Quick answer
What could vaginal dryness mean?
Vaginal dryness is common around menopause, during breastfeeding and with some medicines. Water-based lubricant for sex and a vaginal moisturiser can help. Persistent symptoms, unusual discharge, bleeding after sex or after menopause, or recurrent urinary symptoms should be discussed with a GP.
Causes
Hormone changes around menopause, pregnancy and breastfeeding are common causes. Some contraception, antidepressants, cancer treatments, diabetes and Sjögren’s syndrome can also contribute.
Self-care
Choose water-based lubricant and a purpose-made vaginal moisturiser. Avoid perfumed soap, washes and douching. Allow time for arousal and discuss pain openly with a partner.
Medical treatment
A GP may discuss vaginal oestrogen or broader HRT when appropriate and check for infection, skin conditions or other causes when symptoms are atypical.
Common questions about vaginal dryness
- What is the difference between lubricant and moisturiser?
- Lubricant reduces friction during sex; a vaginal moisturiser is used regularly to improve ongoing moisture.
- Is vaginal oestrogen the same as full HRT?
- No. Local oestrogen uses a low dose in the vagina with much lower whole-body absorption than systemic HRT. Suitability still needs discussion.
- Can breastfeeding cause dryness?
- Yes. Lower oestrogen during breastfeeding can contribute, and symptoms often improve as hormone levels change.