The Coil Clinic is becoming The Women's Clinic. Stay tuned for more information.

Effective Ways to Treat Vaginal Atrophy

BlogMenopause

Written by

Dr Catherine Smith

Published on

March 12, 2025
A person in a white shirt and gray pants stands against a white background, clutching their lower abdomen. The red overlay suggests discomfort, possibly linked to menopause or issues like vaginal atrophy.

Did you know that roughly 50% of postmenopausal women suffer from vaginal atrophy, or genitourinary syndrome of menopause (GSM)? This common issue causes vaginal dryness, discomfort during sex, and frequent urinary infections. As oestrogen levels drop during menopause, the vaginal walls thin, leading to itching and changes in vaginal discharge. It’s vital to recognise these symptoms early, as timely treatment can greatly enhance a woman’s quality of life.

In this article, we’ll dive into effective treatments for vaginal atrophy and discuss how to maintain vaginal health post-menopause. It’s important to be well-informed about your health, enabling you to make informed decisions.

Key Takeaways

  • About 50% of postmenopausal women face vaginal atrophy.
  • Effective treatments, including vaginal oestrogen therapy, often yield results within 4 to 6 weeks.
  • Regular sexual activity can help in maintaining vaginal health by improving blood flow.
  • Various non-hormonal moisturisers and lubricants may alleviate symptoms of vaginal dryness.
  • Consulting a healthcare provider is essential if symptoms persist despite treatment.

What causes vaginal atrophy?

Vaginal atrophy is mainly caused by a drop in oestrogen levels, often seen during menopause. These hormonal changes during this time cause the vaginal tissues to thin and lose moisture. This decrease leads to symptoms like vaginal dryness and discomfort. Understanding the causes of vaginal atrophy is the first step in tackling these issues effectively. 

Apart from menopause, treatments for hormonal cancers can also lower estrogen levels significantly. These treatments disrupt the body’s hormonal balance, worsening symptoms. Lifestyle choices, such as smoking, can worsen the condition by reducing blood flow and hormone production.

Some medical conditions can also cause similar symptoms. For example, Sjögren’s syndrome affects the body’s fluid production, increasing the risk of vaginal dryness. 

Treatments for vaginal atrophy

Treatments for vaginal atrophy include hormonal and non-hormonal options. I recommend starting with low-dose vaginal estrogen therapy. This can be delivered through creams, tablets, or rings. It targets relief while reducing systemic absorption, making it a top choice for many.

For those with broader menopausal symptoms, systemic estrogen therapy might offer more benefits. It’s important to discuss treatment options with a qualified healthcare provider to ensure the chosen plan meets your personal health needs.

Non-hormonal treatments are also helpful in managing vaginal atrophy. Vaginal lubricants and moisturisers, from companies like YES and their pH Matched Natural Vaginal Moisturiser help restore moisture and ease discomfort. 

Vaginal moisturisers provide longer hydration, improving daily comfort. In some cases, vaginal dilators are recommended to ease intercourse pain. Ospemifene, a non-estrogen pill, is another option for painful intercourse. 

Taking a holistic approach to health, including regular exercise and hydration, complements these treatments.

Symptoms of vaginal dryness

It’s essential for women, and even more so during menopause, to recognise the signs of vaginal dryness. This condition can often lead to discomfort during sex. Symptoms include persistent itching, burning, and a decrease in libido. These issues not only impact your personal well-being but can also strain relationships.

Women may also face frequent urinary infections due to vaginal dryness. Hormonal changes, common during and after menopause, increase this risk. Shockingly, nearly 1 in 3 women experience vaginal dryness during this time.

Vaginal dryness can create a cycle of discomfort and reduced intimacy. It adds to feelings of distress. Recognising these symptoms is the first step towards finding treatment. 

How to treat vaginal dryness

Over-the-counter solutions like vaginal lubricants and moisturisers are often the first step in treating vaginal dryness. These products can greatly reduce discomfort and improve sexual intimacy. I suggest choosing water-based lubricants, as they are less likely to cause irritation compared to oil-based ones. Regular use of a vaginal moisturiser several times a week is great for keeping vaginal tissues hydrated.

For those with more severe symptoms, alternative treatments may be necessary. While systemic estrogen may not work for everyone, transvaginal estrogen treatments can offer relief without causing excessive vaginal cell growth. It’s important to note that up to 40 percent of postmenopausal women experience genitourinary syndrome of menopause (GSM) symptoms.

If initial treatments don’t work, seeking advice from a specialist healthcare provider is essential. They can help tailor a treatment plan that suits your needs. 

When to contact a doctor about vaginal atrophy

Knowing when to seek treatment for vaginal atrophy is important for your health. Severe symptoms like pain during sex or persistent dryness require a doctor’s attention. 

Women often face symptoms of menopause alongside vaginal atrophy, such as mood swings and night sweats. Only 20 to 25 percent of women with vaginal atrophy seek medical help. But early treatment can significantly improve your condition.

If home remedies don’t work, it’s time to see a doctor. Getting professional advice early can lead to better management of symptoms. 

Private Vaginal Dryness Treatment

For a lot of women, discovering private treatment choices can be a preferred option for dealing with vaginal atrophy. Since around half of postmenopausal women deal with vaginal dryness, it’s beneficial to know where to go for help. There are plenty of clinics like ours, that provide discreet treatments for vaginal atrophy and dryness, emphasizing privacy while offering personalised therapies.

In these private settings, women can receive personalised care plans tailored to their needs. Treatments range from hormonal options like vaginal estrogen to non-hormonal choices like moisturisers and lubricants. These plans not only boost treatment success but also ensure patients’ comfort and dignity.

Knowing the available treatments empowers women to make informed choices. They can discuss their needs with healthcare providers in a supportive setting. 

FAQ

What are the symptoms and causes of vaginal atrophy?

Symptoms of vaginal atrophy can include dryness, thinning of the vaginal walls, and painful intercourse. The primary cause is often a decrease in estrogen levels due to menopause, but it can also occur after cancer treatment or due to hormonal changes at any age.

What management and treatment options are available for vaginal atrophy?

Management and treatment options for vaginal atrophy include the use of vaginal creams, such as estrogen cream, hormone therapy, and natural lubricants to alleviate symptoms. A vaginal estrogen ring may also be used for localized treatment.

How does menopause contribute to developing vaginal atrophy?

Menopause leads to a decline in estrogen levels, which can cause the thinning of the vaginal walls and decrease vaginal lubrication, resulting in the uncomfortable symptoms associated with vaginal atrophy.

How does cancer treatment affect vaginal atrophy?

Cancer treatment, such as chemotherapy or radiation, can lead to hormonal changes that may cause vaginal atrophy. This can result in symptoms such as dryness and discomfort in the vagina.

What are the common symptoms of dryness associated with vaginal atrophy?

Common symptoms of dryness associated with vaginal atrophy include a feeling of tightness or discomfort in the vagina, increased sensitivity, and painful intercourse.

What type of treatment is most effective for moderate to severe vaginal atrophy?

For moderate to severe vaginal atrophy, treatments like vaginal estrogen cream, hormone therapy, or the vaginal estrogen ring are often recommended to provide relief from symptoms and improve vaginal health.

Can natural lubricants be effective for managing symptoms of vaginal atrophy?

Yes, natural lubricants can be effective for managing symptoms of vaginal atrophy by providing additional moisture during intercourse, helping to alleviate discomfort.

How can the symptoms of genitourinary syndrome related to vaginal atrophy be managed?

The symptoms of genitourinary syndrome, which may include urinary symptoms and vaginal discomfort, can be managed through a combination of vaginal estrogen treatments, lifestyle changes, and the use of lubricants.

Dr Catherine Smith

Dr Catherine Smith is the founder of The Coil Clinic. A GP and Women's Health Expert with nearly 20 years of experience. She is a BMS Certified Menopause Specialist