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 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

The female reproductive organ is an area of the human body where many microbial organisms inhabit together and it is a necessary requirement for its health. These organisms may include fungi and bacteria and play important roles individually in maintaining the pH levels (the acidic and alkaline balance) levels of the vagina. However, when one of these, especially the fungi go out of balance and begin to propagate, it results in a vaginal yeast infection.

Symptoms
A yeast infection or vaginal candidiasis is a fungal infection that causes extreme itchiness of the vulva (which is the opening of the vagina) and the further insides of the vagina as well. It may result in a white discharge from time to time and causes vaginal inflammation. Some of the other symptoms are:

Pain in the vagina akin to a burning sensation while urinating or when having sex
Rashes in the vagina
General soreness and pain
White odorless discharge, which is thick in consistency
Colorless watery discharges can occur as well
Swelling and redness near the vulva or the vagina in general
Causes
The type of fungi that causes vaginal yeast infections is the  candida fungus . Usually, this fungus is present within the vagina, but is kept in check by the Lactobacillus bacteria. These are bacteria naturally present within the vagina and secrete acids, which keep the fungi in check. However, when the levels of bacteria are reduced, it will cause the levels of fungi to increase causing a yeast infection.

Risk Factors
The below mentioned factors can aggravate the risks of this disease:

Problems brought on by diabetes
A compromised immune system
Pregnancy may also disturb the balance
Starting to use or stopping the use of oral contraceptive pills
Hormone therapy
Usage of antibiotics that may kill off lactobacillus bacteria within the vagina
Generally, yeast infections are not considered to be sexually transmitted, although yeast infection could be spread through sexual contact as well.

The primary treatment includes a course of anti fungal oral medication to lessen the levels of the fungi within your vagina. It could be supplemented with vaginal creams, which may reduce the itching and the inflammation. If you have recurrent infection multiple times within a year, then you may have to go for a longer course of treatment and correct the underlying conditions that may be causing it.

Vaginal Yeast Infection - 6 Signs You are Suffering from it

Ladies, it is important that we must take good care of our body, but most of all we must pay specific attention to the health of our vagina. The vagina is a tube-like muscular structure of the female genital tract that extends from the cervix to the vulva. It is a delicate organ which is prone to injuries and infections. Complications related to urination, menstruation and sexual intercourse, all affect the vaginal health. Here are five questions associated with vaginalproblems that are commonly experienced, but rarely discussed:

1. Why does it feel itchy before menstruation?
The hormonal cycle reduces the amount of estrogen secreted right before the period starts. This reduces the moisture content of the inner membranes of the vagina; the skin becomes thinner and slightly dry, which can cause itching. However, if the itching and burning sensation is too severe, it could be an infection and should be checked out.

2. What is the white discharge?
The greasy white discharge is due to the ovulation cycle. It usually occurs once a month because the amount of secretion increases right before ovulation. Some women may experience this discharge more frequently, but it is nothing to worry about unless there is an unpleasant odor. Odorous discharge could be a sign of bacterial infection.

3. How often should you have a vaginal examination?
You should get a vaginal examination at least once a year. This is important for a general health assessment and the prevention of sexually transmitted diseases. If you are using birth control medication, there might be irregularity in the hormonal cycles and this can lead to a number of conditions, another reason to get an annual vaginalexamination.

4. Does it smell differently at different times?
It usually smells differently for every woman and even that unique smell changes with the cycles of ovulation and menstruation due to changes in the pH level of the vagina. The normal vaginal pH value is between 3.8 and 4.6. Before menstruation, it may smell acidic followed by a bitter smell for a few days after menstruation. It may also smell differently after a workout (due to sweat) or after sex (due to lubrication). However, a foul smell accompanied by discharge, might be a cause for concern.

5. Why does it feel dry sometimes?
Vaginal dryness is normally experienced by women after the age of 45 or after pregnancy. However, dryness is also common just before menstruation. It also happens in women who use anti-allergy medications or birth control pills because they cause dryness in all the mucous membranes of the body.

5 Unconventional Questions About Vaginal Health

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

The vagina is a muscular, tubular structure of the female genital tract extending from the vulva to the cervix (the opening of the urethra). Sexual activity affects vaginal health in a number of different ways during intercourse and in the long term. A few of the varying effects and the factors responsible for these effects are listed below:

1.  Changing size of the vagina

The vagina is designed to be elastic and adjustable. So, no permanent change in size is possible but it does undergo temporary changes in sizes as effects of sex. The inner walls of the vagina enlarge during sexual intercourse and during childbirth. Tissues in the clitoris puff out and harden, this also causes an expansion in size. It takes a while to get back to its normal size.

2.  Vaginal secretion

When you are aroused during sex, the blood vessels supplying the vagina expand immediately. The blood flow increases to lubricate the vaginal walls (rugae). The rugae unfold and the space increases. These secretions are important because, women who are sexually inactive for a long time at a stretch, experience dryness that leads to urinating difficulties and rashes.

3.  Unusual discharge

Apart from natural lubricants, vagina secretes some fluids, the process being termed as 'female ejaculation'. A tiny amount of white fluid made of prostate plasma cells, is produced just before you climax and discharged with some quantity of urine. Sometimes, prostatic specific antigen (PSA) and prostatic acid phosphatase (usually found in semen) are also found in the secretion.

4.  Infections in the urinary tract

The friction caused by sexual intercourse may cause small cuts which enable bacteria to pass from the vagina to the urinary bladder through the urethra. This causes infection in the bladder, the urinary tract and the vagina. These can be avoided by using a condom or by urinating before and after having sex.

5.  Vaginal pain

A lot of women report the experience of pain and discomfort inside or around the vagina during and immediately after sex. The pain can result from repeated sex within a short period of time or reduced secretion of natural lubricants. If the pain is too severe, you should see a doctor because yeast infections or chronic vulvodynia can also be responsible for the pain sensation.

Effects Of Frequent Sex On Vagina 

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