One-third of women experience postmenopausal vaginal dryness which intensifies with advancing age.
Symptoms of vaginal dryness are due to:
- Estrogen reduction
- Reduced lubrication
- Reduced Vaginal wall laxity
- Atrophic changes
Treatment options for Vaginal Dryness:
- Vaginal estrogen creams: These are creams that are inserted into your vagina with an applicator or applied externally in the genital region. Common estrogen creams include Premarin and Estrace.
- Vaginal estrogen tablets: vaginal tablets can be inserted into the vagina using an applicator.
- Vaginal ring: elastic rings that can be inserted into the vagina, where it slowly releases estradiol into the surrounding tissues. The ring cannot be felt once inserted and can be left in place for 3 months until it needs to be replaced.
History of breast and endometrial cancer is a contraindication to vaginal estrogens and can be replaced with lubricants.