II. Definition

  1. Vaginal Dryness
    1. Inadequate vaginal lubrication which may lead to vaginal friction and microtrauma to the vulvar and vaginal epithelium
    2. May result in Dyspareunia

III. Causes

  1. Sexual arousal disorder
    1. See Female Sexual Dysfunction
    2. Inability to obtain or maintain adequate lubrication from sexual excitement
    3. Dissatisfaction with sexual relationship
    4. Negative body image
    5. Fear of Dyspareunia
    6. Sexual abuse history
    7. Restrictive sexual beliefs
  2. Chronic Vaginal Dryness
    1. See Atrophic Vaginitis
    2. Estrogen deficiency
      1. Menopause
      2. Premature Ovarian Failure
      3. Bilateral oophorectomy
      4. Postpartum State including Lactation
    3. Decreased perfusion
      1. Peripheral artery disease
      2. Anemia
      3. Diabetes Mellitus
    4. Neurologic Disorder
      1. Diabetic Neuropathy
      2. Spinal cord injury
      3. Pituitary tumor
    5. Iatrogenic causes
      1. Chemotherapy
      2. Pelvic radiation
    6. Medications
      1. Gonadotropin-releasing Hormone Agonist (e.g. Nafarelin Acetate, Synarel)
      2. Selective Estrogen Receptor Modulator (e.g. Tamoxifen, Raloxifene)
      3. Aromatase Inhibitors
      4. Progestogens
      5. Danazol

IV. Management

  1. Treat underlying disorders
    1. See Female Sexual Dysfunction
    2. See Atrophic Vaginitis
  2. Vaginal Lubricants
    1. Vaginal Moisturizers (Replens) applied three times weekly
    2. Vaginal Lubricant (e.g. Astroglide) applied before intercourse
      1. Only water-based and silicone-based lubricants can be used with Condoms
      2. Avoid oil-based lubricants with Condoms

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Related Studies

Ontology: Vaginal dryness (C0241633)

Definition (NCI_CTCAE) A disorder characterized by an uncomfortable feeling of itching and burning in the vagina.
Definition (NCI) An uncomfortable feeling of itching and burning in the vaginal opening resulting from inadequate vaginal lubrication. It is commonly seen during and after menopause, childbirth, or stressful conditions. It results in painful intercourse.
Concepts Finding (T033)
SnomedCT 31908003, 139463004, 162180002
Dutch vaginale droogheid, droogheid vagina
French Sécheresse vaginale
German vaginale Trockenheit, Trockenheit der Vagina
Italian Secchezza della vagina, Secchezza vaginale
Portuguese Secura da vagina
Spanish Sequedad vaginal, sequedad de la vagina (trastorno), sequedad de la vagina, sequedad vaginal
Japanese 腟乾燥, チツカンソウ
English Vaginal dryness, Dryness of vagina, dry vaginal mucosa (physical finding), vaginal mucosa dry, dry vaginal mucosa, vaginal dryness, Dryness vaginal, Vaginal Dryness, dryness vagina, vagina dryness, Dry;vagina, dryness vaginal, Vaginal dryness (finding), Vaginal dryness (disorder), dry vagina
Czech Suchost pochvy, Poševní suchost
Hungarian hüvelyi szárazság, Hüvelyszárazság

Ontology: Vaginal lubricants (C0356770)

Definition (SPN) A patient lubricant is a device intended for medical purposes that is used to lubricate a body orifice to facilitate entry of a diagnostic or therapeutic device.
Concepts Biomedical or Dental Material (T122)
SnomedCT 326646000
English LUBRICANT, VAGINAL, PATIENT, LUBRICANT,VAGINAL, vaginal lubricant (medication), vaginal lubricant, lubricant vaginal, vaginal lubricants, Vaginal lubricants, Vaginal lubricants (product), Vaginal lubricants (substance)
Spanish lubricantes vaginales, lubricante vaginal (producto), lubricante vaginal, lubricantes vaginales (producto)