Vaginal Dryness

Vaginal Dryness

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Vaginal Dryness

Many people will likely endure the uncomfortable symptom of vaginal dryness at some point in their lives. An imbalance in hormone levels, nursing, or specific drugs might all contribute to this discomfort. It frequently has menopause as a link. The cause determines the most common vaginal dryness treatments.



What is vaginal dryness?

Vaginal dryness is a painful ailment that degrades a person's quality of life. It can hurt when you sit, work out, urinate, or engage in sexual activity. Your vaginal lining is normally moisturized with fluid, which keeps it thick and elastic. When the tissues in your vagina are brittle, dry, and poorly hydrated, it results in vaginal dryness. This causes discomfort, especially when having sex.

Every age can experience vaginal dryness. The period during or immediately following menopause when estrogen levels start to fall is when it occurs most frequently in women or those who were assigned female at birth (AFAB). Your vaginal lining is kept hydrated and healthy by the hormone estrogen. Your vaginal walls get thin and dry when your estrogen levels are low. Vaginal atrophy is a frequent symptom of menopause.

There are numerous secure and efficient therapies for vaginal dryness.

Is vaginal dryness common?

Around 17% of AFABs (assigned female at birth) between the ages of 18 and 50 report experiencing vaginal dryness during sex, even before menopause occurs. After menopause, more than half report vaginal dryness.


What may be the causes of dryness in the vagina?

Vaginal dryness frequently occurs when estrogen levels fall. This happens on its own as you get older or throughout menopause. Your menstrual cycle ceases and you can no longer get pregnant during the menopause. The skin and tissues of your vulva and vagina grow thinner and less elastic when estrogen levels drop, and your vagina may start to dry up.

Vaginal dryness can also be caused by specific medical disorders or medical treatments. Vaginal dryness may be brought on by:

  • Breastfeeding (chestfeeding) and childbirth.
  • Birth control pills or any form of hormonal birth control.
  • Cancer treatments including chemotherapy and hormone therapy.
  • Diabetes.
  • Medications, including anti-estrogen medications (treating uterine fibroids or endometriosis), certain antidepressants and antihistamines (treatment for itchy eyes and runny noses).
  • Removal of your ovaries (oophorectomy).
  • Sjogren’s syndrome (an autoimmune disorder that can cause dryness throughout your body).
  • Not being sexually aroused.
  • Using scented or perfumed soaps, sprays and washes around or in your vagina.

Why does my vagina become dry during sex?

Sexual penetration is typically when vaginal dryness is most noticeable. When there is insufficient vaginal lubrication, the friction (or rubbing) during sexual activity can hurt and be uncomfortable. Make sure you're completely aroused before having sex. Try to relax while having foreplay with your lover. Sexual lubricants made of water might also be helpful. Sadly, uncomfortable sex might cause you to lose interest in sex or intimacy with your spouse. As embarrassing as it might feel, talk to your partner about your symptom so they can support you.

What does a dry vagina feel like?

Vaginal discomfort and suffering are brought on by vaginal dryness, particularly during sexual activity. Another possible effect of a dry vagina is:

  • Burning and itching.
  • Bleeding after sex due to your vaginal wall tissues breaking open.
  • Soreness in your vulva.
  • Recurrent urinary tract infections (UTIs) or yeast infections.
  • Needing to pee more often.
  • Not wanting to have sex.

Reduced vaginal moisture results in reduced vulvar (external genitals) wetness. This means that during everyday activities like walking or sitting, as well as when putting on your underwear, you might experience dryness or irritation.


How is vaginal dryness treated?

  • Vaginal Dryness (Compounded Estrace) we can do Estriol
  • Estradiol 0.0125% Vaginal Cream with applicator
  • Insert 1 gm vaginally with applicator daily for 2 weeks then three times per
  • week prn
  • Dispense #45 gms
  • Estradiol and progesterone is used in combination to treat moderate to severe hot flashes caused by menopause.
  • We will combine into 1 cream AFTER 3-6 months of good therapy and adjustments.
  • Progesterone 30mg or 50mg topical cream
  • Apply 1 pump ( 1⁄2 ml) twice daily to arms
  • Dispense #30ml
  • Progesterone Capsule (50mgSR --or- 100mg -or--150mgSR--200mg SR)
  • Take 1 Capsule by mouth nightly at bedtime
  • Dispense #30ml
  • Estradiol 1mg Topical Cream
  • Apply 1 pump ( 1⁄2 ml) twice daily to arms
  • Dispense #30ml
  • Testosterone 1% Cream or Testosterone 2% Cream
  • Apply 1 pump ( 1⁄2 ml) to inner thigh (or back of knees depending on hair) daily
  • Dispense #30gms (Thirty Grams) must we written on separate script with doctors DEA#
  • DHEA (Dehydroepiandosterone) can be added 5-10mg orally for women 20-25mg topically
  • We do make oral troches if wanted in 22 different flavors
  • Compounded Amphotericine B 25mg / Clindamycin 50mg / Metronidazole 50mg Cream
  • Insert 1gm vaginally nightly at bedtime
  • Dispense #30 grams
  • Boric Acid 600mg Capsule
  • Insert 1 Capsule Vaginally Nightly at bedtime for 14 days
  • Dispense #14 capsules
  • Diazepam Suppositories 5mg or 10mg
  • Insert 1 suppository Vaginally every (12 or 24 hours) for vaginal pain
  • Dispense #30 suppositories must we written on separate script with doctors DEA#
  • FOR MEN Testosterone 10% or closest to Androgel 20% or 30%
  • Apply 1 pump (1ml) to inner thigh daily
  • Dispense #30mgs (Thirty Grams) must we written on separate script with doctors DEA#
  • Low Dose Naltrexone 1.5 or 3mg or 4.5mg capsule
  • Take 1 capsule by mouth nightly at bedtime (starting 1.5mg for 1 month then 3mg and up)
  • Dispense #30 Capsules
  • Low Dose Naltrexone Topical Cream (for kids) 4mg/ml or 6mg mg/ml
  • Apply 1 pump ( 1⁄2 ml) to wrists at bedtime between 9pm and 12am
  • Dispense #30ml
  • Phentermine 37.5/Topiramate 12.5mg or 25mg or 50mg capsule (Combination Capsule)
  • Take 1 capsule every morning (NEED Body mass index)
  • Dispense #30 capsules (Thirty) must we written on separate script with doctors DEA#
  • Compounded Ivermectin 3mg Capsules

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"This is one of the best compounding pharmacies and Pharmacists I have seen. The actual pharmacy is clean and carries some of the best wellness products. The staff is attentive, friendly, and very helpful. Dr. Mac McMillan is knowledgeable, patient and thorough. He makes himself available to answer your questions while assisting you to find a solution. They are amazing."



"Being from out of town it’s hard to get great products and with reasonable prices. Dr. Mack has both. When I’ve ordered products he has shipped them out the same day. Its great to have a pharmacist that is knowledgeable that can AND will answer me and my family’s questions with clarity and professionalism. The products recommended for our skin problems and my shoulder pain were a GREAT help and we are forever grateful. Thank you!"



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