Gynecology Book

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Vaginal Dryness

Aka: Vaginal Dryness, Vaginal Lubricant
  1. See Also
    1. Female Sexual Dysfunction
    2. Atrophic Vaginitis
    3. Dyspareunia
    4. Chronic Pelvic Pain
    5. Vaginismus
    6. Vulvodynia
  2. Definition
    1. Vaginal Dryness
      1. Inadequate vaginal lubrication which may lead to vaginal friction and microtrauma to the vulvar and vaginal epithelium
      2. May result in Dyspareunia
  3. Causes
    1. Sexual arousal disorder
      1. See Female Sexual Dysfunction
      2. Inability to obtain or maintain adequate lubrication from sexual excitement
      3. Dissatisfaction with sexual relationship
      4. Negative body image
      5. Fear of Dyspareunia
      6. Sexual abuse history
      7. Restrictive sexual beliefs
    2. Chronic Vaginal Dryness
      1. See Atrophic Vaginitis
      2. Estrogen deficiency
        1. Menopause
        2. Premature Ovarian Failure
      3. Decreased perfusion
        1. Peripheral artery disease
        2. Anemia
      4. Neuropathy
        1. Diabetic Neuropathy
        2. Spinal cord injury
      5. Iatrogenic causes
        1. Chemotherapy
        2. Pelvic radiation
  4. Management
    1. Treat underlying disorders
      1. See Female Sexual Dysfunction
      2. See Atrophic Vaginitis
    2. Vaginal Lubricants
      1. Vaginal Moisturizers (Replens) applied three times weekly
      2. Vaginal Lubricant (e.g. Astroglide) applied before intercourse
  5. References
    1. Seehusen (2014) Am Fam Physician 90(7): 465-70 [PubMed]

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