What is vaginal dryness and how can it affect you?
Vaginal dryness is often a result of menopause and it is capable of affecting women of any age. Although it feels like a minor irritation, it can have a huge impact on a person's sex life. Normally, the vaginal walls are lubricated with a layer of clear fluid. The 'oestrogen' hormone is used to maintain this thin layer of fluid, thus keeping the vaginal lining thick, elastic and healthy. However, menopause brings about a condition known as vaginal atrophy, which is a drop in the levels of oestrogen and this greatly reduces the level of vaginal moisture that is available. Improper lubrication of the vagina can result in painful sex which in turn affects libido, arousal and desire.

Treatment 
The most common treatment for this condition resulting from low levels of oestrogen is Topical oestrogen therapy. In this, hormones which are no longer secreted by the body are replaced by the topical oestrogen. Even though Topical Oestrogen Therapy is helpful in relieving the symptoms of vaginal dryness, the treatment pales in comparison to oral oestrogen hormone therapy (HT).

Usually, women mostly use one of the three types of vaginal oestrogen listed below:
1. Vaginal oestrogen tablet: A tablet is inserted into the vagina using a disposable applicator. The procedure is carried out once daily during the initial two weeks of treatment, after which it can be inserted twice a week.

2. Vaginal oestrogen ring: A soft and flexible ring is inserted inside the vagina, either by the patient or the doctor. Oestrogen, in the form of a steady stream, is then released directly to the vaginal tissues by this ring. Replacement of this ring is done every three months.

3. Vaginal oestrogen cream: An applicator is used to apply cream to the vagina daily. The frequency of application can be reduced as per doctor's advice.

Side effects and aftercare 
Side effects such as breast pain and vaginal bleeding are common when any form of oestrogen product is used. Vaginal moisturisers should be used to keep the vagina lubricated. Use of water-based lubricants during sex can make it more enjoyable. Use of bubble baths, scented soaps, douches and lotions around the sensitive area of the vagina should be avoided as these products can worsen the problem.

Modes of Treatment for a Dry Vagina

4 reasons why your vagina can be hurtful

In India, along with a lack of sex education, there is also a lack of knowledge about hygiene of the privates amongst women even in urban areas. When a woman experiences pain in her vagina, while it could be because of various reasons and not necessarily alarming, one does get alarmed. 

Let us understand the reasons.

1. Yeast infection: Dry and itchy vagina can feel painful after a while. Yeast infections are very common and usually most women experience them. They can be treated by medicines, yet it is best to get in touch with your doctor and get a prescription. Your doctor will prescribe an anti-fungal cream after a pelvic exam.

2. Vaginal dryness: This usually happens to post-menopausal women but can also happen to younger women because of certain birth control pills which are low in estrogen and dry up the moisture in one's vagina.

3. Pelvic inflammatory disease: If you are having regular pains during penetration and during your periods, it could be endometriosis. During examination, the pain is usually linked to the lower abdomen where the ovaries are.

4. Vulvodynia: These are mysterious pains which come &amp; go and can be treated with medicines.

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Top 4 Reasons Why Your Vagina Hurts

What is vaginitis?

Vaginitis refers to infections of the vagina. This condition results in inflammation of the muscular walls of the vagina due to contamination of bacteria, yeast or viruses and results in itching, soreness, reddening and pain of the vagina along with pungent odors and unusual discharge.

Vaginitis is a common medical condition that affects all women at some point in their lives. Most of the time, the problem is not severe and can be easily treated with simple remedies. But if the symptoms become chronic and remain persistent, it requires the immediate attention of a gynecologist.

What are the different types of vaginitis?

There are a number of different types of this condition, which have varying causes and symptoms. Some of the most common types of vaginitis are as follows:

1. Bacterial vaginosis

This is caused by the explosive growth of the bacteria that is usually present in small numbers in the vagina under normal conditions.

2. Yeast infection

A type of fungus is known as candida Albicans causes this type of infection.

3. Vaginal atrophy

This generally occurs after menopause and is caused by falling estrogen levels.

4. Trichomoniasis

This type of injection is sexually transmitted and caused by parasitic infestation.

What are the symptoms of vaginitis?

Common symptoms of vaginitis include the following:

- vaginal discharge with unusual colors or odors

- the occurrence of pain during urination

- the occurrence of pain during intercourse

- itching, swelling and irritation of the vagina

- vaginal bleeding and spotting

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Related Tip: All you need to know about infections of the Uterus, Vagina and Cervix

What Each Woman Must Know About Vaginitis

Vaginal discharge or odor is one of the most common conditions in women, yet the least talked about or taken help for. It is of vital importance that more and more women become aware of the condition and stop neglecting it. It is this neglect towards the condition that leads to some ancillary side effects and the increase in the complexity of the situation. Before things take a turn for the bad, it is imperative that you take help from concerned medical specialists and fight the condition during its initial days itself.

Why consult a specialist?
Treating the condition as soon as you notice it leads you to stem other diseases and infections that may be caused as a side effect. Also, vaginal discharge and foul odor can become not only the cause of discomfort for your day to day life, but also a great hindrance in your private life. Don t let a curable condition hamper your personal life and most importantly your conjugal life. Visiting a doctor will help you get rid of both the excessive discharge and foul order. All you have to do is shred that mental neglect and confining attitude, step out of the home and make way to the doctor s clinic.

What causes vaginal discharge?
Some of the most common causes of vaginal discharge include-

Yeast Infection: Vaginal yeast infection is by far the most common cause of vaginal discharge. This relatively common condition is caused by fungus. This factor is characterised by itchiness, irritation and swelling.
Urethritis: Another cause influencing excessing vaginal discharge includes Urethritis. This condition is influenced by the inflammation and irritation in the tube carrying urine, also referred to as the urethra.
Gonorrhea: Gonorrhea is an alarming cause of vaginal discharge. This disease is sexually transmitted and affects warm and wet areas of the body.
Other causes of vaginal discharge include pregnancy, anxiety, cervix inflammation, cervical cancer or history of the same.
Causes of vaginal foul odor:
Some of the most common causes of vaginal odor are-

Infection: Fungal infection is a major cause of vaginal odor.
Sweat: Accumulation of sweat in wet and humid areas of the body leads to a certain amount of odor. The same goes for the vagina.
Hormonal change: Change in hormone and discharges also lead to a foul-smelling vagina.
Overused tampon: Using a tampon for a longer period than prescribed can also lead to accumulation of periodical blood and bacteria, leading to foul smell from the vagina.
Treating vaginal discharge and foul odor:
In case that vaginal discharge and a foul odor is becoming a major concern in your life and making things uncomfortable for you, it is the time that you make your way to a medical specialist. Other preventive practices often suggested by doctors include- wearing loose clothes, not wearing a tampon for a long time, losing weight, consulting a doctor before starting a specific treatment or medication, etc.

Vaginal Discharge and Foul Odour - Know the Reason Why?

It is important that you understand and fulfil the needs of your partner and address issues that concern you both. Sexual intercourse for humans is not only a reproductive act, but is also considered to be an emotional and pleasurable act. However, statistics report that almost 30% of the women experience pain during intercourse. This not only hampers the pleasure, but is also an unhealthy sign since it is indicative of a problem.

Painful intercourse could be a regular occurrence, or a sporadic one. There could be numerous reasons that cause the discomfort and pain. Though it might be an early manifestation of grave diseases such as endometriosis or fibroids, but more often, it is triggered due to conditions such as vaginal dryness, yeast infection, bacterial vaginiosis, which can be easily treated. It is pertinent to understand that it is not the physical infirmity of the entire female anatomy that causes such pain/ discomfort, but the existence of certain conditions that can be treated by a medical practitioner. 

Certain such causal factors associated with painful intercourse and the efficient ways to deal with them are discussed below:

 Vaginal dryness: vaginal dryness is one of the most commonly cited causes for painful intercourse. There are various causal factors of vaginal dryness. These include, but are not limited to, consumption of certain drugs, bathing with hot water, health conditions or even lack of foreplay. Vaginal dryness due to the aforementioned causes is a short-lived condition that can be treated well with the help of a medical practitioner. Usage of lubricants that is suitable for you, as advised by a medical practitioner, could go a long way in aiding the ease of sexual intercourse. The lubricants act as an effective substitute, if the body is unable to naturally secrete vaginal fluids to ease intercourse, thereby greatly reducing the pain that is experienced.
 Improper vaginal expansion: the female anatomy is designed in such a way that it expands normally during intercourse. Proper foreplay enables the woman to get excited, which results in the release of vaginal fluids that aids in sexual intercourse. However, in the event that the female is not excited enough prior to the act, sexual intercourse can become a painful act, since the vagina is unable to expand in the absence of vaginal fluids. In such cases, take things slow and give your body time to comfortably go with the flow.
 Vaginal itching caused by infection: vaginal infections can be caused by antibiotics, prior sexual activity that has resulted in contraction of sexually transmitted diseases etc. This results in an itching or burning sensation while having sex. It is essential to rest your body instead of forcing things and to consult your doctor as soon as possible. The doctor can correctly diagnose the causal factors behind the infection, and prescribe the necessary medicines for it.

However, if your symptoms vary from the common ones mentioned above, or in case you have a different query, it is always advisable to consult the doctor.

How to Make Sex Less Painful for a Woman

4 Things that Cause Vaginal Dryness

Vaginal dryness is an uncomfortable and painful condition that usually occurs during or after menopause. The estrogen level in your body gets reduced during this time which eventually leads to vaginal dryness. However, there are other factors that can trigger this condition including certain medications and immune disorders. This is a problem that can affect women at any age but it is visible more frequently in older women.

Here are some common factors that may lead to vaginal dryness:

1. Hormonal changes - A decrease in estrogen level that occurs during menopause is one of the most common causes of vaginal dryness. The decrease in estrogen may also occur during perimenopause, during breastfeeding or after childbirth. Radiation and chemotherapy for cancer treatment may also result in a decrease in vaginal lubrication.

2. Irritants - Chemicals present in soaps, dyes, hygiene products and perfumes may cause allergy in some women. Irritants present in underwear or towels and other allergens like objects and lubricants that are placed in the vagina may also cause vaginal dryness.

3. Insufficient arousal - Low libido or other sexual problems may also lead to vaginal dryness. Poor sexual performance and early ejaculation may also contribute to it.

4. Anxiety - Sexual desire can be affected by emotional and psychological factors such as anxiety and stress that may eventually lead to vaginal dryness. High anxiety level in women results in insufficient flow of blood, causing vaginal dryness.

How can vaginal dryness be treated?

Topical estrogen therapy is a common method of treating vaginal dryness caused by low estrogen level. Topical estrogen helps in inserting some hormone that your body is no longer producing. This controls the vaginal symptoms to a certain extent but it does not replace as much estrogen as oral hormone therapy, in your blood stream. Lubricants and moisturizers may also be applied to reduce vaginal dryness and make sex less painful and uncomfortable.

Word of Caution

Please get a PAP Smear done before starting local estrogen and keep a follow up with your doctor.



4 Things that Cause Vaginal Dryness

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