
Menopause Support Group
Menopause is the physiological cessation of menstrual cycles associated with advancing age. It normally occurs in women between the ages of 45 and 55, when the body begins to slow and stop the production of eggs, estrogen and progesterone production decreases, and menstruation diminishes, eventually stopping altogether.

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I get many questions in my practice about treatment for vaginal dryness in those not taking systemic hormone replacement.
1) For mild vaginal dryness associated with menopause a long acting vaginal moisturizer such as Replens seems to be as effective as the vaginal estrogen creams for relief of dryness
2) If we do use vaginal estrogens for moderate dryness the estradiol tablets or ring (estring or vagifem) cause less systemic absorption of estrogen than the estrogen creams.
3) For mild or moderate dryness a water soluble lubricant at the time of intercourse is helpful. The water soluble lubricants are astroglide or K-Y lubricant...those are better than the gelatin-based products like K-Y Jelly.
Comments?
Dr O.
1) For mild vaginal dryness associated with menopause a long acting vaginal moisturizer such as Replens seems to be as effective as the vaginal estrogen creams for relief of dryness
2) If we do use vaginal estrogens for moderate dryness the estradiol tablets or ring (estring or vagifem) cause less systemic absorption of estrogen than the estrogen creams.
3) For mild or moderate dryness a water soluble lubricant at the time of intercourse is helpful. The water soluble lubricants are astroglide or K-Y lubricant...those are better than the gelatin-based products like K-Y Jelly.
Comments?
Dr O.
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1) Replens (polycarbophil) as mentioned above has great results when studied
2) Astroglide (glucano delta lactone) as we have all heard about...
any others our members have had success with?
Dr O.
Give it a try and let us know if it helped you.
I'm also taking my doctor's advice and having sex more often (once or twice a week) using KY Jelly and that actually seems to be helping too.
I find it hard to believe anyone thinks it is as effective as estrogen.
Replens did not help my dryness at all. Also they say it lasts up to 3 days but by the second day it is dried up and crumbling out of you like untoasted white clumpy bread crumbs. I thought it was disgusting.
Depending on how severe your dryness is you will notice improvement within a couple weeks to as much as a couple months.
I was using estrace cream and it worked wonderfully..... but then it made me get cysts in my breasts so I'm back to being dry as dust.