Hormone Replacement Therapy (HRT) will help to lessen the symptoms of vaginal changes. However, not every woman is a good candidate for HRT. As a result, it is important for you and your doctor to find alternative ways to manage vaginal changes. Discuss you symptoms with your doctor and check with her prior to beginning alternative treatments.
Types of Vaginal Changes
Vaginal Dryness and Thinning – With the decrease in estrogen, the vaginal lining becomes drier and thinner. If you experience burning and itching sensations, you may have vaginal dryness and thinning. This will make sexual penetration uncomfortable. This will also make your vagina more prone to tearing, which in turn makes you more prone to bacterial infections
Dyspareunia – Dyspareunia is the medical term for painful sexual intercourse. There are many causes for dyspareunia but during menopause the cause is likely due to the decrease in estrogen which causes the vaginal walls to thin and the amount of vaginal lubrication to decrease.
Vaginal Stenosis – Vaginal stenosis is the narrowing of the vagina. Vaginal narrowing can be caused by menopause, genital surgery, or radiation to the pelvic area.
Alternative Treatment for Vaginal Changes
- Lubricants and Moisturizers – Over-the-counter water-based lubricants will help lessen the symptom of vaginal dryness. There are several different brands at the store but the most popular moisturizer is probably Replens. Replens is estrogen free and provides immediate relief. You can buy Replens in pre-filled, disposable applicators or in reusable applicators. It is long-lasting so you only have to apply it every two to three days. One of the most popular and effective lubricants is K-Y Jelly.
- Don’t use Vaseline to relieve dryness. Aside from being thick, gooey, and messy, it is a haven for the organisms that cause yeast infections.
- Regular sexual activity will increase the blood flow to the vaginal tissues. Sexual activity will also help keep the vagina open.
- Don’t use douches as they are irritating to the vagina.
- Choose sexual positions that are comfortable. Communicate with your partner and find a position that allows you to have more control.
- Vaginal Dilators – Vaginal dilators are a medical tool that are shaped like a man’s penis. They come in various sizes and are convenient and easy-to-use. They are designed to prepare the vagina for actual sexual intercourse without pain or discomfort. For more information on vaginal dilators, talk to your doctor. A good online source to purchase dilators is Vaginismus.com.
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