How do I relieve menopausal vaginal dryness?

Bottom lineRelieve menopausal vaginal dryness - caused by falling estrogen - with regular vaginal moisturizers and lubricants for sex, while avoiding perfumed soaps and douches; local vaginal estrogen treats the cause directly with little absorbed into the body and suits many who can't use systemic HRT, regular sexual activity helps maintain tissue, and you should see a clinician for persistent or painful dryness or any unusual bleeding.

Vaginal dryness is a common menopause symptom caused by falling estrogen, which makes vaginal tissues thinner and less lubricated. It can cause itching, discomfort, and pain during sex - and unlike some symptoms, it tends to persist, so ongoing care helps.

Over-the-counter options

• Vaginal moisturizers - used regularly (not just for sex) to keep tissues comfortable
• Lubricants - used during sex to reduce friction and pain (water- or silicone-based)
• Avoid perfumed soaps, washes, and douches, which irritate delicate tissue

Prescription treatment

• Local (vaginal) estrogen - creams, pessaries, tablets, or a ring - treats the cause directly with very little absorbed into the body, and suits many people who can't or don't want systemic HRT
• Systemic HRT also helps if you have other menopause symptoms too

Helpful habits

• Regular sexual activity (alone or with a partner) helps maintain blood flow to the tissues
• Stay generally hydrated and wear breathable cotton underwear

When to see a clinician

See a doctor if dryness is persistent, painful, or affecting intimacy, or if you have itching, soreness, bleeding, or discharge that could signal another cause - effective treatments are available.

See what causes vaginal dryness for more.

Femora helps you track symptoms so you can see how treatments for vaginal dryness are working over time.