7 must-knows about sex with vaginal dryness

The first sign of vaginal dryness is often when it feels a bit ouchie to have sex, even if your partner is gentle.
It can happen at many different stages of life and for various reasons, not just menopause.

 

The impact of vaginal dryness

When sex is uncomfortable, relationships can easily suffer. That’s a tragedy that can be avoided, and the earlier you address it, the easier it is.
Discomfort or pain will, of course, affect your desire, which in turn means you’re less likely to produce natural lubrication, so you’re less likely to feel desire!
Thankfully, you can stop that vicious cycle. There are plenty of ways besides using litres of lubricant to manage vaginal dryness and maintain an active, enjoyable sex life.
Developing a fear of the prospect of pain can mean that you start subtly avoiding sex. That could even mean you avoiding kissing or cuddling in case it leads to sex.
This can put a strain on relationships and lead to frustration in both you and your partner, who may feel rejected too.
It’s important to know that vaginal dryness doesn’t mean the end of a healthy, fulfilling sexual life.

 

What’s happening to my vagina?

If you’re noticing discomfort during sexual activity, or everyday life activities such as walking or even sitting, you probably need more than a lubricant.
Normally, vaginal secretions provide lubricating substances which protect the surface of your vaginal walls from friction, not just for sex but for everyday life. Your vagina also naturally stretches and flexes during intercourse, depending on what you’re doing and in which position.
When your vagina is dehydrated, there’s less moisture generally in the vaginal environment, the tissue loses its elasticity and the cells are thinner, flatter and more brittle.
This can cause itching, irritation, and discomfort during daily activities such as walking, when your vaginal walls rub against each other. And obviously, sexual intercourse can be difficult.
The condition can be temporary and resolve itself – for example, after childbirth or a stressful period. Or it can be chronic, such as menopause, when oestrogen levels decrease permanently.

 

Common causes of vaginal dryness

1. 1. Menopause and perimenopause: One of the most common causes of vaginal dryness – some studies show that it may affect around 90% of post-menopausal women. As oestrogen levels drop, your vaginal tissue can become mpre fragile, leading to discomfort or even injury.

1. 1. Medications: Certain medicines, such as antihistamines, antidepressants, and birth control pills, can affect the amount of moisture in the vagina.

1. 1. Pregnancy and breastfeeding: There are big hormonal shifts during these times which can result in vaginal dryness.

1. 1. Stress and anxiety: Psychological stress can interfere with the body’s ability to maintain natural lubrication. Emotional and mental health plays a significant role in sexual health.

1. 1. Chronic health conditions: Conditions like diabetes, autoimmune disorders, or vaginal infections can contribute to vaginal dryness.

1. 1. Cancer treatments: Cancer treatments, such as chemotherapy, radiation therapy and others, are another significant cause of vaginal dryness. These treatments can damage the tissues of the vaginal area and lead to reduced oestrogen levels. Women undergoing cancer treatments may experience a temporary or long-term impact on vaginal health, which can affect their sexual health and well-being.

 

7 must-knows for staying sexually active and comfortable

If you’re dealing with vaginal dryness, there are several ways you can stay sexually active and comfortable. With the right approach, you can maintain intimacy and enjoy a fulfilling sex life. Here are some tips to help you along the way.

1. Use a good non-hormonal vaginal moisturiser

Of course, we would say that! And there’s a good reason for it. A non-hormonal vaginal moisturiser (NHVM) should literally rehydrate the tissue, and it should continue to do this over days, not minutes, unlike lubricants, which are used right before or during sex to simply coat your vaginal surfaces with a slippery substance that prevents friction. We stress that it should be a good moisturiser because most products have no evidence whatsoever that they work, or that it’s sensible to use them in such a sensitive place. Hyalofemme is the only vaginal has been proven in clinical trials among women in multiple age groups with different conditions (see our article here about why clinical trials are a big deal – there’s nothing else on a par with them). Hyalofemme hasn’t just been proven to replenish moisture and the condition of the vulva and vaginal tissue, it has been proven to restorer women’s ability to desire and enjoy sex.

2. Use lubricants

Water-based lubricants provide immediate relief and can make sexual activity much more comfortable. There are also products based on silicone or oils. Look for something that is free of parabens and fragrances, as these may irritate the sensitive skin in your vaginal area, and be sure that none of the ingredients can actually be drying. Many women who use Hyalofemme are happy to report that they no longer need lubricants because their vaginal tissue is so well moisturised.

3. Hormone treatments

Hormone Replacement Therapy (HRT) refers to medicines which replace hormones throughout your body for a variety of effects, and you can also get Local Hormone Therapy (LHT) which refers to products which are places in your vagina. These can be effective, however many doctors prescribe or advise moisturisers to use alongside them because women find that they need more support. Worth noting: Hyalofemme has been clinically proven to be as effective as local oestrogen (Ovestin 01.% oestrogen cream).

4. Pelvic floor exercises

Practising pelvic floor exercises (often called Kegels) can help improve blood flow to the vaginal area, strengthen the pelvic muscles, and potentially reduce the symptoms of dryness. These exercises can also enhance sexual sensation and pleasure. By practising Kegels regularly, you may notice improved vaginal health and more enjoyable intimacy. Cautionary note: some women’s pelvic floor muscles are actually too tight, which can contribute to sexual discomfort. This can be caused by trauma including carrying on with sexual activity despite the pain. Physiotherapists with a special interest in pelvic care can help – you can find one here.

5. Communicate with your partner

Sexual intimacy is a shared experience, and open communication between you and your partner is key to maintaining a fulfilling sexual life. If you’re experiencing discomfort or pain, telling your partner can reduce anxiety, ensure they understand your needs, and avoid further damage. A supportive partner will be patient and willing to explore different ways to maintain intimacy, such as incorporating more foreplay or trying new techniques.

6. Experiment with different sexual positions

The angle of insertion can help reduce discomfort. Experimenting with positions that feel good for both you and your partner can help you find ways to maintain sexual intimacy.

7. Stay hydrated and experiment with nutrition

If you don’t drink enough water, your natural lubrication can be reduced – and not just in your vagina, all over your body. It may help to include foods in your diet that promote hormone balance, such as flaxseeds, soy, leafy greens, and healthy fats like olive oil and avocado. A well-balanced diet supports your overall well-being and sexual health.

 

Seek professional help if necessary

If you find that vaginal dryness is affecting your sexual activity, it’s important to consult a healthcare provider, even if you feel shy or embarrassed. They can help you determine underlying causes and suggest treatments tailored to your specific needs.
Vaginal dryness is a common issue that doesn’t have to interfere with your ability to stay sexually active. With the right tools and strategies, you can maintain a fulfilling and enjoyable sex life. And with products like Hyalofemme, you can provide your body with the hydration it needs to make intimacy enjoyable.
Everyone deserves a healthy, satisfying sexual life!

Further information 

Psychosexual therapist Angela Gregory’s article here provides an expert view on intimacy when you’ve had pelvic pain issues, including practical help in moving forward.