Vagina
Vaginal Dryness
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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 Inhibitor
s
Progestogens
Danazol
Management
Treat underlying disorders
See
Female Sexual Dysfunction
See
Atrophic Vaginitis
Vaginal Lubricants
Vaginal
Moisturizer
s (Replens) applied three times weekly
Vaginal Lubricant (e.g. Astroglide) applied before intercourse
Only water-based and silicone-based lubricants can be used with
Condom
s
Avoid oil-based lubricants with
Condom
s
References
Hill (2021) Am Fam Physician 103(10):597-604 [PubMed]
Seehusen (2014) Am Fam Physician 90(7): 465-70 [PubMed]
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