Vaginal dryness occurs when estrogen levels drop, reducing natural lubrication and vaginal tissue thickness. This affects up to 40% of women during perimenopause and menopause, though it can happen at any age due to breastfeeding, certain medications, or medical treatments. Common causes include hormonal changes, antihistamines, antidepressants, and cancer treatments. Treatment options range from over-the-counter vaginal moisturizers and water-based lubricants to prescription hormone therapy. Lifestyle changes like staying hydrated, avoiding harsh soaps, and using fragrance-free products can help. For persistent symptoms, healthcare providers may recommend vaginal estrogen therapy, which is highly effective with minimal systemic absorption.
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