Hello.
Following an endometrial ablation, some women may experience changes in vaginal lubrication. Additionally, menopause can indeed exacerbate symptoms of vaginal dryness due to a decrease in estrogen levels.
Here are some general suggestions for dealing with vaginal dryness and I hope something can help you:
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Vaginal Moisturizers: These are over-the-counter products designed to moisturize and maintain the natural acidity of the vagina. They are applied regularly, regardless of sexual activity.
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Vaginal Lubricants: These are designed specifically for sexual activity to reduce friction and discomfort. There are various types available, including water-based, silicone-based, and oil-based lubricants.
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Topical Estrogen Therapy: This involves applying estrogen directly to the vaginal area. It comes in several forms, including creams, tablets, or rings. Because it's localized, it doesn't introduce estrogen to the entire body in the same way hormone replacement therapy (HRT) does.
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Hormone Replacement Therapy (HRT): This is a systemic approach to address the symptoms of menopause, including vaginal dryness. However, HRT has both benefits and risks, so it's crucial to discuss with a doctor whether this is a suitable option for you.
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Regular Sexual Activity: Engaging in regular sexual activity (with or without a partner) can help maintain healthy vaginal tissues by increasing blood flow to the area.
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Avoid Irritants: Some soaps, douches, or other products can irritate the vaginal tissue and exacerbate dryness. Use gentle and unscented products for the intimate area.
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Vaginal Laser Treatments: Some women have turned to laser treatments, like the MonaLisa Touch or FemTouch, to address vaginal dryness and other post-menopausal vaginal symptoms. These treatments aim to stimulate the collagen production in the vaginal tissues.
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Natural and Alternative Remedies: Some women turn to natural remedies like black cohosh, soy, or flaxseed. It's essential, however, to be cautious and discuss any alternative treatments with a healthcare professional, as not all "natural" remedies are safe or effective.
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Stay Hydrated: Drinking plenty of water can help alleviate some symptoms of dryness.
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Pelvic Floor Physical Therapy: Some women find relief from pelvic floor physical therapy, which can help with a variety of pelvic health concerns.