Dr. M.N. Begani

The vaginal or the vulvar area is a well-lubricated area which serves various functions. Vaginal dryness can be not just an embarrassing issue, but an overall health issue. One of the main reasons for decreased sex drive in women is vaginal dryness. Though a woman of any age can have vaginal dryness, it is common for the following groups, menopause, after childbirth, during lactation, and in women on hormone replacement therapy. The hormone levels play a major role in the vaginal dryness, and so these conditions lead to increased dryness. It can also lead to vaginal itching and burning. It may also lead to bleeding in severe cases. There is a host of associated complaints like mood swings, irritability, depression, hot flushes, and reduced libido in these women. Homeopathy offers to help get rid of not just the dryness but these associated symptoms as well.

The most commonly used, three homoeopathic remedies for treating vaginal dryness are Sepia, Lycopodium, Platina, Argentum Nitricum, and Natrum Mur. Each of these should be used based on accompanying symptoms, and self-medication is not advised. The doctor will have a long discussion with you to identify the associated symptoms and then draw up a customised treatment plan. However, the indications for each of the ingredients are listed below. Given the sensitive nature of the topic, it is also advisable to include the partner in these discussions as they can cooperate and help in managing the mood swings and in working out alternatives to the impaired sexual life.

1. Sepia: One of the most widely used compound to treat vaginal dryness, it yields great results when it is associated
   1. Painful sex and bleeding following intercourse
   2. Associated with menopause and therefore mood swings and hot flushes
   3. A bearing down sensation where the woman feels the uterus is going to slip down into the vagina
   4. Genitals are tender to the touch
   5. These women have an aversion to sex
2. Lycopodium: This is another commonly used ingredient, and indicated in women who have vulvar dryness is associated with vaginal burning sensation
3. Platina: The vaginal dryness is accompanied by genital hypersensitivity, increased sexual urge, and itching. It is also useful in cases of both dyspareunia and vaginismus (involuntary contractions of the vagina).
4. Argentum Nitricum: This is most suitable when there is painful sex followed by bleeding.
5. Natrum Mur: This is useful when there is itching and soreness in the vaginal area associated with an acrid discharge.
6. Bellis perennis: This is useful when there is a bruised sensation in the vagina, which leads to interruption of intercourse.

As noted above, these are some common ingredients but should not be used without consultation with a doctor. Involving the partner is also useful in getting improved results.