Vaginal dryness

About vaginal dryness

Vaginal moisture is mainly produced at the top of the vagina by the cervix. The moisture is slightly acidic in order to fight against infections, such as thrush.

When women have sex, two glands (called Bartholin’s glands) produce extra moisture in order to provide good lubrication during intercourse. However, lack of moisture during sex can become a problem.

There can be for a number of reasons for this, such as:

  • lack of foreplay
  • not feeling aroused
  • relationship problems
  • feelings of guilt or worry
  • as a result of breastfeeding, as oestrogen levels are low

Many women find vaginal dryness a problem after the menopause as a result of the lack of oestrogen in their bodies. As a result of this, the vagina loses elasticity and the lining becomes thinner and dryer. Further irritation can also occur as the vagina becomes less acidic and loses some of the bacteria used to fight against infections.

Causes of vaginal dryness:

A dry vagina can be treated fairly easily by using lubrications. Water soluble, starch based lubricants or vaginal moisturiser can be used for intercourse. These are available to buy at your local pharmacy and you do not need a prescription. However, some lubricants can damage condoms.

Any woman can be affected by vaginal dryness, although it is most common in women who have experienced the menopause. It affects over half of 51-60 year olds. Around a quarter of women aged between 50-59 experience dryness during sex and some women experience pain.

If you are in pain, get advice on medicines you can take

There are a number of reasons why vaginal dryness may occur. These include:

  • stress
  • not enough foreplay or arousal
  • use of hygiene products, such as feminine sprays and harsh soaps
  • swimming pool and hot tub chemicals
  • washing powders
  • breastfeeding
  • low levels of oestrogen

Certain medicines, such as allergy treatments or anti depressants, can also dry the vagina and vaginal tissues.

Pre menopausal women who have had their ovaries removed during a hysterectomy may also have a dry vagina as a result of a loss of hormones. People who have had chemotherapy may also experience this. 

Looking after yourself

There are many products that can help treat vaginal dryness. These include:

  • Vaginal moisturisers or creams. These can be used up to 2-3 times a week and may last for up to two days so they do not have to be applied directly before intercourse.
  • Water soluble lubricants. These are similar to the body’s natural lubricants and should be applied around the labia (lips) before sex.
  • Using petroleum based products, such as petroleum jelly, around the vagina. You should not use oil-based lubricants if you are using condoms, as the oil damages the condom and makes it more likely to break. Always use a water-based lubricant with a condom.

Links

Dry vagina (Embarrassing problems)
Vaginal dryness (Women’s Health Concern)
Atrophic vaginitis (Patient UK)