Vaginal dryness: causes and practical solutions

17% of women of childbearing age and up to 50% of menopausal women are affected. Yet vaginal dryness remains a subject we rarely discuss with our doctor.

Why it happens

Hormonal causes

Vaginal lubrication depends directly on oestrogens. When their level drops (menopause, postpartum, breastfeeding, certain contraceptive pills), the vaginal mucosa becomes thinner and produces fewer secretions.

Medication-related causes

Several common medications dry out the mucous membranes: antihistamines, antidepressants (SSRIs), certain acne treatments, and hormonal treatments for breast cancer.

Lifestyle-related causes

Chronic stress, smoking, dehydration and vaginal douching (to be avoided) contribute to the problem.

Solutions in order of simplicity

1. Lubricant (first-line treatment)

A water-based lubricant, without glycerine, with vaginal pH (3.8-4.5). Apply before each intercourse. LELO lubricant or Tenga Hole Lotion Mild are formulated for sensitive mucous membranes.

2. Vaginal moisturiser (daily use)

Unlike lubricant (for specific occasions), vaginal moisturiser is applied 2 to 3 times per week, regardless of intercourse. It restores moisture to the mucosa over time.

3. Topical oestrogens (on prescription)

Creams, pessaries or vaginal rings containing low-dose oestrogens. Proven effectiveness in 2 to 4 weeks. Systemic effects are minimal as doses are localised. To discuss with your gynaecologist.

4. Vaginal laser (in clinic)

Fractional CO2 laser (MonaLisa Touch type) stimulates mucosa regeneration. 3 sessions spaced 6 weeks apart. Encouraging results but the cost is high (CHF 500-800 per session) and not covered by basic insurance.

What you can do tonight

1. Buy a quality water-based lubricant
2. Stay hydrated (minimum 2 litres of water per day)
3. Avoid perfumed soaps on the intimate area
4. Make an appointment with your gynaecologist if the problem persists