Vaginal Dryness: Not Just a Menopause Issue

Article by Dr. Thitiporn Tungwiwattanapanit: General Practitioner, Sexologist, Founder of Clitoria Clinic

Vaginal dryness is a condition where the vaginal lining produces less natural lubrication than normal,

leading to pain, burning, or irritation, especially during sexual intercourse.

It is a common problem particularly during menopause,

but it can also occur in women of reproductive age.

This condition can affect quality of life, comfort, and intimacy.

Causes of Vaginal Dryness

• Decreased estrogen levels, such as during menopause, postpartum, or after ovary removal surgery
• Side effects from certain medications, such as antihistamines, blood pressure medications, or chemotherapy
• Stress, anxiety, and relationship factors with partners
• Using harsh vaginal cleansers or internal douching
• Vaginal inflammation or infection
• Blockage of the Bartholin's glands, which help produce vaginal mucus
• Dehydration

Diagnosis of Vaginal Dryness

A doctor will take a medical history, perform a physical examination,

and may conduct a pelvic exam to assess the vaginal lining.

May also include vaginal swab tests, cultures, and blood tests to evaluate hormone levels and other relevant parameters that may help identify the underlying cause, such as:

• Blood tests for sex hormones, including estrogen, progesterone, and testosterone
• Blood tests for thyroid hormones and the stress hormone cortisol
• Vaginal swab or culture to detect cause of vaginal infection or inflammation
  

How to Treat Vaginal Dryness

• Treat underlying conditions first
• If there is inflammation or infection, it should be addressed before other treatments.
• Use water-based lubricants or vaginal moisturizers specifically designed for the vagina.
• Apply topical estrogencream or vaginal suppositories (under medical guidance).
• For menopausal women, hormone replacement therapy may be considered in certain cases.
• Avoid soaps or products that cause irritation.
• Drink enough water2 to 3 liters per day.
• Consume healthy fats in moderation to support hormone production.
• Medical procedures such as CO2 laser may be used to stimulate collagen production in the vaginal walls and promote natural lubrication, helping improve both firmness and moisture.
• PRP or O-Shot may also be considered to promote blood vessel formation and improve blood circulation in the tissues surrounding the vaginal walls.
  >> Read more about CO2 Laser treatment and pricing

Doctors Advice

If vaginal dryness persists and interferes with daily life,

consult a doctor to identify the underlying cause and receive appropriate treatment.

Clitoria Sexual Health Clinic : Phetkasem 81, Bangkok

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