Sisters, Stay Alive & Informed!

Officially join my family and receive information, insight and inspiration on living a healthy, happy and prosperous life.

    I am not a robot

    Our Privacy Policy


    by Ngozi Osuagwu, MD | July 15th, 2018


    Over 75 % of women will suffer from vaginal dryness in their lifetime.  It can happen at any age but it is most common when a woman reaches menopause.  Many women do not feel comfortable talking about vaginal dryness with their health care provider and would rather suffer in silence. You are not alone and you do not have to suffer.  Talk with your health care provider.

    Although, I am talking about vaginal dryness, this also includes vulva (the external genitalia) dryness.  It is also called vulvovaginal atrophy, vulva atrophy or vaginal atrophy. The new term used in the medical world is genitourinary syndrome of menopause (GSM). The reason for this new term is that usually dryness not only affects the vulva and vagina but also the urethra – the hole where the urine comes from. The other reason for the change is that some people felt comfortable saying GSM instead of the word vagina.

    Those with GSM which includes vaginal dryness may experience pain with sex, vaginal discomfort, burning sensation, itching, and abnormal discharge. The hormone estrogen that is produced by our ovaries keeps our vagina moist. When there is a reduction in the amount of estrogen, vaginal dryness occurs.

    When it comes to treatment, it is not a one size fits all. What might help one woman might not help another. It is important to know your options.  The most important thing for all women is to maintain good vulva hygiene. As I have mentioned in a previous blog (What is Really ‘Down There’?), treat your vulva like your face and keep it simple.  The other thing that may be helpful is exercising the vagina – this can be done with sexual activity (with or without a partner), using lubricated dilators and pelvic physical therapy (you will need a referral).

    The next is to be aware of your options if you have vaginal dryness:

    Lubricants and moisturizers – there is a difference. A lubricant is used at the time that you are having sex to reduce the friction so that you decrease the pain. A moisturizer helps keep water in the vagina. It should be used on a regular basis. There are hybrids that can be used as a lubricant and a moisturizer. There are many in the market. There are water-based, silicone based and oil based. Oil based can break down latex condoms. Read the labels. Avoid those that contain paraben, glycerin, and alcohol. Also, note that some of the best lubricants and moisturizers may be bought online.

    Estrogen – you are replacing what has decreased in your body. Estrogen for the vagina are low dose and come in a tablet , ring or cream form.

    Ospemifene (Osphena – you will need a prescription) – a medication that you take by mouth – it works like Estrogen but does not contain the hormone. It is FDA approved to help with painful intercourse.

    Intravaginal dehydroepiandrosterone (Intrarosa – will need a prescription) – a hormone that changes to estrogen when in the body. It is a suppository that you place in your vagina to help with painful intercourse.

    CO2 Laser – This is not covered by the insurance. Laser therapy in the vagina – you will need about 3 sessions – it helps with thickening the walls of the vagina and adds moisture to the vagina.


    The bottom line – there are many options for managing vaginal dryness and there is no need to suffer in silence. Talk with your health care provider.

    This is the fourth part of our five part series- Suffer No More in Silence.

    Suffer No More in Silence – Urinary Incontinence

    Suffer No More in Silence – Sexual Health

    Suffer No More in Silence – Heavy Menstrual Flow

    Leave a Reply

    Secure Your Copy of Sincerely, Your Gynecologist by Dr. Ngozi Osuagwu.

    With her trademark wit and straightforward communication, Dr. Osuagwu continues to dole out valuable medical advice using the letter form and addressing women’s health conditions and issues in a method that was praised for its innovative approach in her earlier award-winning book, Letters to My Sisters: Plain Truths and Straightforward Advice from a Gynecologist. In this book, each letter is paired with reference sources and statistics about the condition that is the subject of the letter.

    Click here to Buy Now on Amazon

    Secure Your Copy of Letters to My Sisters by Dr. Ngozi Osuagwu.

    The book discusses common gynecological and women’s health issues in a series of witty and entertaining letters. These letters, all educational, offer suggestions on what approaches to take in tackling the medical problems that typically bring women to an ob/gynecologist. The letters are spiced with art, a poem and quotes. Although its emphasis is on gynecology and women’s health, it touches on some other medical issues that make women visit their doctors.

    The second half of the book briefly discusses the most common gynecological conditions and also provides an overview of sexually transmitted infections. A list of annotated websites dealing with the different topics in the book is provided for the reader who wants to pursue each subject in depth.

    Ready to Commit to Living a Healthier Life, Start Here with…

    Dr Ngozi’s 30 Day Alive & Healthy Challenge

    Get 30 days of insight and inspiration on creating and sustaining a healthy lifestyle straight from the
    doctor. Share this valuable resource with your mother, sisters, daughters, grandmothers, aunts, cousins
    and girlfriends. Do it solo, or in a group. Simply do it! Join our mailing list and get instant access to this life-saving resource now!