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What can you do about vaginal dryness after menopause if you don’t want to use any kind of hormonal treatment?

— Anonymous, from Tumblr Sarah: While I’m not sure about the medical specifics of hormonal replacement without, you know, replacing hormones, I can recommend some good ol’ fashioned water-based lube. Otherwise, I’m deferring to Debby here.

Debby: Thanks to declining estrogen levels, many post-menopausal women experience vaginal dryness. And while there are plenty of effective hormonal treatments available for increasing vaginal wetness and flexibility, there are also non-hormonal vaginal moisturizers available too. Replens is one example of a commonly used non-hormonal moisturizer though you do need to use it regularly and over a period of time to see results - some healthcare providers suggest using it at least 3 times per week over a period of at least 3 months before expecting significant results, but check with your healthcare provider for their recommendations. And if it’s just dryness during sex you’re struggling with - rather than all-day vaginal dryness - lubricants such as KY Liquid, Pure Romance Just Like Me, Pink, Good Clean Love, or Trojan lubricants (check out their Continuous Silkiness version) are worth exploring.

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