Navigate Up

Full Library - A-Z Index


Print This Page

Vaginal dryness

Vaginal dryness is present when the tissues of the vagina are no longer well-lubricated and healthy. When these symptoms are caused by a decreased amount of estrogen in a woman’s body, this problem is called atrophic vaginitis.

Alternative Names

Vaginitis - atrophic; Vaginitis due to reduced estrogen; Atrophic vaginitis

Causes, incidence, and risk factors

Atrophic vaginitis is caused by a decrease in estrogen.

Estrogen keeps the tissues of the vagina lubricated and healthy. Normally, the lining of the vagina makes a clear, lubricating fluid. This fluid makes sexual intercourse more comfortable. It also helps decrease vaginal dryness.

If estrogen levels drop off, the vaginal tissue shrinks and becomes thinner. This causes dryness and inflammation.

Estrogen levels normally drop after menopause. The following may also cause estrogen levels to drop:

  • Medicines or hormones used in the treatment of breast cancer, endometriosis, fibroids, or infertility.
  • Surgery to remove the ovaries
  • Radiation treatment to the pelvic area
  • Chemotherapy.
  • Severe stress, depression, or intense exercise.

Some women develop this problem right after childbirth or while breastfeeding. Estrogen levels are lower at these times.

The vagina can also become further irritated from soaps, laundry detergents, lotions, perfumes, or douches. Certain medicines, smoking, tampons, and condoms may also cause or worsen vaginal dryness.

Symptoms

Signs and tests

A pelvic exam shows that the walls of the vagina are thin, pale or red.

Your vaginal discharge may be tested to rule out other causes for the condition. You may also have hormone level tests to find out if you are in menopause.

Treatment

There are many treatments for vaginal dryness. Before treating your symptoms on your own, a doctor must determine the cause of the problem.

  • You can buy some lubricants and vaginal moisturizing creams without prescription . They will often moisten the area for several hours up to a day.
  • Using a water-soluble vaginal lubricant during intercourse may help. Products with petroleum jelly, mineral oil, or other oils may damage latex condoms or diaphragms.
  • Avoid scented soaps, lotions, perfumes, or douches.

Prescription estrogen can work well to treat atrophic vaginitis. It is available as a cream, tablet, suppository, or ring. All of these are placed directly into the vagina. These medicines deliver estrogen directly to the vaginal area. Only a little estrogen is absorbed into the bloodstream.

You may take estrogen (hormone therapy )in the form of a skin patch, or in a pill that you take by mouth if you have hot flashes or other symptoms of menopause. See: Hormone replacement therapy

Women should discuss the risks and benefits of estrogen replacement therapy with their health care provider.

Expectations (prognosis)

Proper treatment will ease symptoms most of the time.

Complications

Vaginal dryness can:

  • Make you more likely to get yeast or bacterial infections of the vagina
  • Cause sores or cracks in the walls of the vagina
  • Cause pain with sexual intercourse, which may affect your relationship with your partner or spouse. Talking openly with your partner may help.

Calling your health care provider

Call your health care 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.

References

Eckert LO, Lentz G. Infections of the lower and upper genital tracts. In: Lentz GM, Lobo RA, Gershenson DM, Katz VL, eds. Comprehensive Gynecology. 6th ed. Philadelphia, Pa: Mosby Elsevier; 2012:chap 23.

Lobo RA. Menopasue and care of the mature woman. In: Lentz GM, Lobo RA, Gershenson DM, Katz VL, eds. Comprehensive Gynecology. 6th ed. Philadelphia, Pa: Mosby Elsevier; 2012:chap 14.

Updated: 11/10/2013

Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Bellevue, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.


©  UPMC | Affiliated with the University of Pittsburgh Schools of the Health Sciences
Supplemental content provided by A.D.A.M. Health Solutions. All rights reserved.

For help in finding a doctor or health service that suits your needs, call the UPMC Referral Service at 412-647-UPMC (8762) or 1-800-533-UPMC (8762). Select option 1.

UPMC is an equal opportunity employer. UPMC policy prohibits discrimination or harassment on the basis of race, color, religion, ancestry, national origin, age, sex, genetics, sexual orientation, marital status, familial status, disability, veteran status, or any other legally protected group status. Further, UPMC will continue to support and promote equal employment opportunity, human dignity, and racial, ethnic, and cultural diversity. This policy applies to admissions, employment, and access to and treatment in UPMC programs and activities. This commitment is made by UPMC in accordance with federal, state, and/or local laws and regulations.

Medical information made available on UPMC.com is not intended to be used as a substitute for professional medical advice, diagnosis, or treatment. You should not rely entirely on this information for your health care needs. Ask your own doctor or health care provider any specific medical questions that you have. Further, UPMC.com is not a tool to be used in the case of an emergency. If an emergency arises, you should seek appropriate emergency medical services.

For UPMC Mercy Patients: As a Catholic hospital, UPMC Mercy abides by the Ethical and Religious Directives for Catholic Health Care Services, as determined by the United States Conference of Catholic Bishops. As such, UPMC Mercy neither endorses nor provides medical practices and/or procedures that contradict the moral teachings of the Roman Catholic Church.

© UPMC
Pittsburgh, PA, USA UPMC.com