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Symptoms, causes, and treatment of vaginal dryness

If your body isn’t producing enough natural vaginal lubrication you may experience vaginal dryness. Vaginal dryness, which feels different for different women, but generally feels like itching and irritation, can make sex painful or impossible, and can even make other activities difficult. There are a variety of causes of vaginal dryness, and vaginal dryness can also be a symptom of another health issue that may seem unrelated. There are also several medications that cause vaginal dryness.

Many women experience vaginal dryness and even live with the irritation and/or pain for many years without speaking to a doctor.

Because vaginal dryness may be a sign of some underlying health concern, it’s a good idea to talk to your doctor or health care practitioner about it, even if it’s something that doesn’t happen very often.

The good news is that vaginal dryness is an issue that can usually be treated very easily, and there are several different


Treatments for Vaginal Dryness

While vaginal dryness may be one of the most common causes for pain during sex and a decrease in interest in sex for women, the good news is that vaginal dryness is a problem that is usually very easy to resolve.

There are many prescription treatments for vaginal dryness, including creams, oral medications, rings, and patches. There are also non-prescription estrogen creams, foams, suppositories, and “film”, all of which are inserted in the vagina and usually work by providing added lubrication.

However, if you’re only complaint is vaginal dryness, often the least expensive, least invasive, and quickest solution is the use of a personal lubricant.

There are dozens of different lubricant products available at drugstores and online pharmacies that are safe, easy to use, and will provide immediate relief from vaginal dryness.

An added benefit of using this method to deal with vaginal dryness is that many people find additional lubrication increases sensitivity and makes penetration sex more fun.

Causes Vaginal Dryness

There are several possible causes for experiencing vaginal dryness. Figuring out what is causing vaginal dryness is a good first step to finding a solution.

A decrease in estrogen is probably the main reason for vaginal dryness, a decrease in estrogen levels will reduce the amount of vaginal lubrication, as well as a thinning out of the vaginal lining, making it less elastic. Decreases in estrogen can be caused by a number of factors, including:

* After childbirth and while breast feeding
* Menopause and perimenopause
* Radiation and chemotherapy
* Surgical removal of ovaries
* Cigarette smoking
* Decreased sexual activity

Other common causes of vaginal dryness include:

* Chemical allergies
* Prescription medications
* Pregnancy
* Diabetes
* Pelvic surgery
* Stress
* Decreased arousal
* Chronic yeast infection
* Vaginal bacterial infection
* Sexually transmitted diseases
* Vaginal trauma
* Benign or malignant tumor


Medications that may Cause Vaginal Dryness

There are a variety of medications that can cause vaginal dryness.

Some medications lead to vaginal dryness by altering estrogen levels, while others can directly dry out the mucous membranes. Some types of medications that can lead to vaginal dryness include:

* Cancer treatments (e.g. Tamoxifen)
* Treatments for Vaginosis (e.g. Metrogel)
* Antihistamines (which dry out the mucous membranes)
* Treatments for Urinary Tract Infections
* Anti-depressants (e.g. Effexor)
* Medications for ulcers and high blood pressure


Treatments for Vaginal Dryness

While vaginal dryness may be one of the most common causes for pain during sex and a decrease in interest in sex for women, the good news is that vaginal dryness is a problem that is usually very easy to resolve.

There are many prescription treatments for vaginal dryness, including creams, oral medications, rings, and patches. There are also non-prescription estrogen creams, foams, suppositories, and “film”, all of which are inserted in the vagina and usually work by providing added lubrication.

However, if you’re only complaint is vaginal dryness, often the least expensive, least invasive, and quickest solution is the use of a personal lubricant.

There are dozens of different lubricant products available at drugstores and online pharmacies that are safe, easy to use, and will provide immediate relief from vaginal dryness.

An added benefit of using this method to deal with vaginal dryness is that many people find additional lubrication increases sensitivity and makes penetration sex more fun.


Q. Why Does Sex Hurt?

This isn’t a very nice thing to talk about, but having sex hurts. I’m not sure when it started, but pretty much every time I have sex I feel pain during it, and most of the time it hurts for a while afterwards. Is it normal to feel pain during sex? Is there anything I can do?
A.

People experience pain during sex for many reasons. Figuring out why people feel pain during sex can actually be very complicated to answer for a number of reasons:

* Definitions of what is pain versus what’s discomfort differ for people, and for researchers
* Definitions of sex differ. When most people say “sex” they mean intercourse. For some people even sexual touching can cause pain, where for others it is only penetration that causes pain
* Because we aren’t encouraged to speak openly about sex, it is likely that many people suffer in silence, so we may not know as much about sexual pain as we do about, for example, chronic back pain, or tooth pain.

The most important thing to know is that sex doesn’t have to hurt. Making sex comfortable may require creativity and patience, but most people can find a way to enjoy sex without pain.
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When sex hurts it is often the result of a combination of factors, including physical and psychological ones. Something may happen in your body that hurts during sex, and then in the future you may anticipate the pain, which can amplify the experience next time.

Figuring out why sex is painful, and what to do about it, is a bit like solving a mystery (albeit a painful mystery, and one where you don’t get to have sex). You’ll want to consider both the physical and psychological causes of pain during sex.


What to do when sex is painful
From Cory Silverberg,
Your Guide to Sexuality.
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Tips for dealing with pain during sex

Because sex can be painful for many reasons, and several factors could be causing the experience of pain during sex, finding the solution can be a bit like solving a mystery (a very painful mystery). Not all of these suggestions will apply to everyone, but here are some steps to take

Take notes. Try to figure out what’s going on. Ask yourself some questions:

* When did sex start to hurt (has it always hurt)?
* When does the pain begin (is it as you’re getting excited, only during penetration, related to orgasm)?
* Where do you feel the pain (is it in one specific area, or more general)?
* Are there still things you can do sexually that don’t cause pain?

Explore on your own. If you don’t regularly masturbate, now’s the time to start.

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If you can masturbate without pain, that is both a helpful thing to know, but it can also provide you with much needed release while you figure out how to resume sex with your partner without it hurting. Using masturbation to explore sexual pain is particularly good because you don’t have to worry about a partner poking you the wrong way. You can be as gentle (or as rough) as you want to be, and you’re always in control. If penetration with your partner is painful, you may want to use a vibrator or dildo (with lots of lubricant) to explore penetration with masturbation, to discover if it feels the same or different.

Use plenty of lubrication.One of the most common reasons for painful sex is lack of lubrication. There are all sorts of reasons women experience vaginal dryness, but using a personal lubricant can be an easy and effective way to treat this problem and eliminate a major cause of painful sex.

Communicate with your partner.It can be difficult to talk about sex at the best of times, even for couples who have been together for years. When it comes to talking about a difficult sexual issue, the communication can get even trickier. But communication is key to resolving painful sex. Even if the cause is entirely physical, and will go away with treatment, it’s still important to talk with your partner about the pain you’re experiencing and figure out other ways for both of you to satisfy your sexual needs while you are getting treated. This can actually be one of the positives of experiencing sexual pain, it can force couples to break down communication barriers and eventually lead to a better sex life than before the pain was experienced.

Experiment with different sexual positions. For some pain during sex happens as a result of pressure on particular parts of the body. It may be putting pressure on certain joints hurt, or that penetration at a certain angle is painful. Try exploring different sexual positions , and see if this alleviates some of the pain.

Consult a doctor or other healthcare provider. If you can, in most cases it is worth talking with your doctor about this. Even if the problem clears up (or seems to clear up) pain during sex can be a symptom of other issues, and knowing this can alert your doctor to other questions they may want to ask.