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

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

A dysfunction or health problem which affects your physical relation with your partner is an issue that may occur at any period of the intercourse cycle. These issues affect both, men and women.

Sexual dysfunction in men can be a consequence of a physical or mental issues, including stress.

The problems men may encounter include:

    Erectile dysfunction (ED): ED can be a cause of medications, for example, diabetes or hypertension, or by anxiety about engaging in sexual relations. Dejection, weariness, and anxiety can add to it.
    Ejaculation issues: These include untimely (discharge that happens too soon during intercourse) and the powerlessness to discharge by any means. The causes include medicines, like antidepressants, nervousness about sex, a past filled with sexual injury and trauma, (for example, an accomplice being unfaithful), and guilt.
    Low libido: Mental issues like anxiety and tension about engaging in sexual relations can prompt a diminished or no sexual craving. Diminished hormone levels (especially if testosterone is low), physical ailments, and pharmaceutical symptoms can lessen the testosterone.

In many cases, sexual dysfunction in women might include:

    Vaginal dryness: This can lead to issues with excitement and craving, as sex can be painful when the vagina is not lubricated. Vaginal dryness can come about because of hormonal changes that happen during and after menopause or while breastfeeding, for instance. Mental issues, similar to tension about sex, can also cause vaginal dryness.
    Low drive: Absence of sexual yearning can be created by lower levels of the hormone estrogen. Exhaustion, misery, and tension prompts low charisma.
    Trouble achieving orgasm: Failure to have an orgasm can influence both men and women. Once more, some stimulant drugs can likewise bring about a solution for these issues.
    Pain during sex: Known as vulvodynia or vulvar vestibulitis, and even vaginismus, these conditions can bring about spasms that lead to pain during intercourse.

If you are encountering sexual health problems, raise your worries with your specialist. You can regularly redress your issue by:

     Getting the best possible treatment of any hidden therapeutic condition
    Speaking with your partner transparently about your sexual relationship
    Keeping away from liquor, smoking, and medication use
    Overseeing anxiety, uneasiness, and gloom
    If you think you are suffering from any other ailment, discuss with your specialist about therapy that can help you in such a case.
    Restorative treatment: This includes treatment of any physical issue that might add to a man's sexual problems.
    Drugs: Medications, for example, Cialis, Levitra, Staxyn, Stendra, or Viagra may enhance erectile capacity in men by improving the blood stream to the penis.
    Mental treatment: Therapy with a prepared advisor can help address sentiments of uneasiness, apprehension, or blame.
    Education about sex and sexual practices and reactions may also help.

Common Sexual Health Problems and Ways to Treat Them

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 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

Are you experiencing reduced libido along with intense dryness in your genitals? Loss of libido is a tough thing to cope with in women. In spite of having a great sex life, your vaginal area can become nonresponsive because of several reasons. You might not even know what is happening and the reasons which are causing the condition. These conditions are common in the menopause stage in women.

Reasons for decreased libido and vaginal dryness: 

1. Several changes occur in a woman s body during the menopause stage. The sex hormones, which include estrogen and progesterone start decreasing. This may lower your libido, cause vaginal dryness and affect your sex life to a great extent.

2. Testosterone is the sex hormone which turns you on or gets you into the mood for having sex. When the production of this hormone is insufficient, the urge for having sex gets affected and reaching an orgasm gets even harder.

3. The decrease in estrogen production causes several physical changes in a woman. The blood circulation to your sexual organs gets reduced, making you less sensitive to any kind of sexual stimulation. It also leads to vaginal dryness. The walls of the vagina also become thin due to which penetration may get painful.

Remedies for decreased libido

1. You should start practicing breathing exercises and do meditation for at least thirty minutes every day. This will enable you to eliminate stress, which is a primary trigger for decreased libido.

2. For balancing the estrogen levels, you should consume phytoestrogenic tea and supplements. Some important herbs which you should take include black cohosh, red clover and dong quai.

3. You should also consume aphrodisiac food items. Garlic is such a food item, which contains allicin and increases the blood flow to the vagina. Dark chocolate can also be taken.

Remedies for vaginal dryness

Several conventional vaginal lubricants may lead to irritation, infection and dryness of the vagina.

1. You should always use a natural lubricant, which is not associated with side effects and works effectively. Natural lubricants such as tea tree oil, coconut oil and vitamin E based oils provide effective vaginal lubrication. They also moisturize and repair the vagina.

2. You must keep fit and active. Regular cardio or yoga sessions will help with enhanced blood flow to your sexual organs, making you feel wet.

3. You should drink plenty of water and always stay hydrated in order to prevent dryness in the vagina.

Most importantly, it is a good idea to continue having sex. If you shy away and do not make any effort, the problem of decrease in libido will continue. Therefore, sex is the best way of encouraging your body. Proper communication with your partner is also necessary.

Decreased Libido and Vaginal Lubrication. What can you Do?

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