“The good news is that effective treatment options, such as nonhormone remedies or different forms of low-dose estrogen applied directly to the vagina, are available”.1

Umbrella
What may the Vaginal and Vulval Treatment Options Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Vaginal Estrogen/Oestrogen Products
  • Vaginal Inserts
  • Vaginal and Vulval Lubricants/Moisturizers
  • Vaginal and Vulval Treatment Options

Treatment Options

What are some vaginal and vulval treatment options?

On page one and two in Vaginal Dryness: Treatment Options the North American Menopause Society (NAMS) elaborate on:

Vaginal and Vulval Treatment Options

“The good news is that effective treatment options, such as nonhormone remedies or different forms of low-dose estrogen applied directly to the vagina, are available. These can be combined for optimal symptom relief:

  • Non Hormone Remedies
    • Vaginal Lubricants…
    • Vaginal Moisturizers…
    • Regular Sexual Stimulation…
    • Expanding Your Views of Sexual Pleasure…
    • Vaginal Dilators…
    • Pelvic Floor Exercises…
  • Vaginal Estrogen Therapy
    • An effective and safe treatment…
    • Government-approved low-dose vaginal estrogen products…
    • Standard doses of estrogen therapy…
  • Other Prescription Therapies
    • Ospemifene is an oral tablet taken daily for the treatment of painful intercourse caused by vaginal atrophy…
    • Dehydroepiandrosterone (DHEA) is a hormone-containing insert placed into the vagina nightly for…”.2

In Vaginal Atrophy: Diagnosis & Treatment – Treatment the (United States) Mayo Clinic elaborate on:

“To treat genitourinary syndrome of menopause, your doctor may first recommend over-the-counter treatment options, including:

  • “Vaginal moisturizers. Try a vaginal moisturizer (K-Y Liquibeads, Replens, Sliquid, others) to restore some moisture to your vaginal area. You may have to apply the moisturizer every few days. The effects of a moisturizer generally last a bit longer than those of a lubricant
  • Water-based lubricants. These lubricants (Astroglide, K-Y Jelly, Sliquid, others) are applied just before sexual activity and can reduce discomfort during intercourse. Choose products that don’t contain glycerin or warming properties because women who are sensitive to these substances may experience irritation. Avoid petroleum jelly or other petroleum-based products for lubrication if you’re also using condoms, because petroleum can break down latex condoms on contact”.3

In Vaginal Atrophy: Diagnosis & Treatment – Treatment the Mayo Clinic also elaborate on other options:

  • “Topical Estrogen
    • Vaginal Estrogen Cream (Estrace, Premarin)…
    • Vaginal Estrogen Suppositories (Imvexxy)…
    • Vaginal Estrogen Ring (Estring, Femring)…
    • Vaginal Estrogen Tablet (Vagifem)…
  • Ospemifene (Osphena)…
  • Prasterone (Intrarosa)
  • Systemic Estrogen Therapy
  • Vaginal Dilators
  • Topical Lidocaine
  • If you’ve had breast cancer”.4

Health Care Provider

What if I would like to make down there less bothersome?

If you would like to make down there less bothersome, it may be in your best interest to choose to talk to your health care provider about this.

In Vaginal Discomfort: Discomfort Not Directly Related To Menopause the NAMS note:

“Because vaginal discomfort can arise from so many different sources, persistent symptoms of dryness, irritation, burning, itchiness, or pain should be evaluated by a healthcare provider to determine their cause”.5

In Vaginal Atrophy: Symptoms & Causes – Symptoms: When To See A Doctor the Mayo Clinic encourage us to:

“Make an appointment with your doctor if you have any unexplained vaginal spotting or bleeding, unusual discharge, burning, or soreness. Also make an appointment to see your doctor if you experience painful intercourse that’s not resolved by using a vaginal moisturizer (K-Y Liquibeads, Replens, Sliquid, others) or water-based lubricant (Astroglide, K-Y Jelly, Sliquid, others)”.6

Health Topics A-Z

Where may I find Health Topics related to Vaginal and Vulval Treatment Options?

In Health Topics A-Z you may find:

Health Topics A-Z

Links

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  1. 9 Myths and Misunderstandings About Menopausal Hormone Therapy (MHT): 6. Myth – Complementary Medicines and Therapies Are As Effective As MHT and Safer
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  6. Bioidentical Hormones Explained – A British Menopause Society Video
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  8. Caredownthere.com.au
  9. Complementary Medicine Options for Menopausal SymptomsVaginal and Vulval Treatment Options
  10. Complementary and Alternative Therapies Explained – A British Menopause Society Video
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  21. Hormone Replacement Therapy (HRT) Explained – A British Menopause Society Video
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  50. National Center for Complementary and Integrative Health: Herbs At A Glance
  51. National Center for Complementary and Integrative Health: How Safe Is This Product or Practice?
  52. National Center for Complementary and Integrative Health: Menopausal Symptoms: In Depth
  53. National Center for Complementary and Integrative Health: Natural Doesn’t Necessarily Mean Safer, or Better
  54. National Center for Complementary and Integrative Health: Sage
  55. Natural Therapies & Supplements
  56. New Study Reassures Women About the Safety of Vaginal Estrogen
  57. Non-Hormonal Treatment Options for Menopausal Symptoms
  58. NonHormonal Treatments for Menopausal Symptoms
  59. Recent Review Confirms Safety of Low Dose Vaginal Estrogen: July 2019
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  69. Statement from FDA Commissioner Scott Gottlieb, M.D., on Efforts To Safeguard Women’s Health From Deceptive Health Claims and Significant Risks Related To Devices Marketed for Use In Medical Procedures for “Vaginal Rejuvenation” [Food and Drug Administration, United States]
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  99. World Menopause Day: World Menopause Day 2018 – Patient Information Leaflet: Sexual Wellbeing After Menopause [Multiply Languages]
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Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Vaginal Dryness: Treatment Options. 2018:1-2. North American Menopause Society https://www.menopause.org/docs/default-source/for-women/mn-vaginal-dryness.pdf Accessed: 03 May 2020
  2. Vaginal Dryness: Treatment Options. 2018:1-2. North American Menopause Society https://www.menopause.org/docs/default-source/for-women/mn-vaginal-dryness.pdf Accessed: 03 May 2020
  3. Vaginal Atrophy: Diagnosis & Treatment – Treatment. 02 May 2019. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/diagnosis-treatment/drc-20352294 Accessed: 03 May 2020
  4. Vaginal Atrophy: Diagnosis & Treatment – Treatment. 02 May 2019. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/diagnosis-treatment/drc-20352294 Accessed: 03 May 2020
  5. Vaginal Discomfort: Discomfort Not Directly Related To Menopause. North American Menopause Society https://www.menopause.org/for-women/sexual-health-menopause-online/causes-of-sexual-problems/vaginal-discomfort Accessed: 03 May 2020
  6. Vaginal Atrophy: Symptoms & Causes – Symptoms: When To See A Doctor. 02 May 2019. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/vaginal-atrophy/symptoms-causes/syc-20352288 Accessed: 03 May 2020
Topic Last Updated: 03 May 2020 – Topic Last Reviewed: 03 May 2020
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