Let’s talk about vaginal dryness

Dry, sore vaginas are more common than you might think - and there are effective ways to ease the discomfort. As Dr Eileen so candidly says in the video: “Don’t sit on it. Talk to your GP or practice nurse about topical oestrogen creams or pessaries. These can help with dryness, soreness, and reduce discomfort during sex.”

What causes vaginal dryness?

Vaginal dryness can happen at any life stage, not just during menopause. Common causes include hormonal shifts (like reduced oestrogen during perimenopause or due to breastfeeding), certain medications (antidepressants, antihistamines, or contraceptives), cancer treatments, and even routine use of perfumed products in intimate areas

What are the symptoms?

Symptoms often involve:

• itchiness
• burning
• soreness
• painful sex
• lower urinary tract infections (UTI) or frequent UTIs

What you can do at home

Simple self-care steps can significantly help:

• Wash gently, using only water or mild soap for the outer area - avoid perfumed or harsh products, and never douche
• Wear breathable cotton underwear, avoid tight clothes, and change out of sweaty clothing promptly
• Use vaginal lubricants during sex - these provide temporary moisture. Choose water- or silicone-based formulas (avoid oil-based with condoms)
• Apply vaginal moisturisers regularly (even when not sexually active) to maintain hydration - they’re hormone-free and safe for long-term us

Medical treatments - what are your options?

If self-care isn’t enough, it’s a good idea to have a chat with a healthcare provider. Depending on your situation, they may suggest:

• Topical oestrogen treatments (creams, pessaries, or vaginal rings) that target symptoms locally with minimal systemic effects
• In New Zealand, options might include Ovestin™ (oestriol cream) or Vagifem™ pessaries (oestradiol), though funding may vary
• These treatments can improve vaginal tissue health, elasticity, lubrication, and reduce complications like urinary tract infections

Why it matters

Vaginal dryness is more than just physical discomfort - it can impact intimacy, self-esteem, and quality of life. Untreated, it may contribute to urinary infections or painful intercourse

The good news? Many people find relief with a combination of self-care and appropriate medical treatment. You deserve comfort, connection, and the confidence to keep living well - so let’s break the silence together.

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