either. But you also have every right to a quiet, soundless orgasm, just let me know that you feel good now – this is very important, ”- Chris, 19 years old.

6. The fact that your chest is bouncing

“If my girlfriend is not bouncing all that is possible, then I am doing my job wrong, damn it! In addition, the wobbling of the chest looks just amazing – you do not need to be shy and cover it with your hands. But if it hurts, you can stay in a bra – that is also very sexy, ”- Jose, 31 years old.

7. How “strange” your face looks during orgasm

“Personally, I find the expression on my girlfriend’s face at the climax to be very sexy.Although if I decided to shoot her on camera, she would say: “Horror.” In any case, grimace as much as you want – you won’t scare us, at these moments we are busy with our own strange grimaces ”- Kirk, 40 years old.

8. How long does it take for you to cum

“I feel the most courageous and happy when I bring my partner to orgasm and I am ready to work on it until terrible leg cramps and numbness of the tongue – if only she was happy.Do not push yourself, relax and surrender to the sensations – there is nothing worse than simulating an orgasm. ”- Paul, 34 years old.

9. The fact that you do not suggest how best to behave a guy in order to please you

“If you don’t like the way I move, you want to change your posture or slow down, then just tell me about it! No normal guy will be offended by constructive criticism in bed. Just remember that there is a big difference between the gentle “Come into me slower” and the harsh “Come on to the left, you idiot” – there is a big difference.

10. The fact that you are not always in the mood for oral sex

“Blowjob is great, but sometimes you want to skip a snack and go straight to the main course – how can you be offended? If today you are not in the mood to go downstairs to my “floor”, well, I will not make a problem out of this. ”- Michael, 33 years old.

90,000 Vulvovaginal Health Promotion | Memorial Sloan Kettering Cancer Center

This information will help you improve and maintain your vulvovaginal health (the health of the vulva and vagina) during and after cancer treatment.

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About the health of the vulvovaginal zone

As you age, your vagina and vulva (the skin outside the vagina) become drier and their elasticity (ability to stretch) decreases. This may happen earlier in people who have received cancer treatment or surgery to reduce their risk of cancer. Some people may take the hormone estrogen to slow this process down. However, estrogen is not safe for everyone.

Below are some guidelines to help you cope with dryness and decreased elasticity of the vagina and vulva.Review them with your doctor or nurse to decide which of these recommendations might work best for you.

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Moisturizers for the vagina and vulva

Moisturizers for the vagina and vulva help to increase the amount of moisture in the vagina and vulva and improve the quality of the tissues. These products are different from lubricants used during sexual activity. Moisturizers for the vagina and vulva can be used at any time, not just before or during sexual activity.Moisturizers for the vagina and vulva should be used several times a week to maintain the health and comfort of the vaginal area.

OTC moisturizers for vagina and vulva are hormone-free. You can buy them online or at your nearest pharmacy without a prescription.

Listed below are a few examples of moisturizers for the vagina and vulva.

Moisturizers

• Hyaluronic acid based products
  • HYALO GYN ^®
    • Moisturizer can be inserted into the vagina with a disposable applicator (which is then discarded), applied to the vulva, or applied to both areas.
    • You can purchase HYALO GYN online at www.hyalogyn.com.
  • Revaree ^®
    • This moisturizer is sold as a suppository (solid form medication that dissolves after being introduced into the body). It needs to be inserted inside the vagina.
    • You can purchase Revaree online at www.hellobonafide.com. Use code MSKREV25 with your purchase to get 25% off your first month with your monthly Revaree subscription.This offer is valid for subscriptions only.
• Replens Long-lasting Vaginal Moisturizer ^™
  • This moisturizer can be inserted into the vagina using a disposable applicator, applied to the vulva, or applied to both areas.
  • You can buy Replens Long-lasting Vaginal Moisturizer at your pharmacy.

Emollients (with natural oils)

• Carlson Suppositories ^® Key – E ^®
  • These are suppositories that must be inserted into the vagina using a disposable applicator.They work best when used before bed.
  • You can buy Carlson Key-E plugs online at www.carlsonlabs.com
• Natural oils such as vitamin E or coconut oil
  • These products can be applied both inside and outside the vagina.
  • Natural oils can be purchased online, at your local pharmacy or health food store.

Talk to your doctor about which type of moisturizer is best for you.If you have severe dryness and irritation, a hydrating moisturizer may be better for you.

Method of using moisturizers for the vagina and vulva

• Many vaginal moisturizers come with applicators. You will need to fill the applicator with moisturizer and gently insert it into your vagina. You can apply lubricant to the tip of the applicator to make it easier to insert into the vagina.
• You can also apply vaginal moisturizers to vulvar tissues, including the labia majora and labia majora (folds of skin around the opening of the vagina).To do this, apply a small amount (about the size of a pea or grape) of moisturizer to your finger. Then rub moisturizer around the opening of your vagina and labia.
• If you have recently completed your cancer treatment or are suddenly experiencing menopause, you may need to use moisturizers 3-5 times a week to relieve symptoms.
• Moisturizers for the vagina and vulva should be used before bed so that they can be fully absorbed.

If you are also using topical estrogen on your vagina, do not use it the same evening when you apply moisturizers. For more information on topical vaginal estrogen, see the Topical Vaginal Estrogen section below.

If you wear panty liners or panty liners while using moisturizers or due to urinary incontinence (leakage), you may want to use a skin barrier cream such as Aquaphor ^® , Balmex ^® , or Desitin ^® .Panty liners and panty liners can cause dryness in the vulva area. Before using panty liners or panty liners, apply the cream to the vulva to help retain moisture and protect the skin.

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Vaginal lubricants

Vaginal lubricants are used to supplement natural lubrication during sexual activity and help reduce discomfort. Lubricants make sexual intercourse and touching during it more comfortable and pleasant.Vaginal lubricants usually come in the form of liquids or gels. Examples of vaginal lubricants include:

In some people, semen, saliva and certain ingredients in lubricants (eg chlorhexidine, glycerin and propylene glycol) may cause irritation.Do not use colored, perfumed, or warming lubricants, as they can cause irritation. Never use Vaseline (Vaseline ^® ) as a lubricant. Petroleum jelly does not wash off well and can irritate the vagina or increase the risk of an infection in it.

If you are using latex condoms, only use a water-based or silicone-based lubricant. Do not use oil-based lubricants as they can damage the latex condom.

Method of application of vaginal lubricants

Apply lubricant to the vaginal opening and to anything that is inserted into or near the vagina, such as applicators, dilators, fingers, other objects, and your partner’s penis, before inserting it into the vagina.

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Estrogen local action for the vagina

Topical Vaginal Estrogen is a hormonal medication that can be used to keep the vulva and vagina healthy. Topical estrogen is only available with a prescription because it is not safe for everyone.

Listed below are medicines that are trademarks of estradiol (a topical estrogen) in different dosages.Be sure to check with your doctor or surgeon before using these medicines.

• Yuvafem (Vagifem ^® )
  • This medication is sold with an applicator. Inject it into your vagina daily at bedtime for 14 days. After 14 days, insert it into your vagina twice a week at bedtime.
• Imvexxy ^®
  • This medicine is available as an oil-based vaginal suppository. Inject it into your vagina daily at bedtime for 14 days.After 14 days, insert it into your vagina twice a week at bedtime.
• Estring ^®
  • This medication comes in the form of a vaginal ring. Insert the ring into the vagina and push it as far as possible. It needs to be removed and reinstalled every 90 days.
• Estrace ^®
  • This medication is an ointment that can be applied inside and around the vaginal opening. Your doctor or nurse will teach you how to best apply this product.

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Sexuality enhancement

There are a variety of sex-enhancing products such as lubricants, lingerie and sex toys. They can be purchased online, at a specialty store, or by phone.

The following is a list of specialty stores in New York, as well as some web site addresses. In addition, you can search the Internet and other specialty stores near you.Memorial Sloan Kettering (MSK) does not provide specific support to these companies.

Specialty Stores in New York

Websites

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Female Sexual Medicine and Women’s Health Program

If you need additional support or information about sexual health and intimate life, talk with your healthcare provider about the Female Sexual Medicine and Women’s Health Program.You can also call 646-888-5076 for more information or to make an appointment.

Services offered by the Women’s Sexual Medicine and Health Program are provided at the following centers:

• Breast Center named after Evelyn H. Lauder Breast Center
  300 East 66 ^th Street (between First Avenue and Second Avenue)
• Rockefeller Outpatient Pavilion
  160 East 53 ^rd Street (between Lexington Avenue and Third Avenue)

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90,000 How will your intimate zone change at 30, 40, 50 and 60 years

60 years

Hot flashes and night sweats can overwhelm you for several years, but over time things will go well.But the changes in the vagina, unfortunately, cannot be stopped. 50-60% of women at this age complain of vaginal dryness. If you do nothing about it, you can get into a vicious circle. “When sex hurts post-menopausal women, they start avoiding it. When trying to have vaginal sex, the pelvic floor muscles instinctively contract, thus, as if protecting themselves from pain. The brain prompts: “It will hurt.” And this compression makes it even more painful, ”says Dr. Phobion. Believe it or not, while most women are addicted to Kegel exercises to keep their vaginal muscles toned, others need physical therapy to loosen those muscles.

What to do?

Nobody will lie to you – no one will be able to avoid the natural aging of the body. But this process can be made less traumatic – psychologically and physically.

It is very important to find “your” doctor as early as possible – a person with whom you will feel comfortable not only physically, but also psychologically. Even if it seems to you that the first problems are far away, that now it is not so important which specialist to visit for a routine examination, this will soon change.That is why it is so important now, by trial and error, to find a doctor to whom you can ask any questions with whom you can speak frankly, and he or she, in turn, will know your body well.

Use artificial lubricant at the first sign of dryness. Seriously, this is important. First, it will make you more enjoyable to have sex. Secondly, this way you will protect yourself from damage to the vagina. Be very careful with any cooling and warming lubricants! Oil-based lubricant is not very good with condoms, and silicone lubricants can damage your vibrator, it is better to use water-based lubricants with it.

In the modern world, there are already female vaginal creams that help to eliminate vaginal dryness and maintain the natural release of female lubricant. If you visit pools with chlorinated water, these products are simply a must-have.

Your doctor can also prescribe estrogen tablets or cream for you, but such treatment is only possible with the consent of the attending physician.

Kegel exercises will help to maintain tone and avoid “leaks” – they will not harm them for preparation for childbirth.

We cannot avoid aging (at least for now), but it is within our power to make it healthier.

90,000 10 misconceptions about getting pregnant – Wonderzine

A surprisingly common misconception. As much as one would like to believe that with two penile (also called “male”) condoms, sex will be twice as safe, it is not: due to additional friction, two condoms are more likely to break or fly off. The same, incidentally, applies to the simultaneous use of penile and vaginal (“female”) condoms.

The effectiveness of penile condoms with ideal use is rated at an encouraging 98%. With the usual, however, the figure is lower – 85%, that is, after a year 15 out of 100 people using such condoms as the only means of contraception will be pregnant. So it’s always helpful to look at the instructions again. Do not forget that you should not tear the packaging with your teeth or cut with scissors – this can break the condom. Remember to roll out the condom directly on the penis, not unfold and try to pull on (and it’s much easier too!).The condom should fit easily – if you find it difficult to stretch it, you may be putting it on the wrong side. If you find that you put the condom on the wrong side, do not try to turn it inside out and put it back on, but take a new one – otherwise you are more likely to break or damage the latex. Remember to hold on to the condom when removing the penis after ejaculation, and do not pull in order to reach the penis – with loss of erection, you can spill the contents of the condom.

Remember the safety rules: watch the expiration date, store condoms in a cool and protected place from the sun (and do not carry them for a long time in a wallet or bag where they can break) and use a water-based lubricant with them – oil can damage latex.