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Vaginal Dryness 101

Vaginal dryness is a common condition that affects many women, causing discomfort, pain, and a range of other symptoms. While it can occur at any stage of a woman's life, it is particularly prevalent during and after menopause. Thankfully, there are effective treatment options available, and one such option is pelvic floor physiotherapy. In this blog post, we will delve deeper into vaginal dryness, exploring its causes, and symptoms, and how pelvic floor physiotherapy can provide relief.

Understanding Vaginal Dryness

Vaginal dryness refers to a condition where the vaginal walls lack proper lubrication, leading to discomfort and potential complications. The primary cause of vaginal dryness is a decrease in estrogen levels, which can occur naturally during menopause or due to other factors such as breastfeeding after childbirth, certain medications such as anti-estrogen drugs, or cancer treatments like chemotherapy.

The Symptoms and Impact

Vaginal dryness can manifest in various ways, with common symptoms including

  • Itchiness,

  • Burning sensations,

  • Pain during sexual intercourse (known as Dyspareunia)

  • Increased vulnerability to urinary tract infections

  • General discomfort in the Vulvovaginal region

Low estrogen levels can lead to dryness in not just the vaginal canal, but also the Vulva, the external female genital area which can cause irritation when putting on underwear.

These symptoms can significantly impact a woman's quality of life, leading to Decreased Sexual Satisfaction, Emotional Distress, and Physical Discomfort.

How is Vaginal Dryness treated?

Moisturizers and Lubricants

Non-prescription, over-the-counter moisturizers and lubricants are a great way to get relief for vaginal dryness.

  • Vaginal Moisturizers are inserted into the vagina and increase the moisture inside the vagina. External moisturizers are made for the vulva.

  • Vulvar or Labia Moisturizers are used externally to reduce the dryness of the vulvar tissue.

  • Lubricants reduce discomfort during intercourse. Sexually active women should use lubricants in addition to a vaginal moisturizer.

Hormonal Treatments

Your doctor may recommend hormonal treatments when vaginal dryness comes along with urinary symptoms or menopausal symptoms, such as hot flashes. This may include using Estrogen creams and tablets inserted a few times a week into the vagina or Vaginal rings which are placed in the vagina by the patient and release a low dose of estrogen. Talk with your doctor or OBGYN to explore what are the best options for you.

Pelvic Floor Physiotherapy

Pelvic floor physiotherapy is a specialized branch of physical therapy that focuses on the muscles and structures within the pelvic region. It aims to enhance blood flow in the pelvic region, strengthen the pelvic floor muscles, and improve overall pelvic health. When it comes to treating peri or post-manopause symptoms including vaginal dryness, pelvic floor physiotherapy can be a valuable option for women seeking relief.

Pelvic floor exercises help improve blood circulation to the vaginal area. This enhanced blood flow which can stimulate the glands responsible for natural lubrication, thus improving dryness.

Vaginal dryness often leads to pain during sexual intercourse. Pelvic floor physiotherapy can address this issue by reducing tension in the pelvic floor muscles and improving the function of these muscles. As a result, pain and discomfort can be reduced, allowing you to go from Pain to Pleasure!


Pelvic floor physiotherapy is a non-invasive and safe treatment option for improving your pelvic health. It does not involve any medications or surgical procedures, making it an appealing choice for many women.