During my sexual intercourse, I get excited but I don't secrete enough vaginal fluid so I feel very much embarrassing. I don't understand why is this happening and what should I do. Usually during this time we use saliva to lubricate my vagina but I don't think this is hygienic so could you please recommend a good lubricating gel for me? And I also don't think this is the final solution. Please suggest me doctor.

Dr. Karuna ChawlaHomeopath22yrs exp

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Causes of vaginal dryness range from physiological factors, such as hormonal changes or medication side effects, to emotional and psychological issues, like a lack of desire or even anxiety. The first step in treating vaginal dryness is figuring out the source of the discomfort, especially if a dry vagina is causing painful sex. A number of conditions can lead to a lack of vaginal lubrication: Changes in hormones. One of the most common causes of vaginal dryness is a decrease in estrogen levels during menopause or perimenopause, after childbirth, or during breastfeeding, according to the American Congress of Obstetricians and Gynecologists (ACOG). Cancer treatments such as chemotherapy and radiation to the pelvis can also lead to low estrogen and a decrease in vaginal lubrication. ?The vagina depends on estrogen for health,? says Irwin Goldstein, MD, director of Sexual Medicine at Alvarado Hospital and San Diego Sexual Medicine in California. Medications. Allergy and cold medications containing antihistamines as well as asthma medications can have a drying effect inside the body and cause reduced vaginal lubrication, according to Dr. Goldstein. Insufficient arousal. In some cases, vaginal dryness may be caused by a low libido or sexual problems with a partner. ?If a partner has poor performance and early ejaculation, it can contribute to vaginal dryness,? Goldstein says. Irritants. The chemicals in soaps, hygiene products, dyes, and perfumes may cause problems. ?Many women have allergies to detergents and soaps,? Goldstein says. ?There can be irritants on things like underwear or towels.? Other allergens can actually include lubricants and objects that may be placed in the vagina, he adds. Anxiety. Psychological and emotional factors like stress and anxiety can also interfere with sexual desire and lead to vaginal dryness when normal vaginal lubrication does not occur. ?When a woman is anxious, there is insufficient blood flow,? Goldstein says, ?so she will have dryness. You can buy a vaginal moisturizer (like Replens) at your local drugstore or supermarket. Take your time before having sex to make sure that you're fully relaxed and aroused. Apply a water-based lubricant (Astroglide, K-Y) to help enjoy intercourse more. Avoid using douches, bubble baths, scented soaps, and lotions around the sensitive vaginal area. These products can worsen dryness.  

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