II. Definition
- Vaginal Dryness
- Inadequate vaginal lubrication which may lead to vaginal friction and microtrauma to the vulvar and vaginal epithelium
- May result in Dyspareunia
III. Causes
- Sexual arousal disorder
- See Female Sexual Dysfunction
- Inability to obtain or maintain adequate lubrication from sexual excitement
- Dissatisfaction with sexual relationship
- Negative body image
- Fear of Dyspareunia
- Sexual abuse history
- Restrictive sexual beliefs
- Chronic Vaginal Dryness
- See Atrophic Vaginitis
- Estrogen deficiency
- Decreased perfusion
- Peripheral artery disease
- Anemia
- Neuropathy
- Diabetic Neuropathy
- Spinal cord injury
- Iatrogenic causes
- Chemotherapy
- Pelvic radiation
IV. Management
- Treat underlying disorders
- Vaginal Lubricants
- Vaginal Moisturizers (Replens) applied three times weekly
- Vaginal Lubricant (e.g. Astroglide) applied before intercourse
