Vaginal care during menopause is important because declining estrogen levels can lead to several changes, including dryness, irritation, and thinning of the vaginal tissues. Here are some tips and options to help manage and maintain vaginal health during and after menopause:
### 1. **Stay Hydrated**
- Drink plenty of water daily to support natural moisture levels.
### 2. **Use Vaginal Moisturizers**
- Over-the-counter vaginal moisturizers (e.g., Replens, K-Y Liquibeads) can help maintain tissue elasticity and moisture.
- Use regularly, not just during sex.
### 3. **Apply Vaginal Lubricants**
- Water-based or silicone-based lubricants (e.g., Astroglide, Sliquid) can reduce discomfort during intercourse.
- Avoid products with glycerin, parabens, or perfumes if sensitive.
### 4. **Consider Local Estrogen Therapy**
- **Prescription options** include:
- Vaginal estrogen creams (e.g., Estrace, Premarin)
- Vaginal estrogen tablets (e.g., Vagifem)
- Vaginal estrogen ring (e.g., Estring)
- These deliver low-dose estrogen directly to vaginal tissues, helping relieve dryness and irritation with minimal systemic absorption.
### 5. **Non-Hormonal Prescription Options**
- **Ospemifene (Osphena)**: Oral medication that acts like estrogen in vaginal tissues.
- **DHEA vaginal inserts (Intrarosa)**: Help restore tissue thickness and moisture.
### 6. **Maintain Regular Sexual Activity**
- Sexual activity, including with a partner or using dilators, can help increase blood flow and maintain tissue flexibility.
### 7. **Practice Good Hygiene**
- Avoid douching and harsh soaps; use gentle, unscented products.
- Wear breathable cotton underwear and avoid tight-fitting clothing.
### 8. **Healthy Diet and Exercise**
- A diet rich in omega-3s, vitamins (especially D and E), and phytoestrogens (like soy) may help.
- Regular exercise improves circulation and overall hormonal balance.
Would you like recommendations for specific products or natural remedies too?
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