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Vaginal Dryness
Aka: Vaginal Dryness, Vaginal Lubricant, Sexual Lubricant
- See Also
- Female Sexual Dysfunction
- Atrophic Vaginitis
- Dyspareunia
- Chronic Pelvic Pain
- Vaginismus
- Vulvodynia
- Definition
- Vaginal Dryness
- Inadequate vaginal lubrication which may lead to vaginal friction and microtrauma to the vulvar and vaginal epithelium
- May result in Dyspareunia
- 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
- Menopause
- Premature Ovarian Failure
- Bilateral oophorectomy
- Postpartum State including Lactation
- Decreased perfusion
- Peripheral artery disease
- Anemia
- Diabetes Mellitus
- Neurologic Disorder
- Diabetic Neuropathy
- Spinal cord injury
- Pituitary tumor
- Iatrogenic causes
- Chemotherapy
- Pelvic radiation
- Medications
- Gonadotropin-releasing Hormone Agonist (e.g. Nafarelin Acetate, Synarel)
- Selective Estrogen Receptor Modulator (e.g. Tamoxifen, Raloxifene)
- Aromatase Inhibitors
- Progestogens
- Danazol
- Management
- Treat underlying disorders
- See Female Sexual Dysfunction
- See Atrophic Vaginitis
- Vaginal Lubricants
- Vaginal Moisturizers (Replens) applied three times weekly
- Vaginal Lubricant (e.g. Astroglide) applied before intercourse
- Only water-based and silicone-based lubricants can be used with Condoms
- Avoid oil-based lubricants with Condoms
- References
- Hill (2021) Am Fam Physician 103(10):597-604 [PubMed]
- Seehusen (2014) Am Fam Physician 90(7): 465-70 [PubMed]