Vaginal dryness and discomfort are more common than many people realize. If you’ve noticed irritation, itching, or pain during intimacy, you’re not alone—and you don’t have to simply live with it. These symptoms can be frustrating and even affect your confidence, but they’re often signs of an underlying issue that can be treated effectively.
Why Vaginal Dryness Happens
Vaginal tissue relies on healthy hormone levels—particularly estrogen—to stay moisturized, elastic, and balanced. When estrogen levels drop, the vaginal lining becomes thinner and produces less natural lubrication. This change can lead to dryness, irritation, itching, or discomfort during sex, a condition often referred to as vaginal atrophy or genitourinary syndrome of menopause (GSM).
While menopause is the most common cause, it’s not the only one. Vaginal dryness can affect women of all ages and may result from a combination of hormonal and lifestyle factors.
Dr. Leveno, board-certified OB-GYN, practicing at Medical City Plano, helps women identify the causes of vaginal dryness and discomfort, offering personalized treatment options to restore comfort, improve vaginal health, and enhance overall wellness.
Common Causes of Vaginal Dryness
Menopause and Perimenopause
As estrogen levels naturally decline during and after menopause, vaginal tissues lose elasticity and moisture. This can cause persistent dryness, burning, and pain during intercourse. Even women in perimenopause—the years leading up to menopause—may begin noticing changes.
Hormonal Imbalances
Hormonal fluctuations caused by thyroid disorders, stress, or certain medical conditions can impact estrogen levels. Dr. Leveno helps identify and address these imbalances to relieve symptoms and restore comfort.
Medications
Some medications, such as antihistamines, antidepressants, and hormonal birth control, can reduce vaginal lubrication as a side effect. Chemotherapy and certain cancer treatments can also impact estrogen production.
Breastfeeding or Postpartum Changes
After childbirth, estrogen levels temporarily decrease—especially while breastfeeding. Many women notice dryness or irritation during this time, which often improves once hormone levels stabilize.
Other Health Conditions
Autoimmune disorders, infections, or even frequent use of perfumed soaps or douches can irritate sensitive tissue and worsen dryness. Dr. Leveno helps patients narrow down triggers and offers gentle, effective ways to restore balance.
Symptoms to Watch For
Vaginal dryness can show up differently for each person, but common symptoms include:
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Burning, itching, or irritation in the vaginal area
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Pain or discomfort during intercourse
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Light bleeding or soreness after intimacy
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Frequent urinary tract infections (UTIs) or urgency
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A feeling of tightness or dryness
If these symptoms are affecting your comfort or relationships, it’s important to reach out for professional care. With proper evaluation, Dr. Leveno can determine what’s causing your symptoms and recommend solutions based on your needs.
Treatment Options to Restore Comfort and Confidence
The good news is that vaginal dryness is highly treatable. Dr. Leveno offers many options depending on your symptoms, health history, and goals. Some may include:
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Moisturizers and Lubricants: Over-the-counter vaginal moisturizers can help maintain hydration, while lubricants can reduce friction during intimacy. Dr. Leveno can recommend products that are safe and effective for sensitive tissue.
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Topical Estrogen Therapy: Low-dose vaginal estrogen (available as a cream, tablet, or ring) helps replenish moisture and elasticity by delivering estrogen directly where it’s needed most.
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Non-Hormonal Treatments: For women who cannot or prefer not to use hormones, Dr. Leveno can suggest non-hormonal prescription options that restore comfort and vaginal health.
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Lifestyle and Wellness Support: Staying hydrated, avoiding harsh soaps, and managing stress all play a role in vaginal health. Dr. Leveno may also recommend diet and exercise strategies to support natural hormone balance.
Dr. Leveno's approach focuses on helping women feel comfortable and confident—not just physically, but emotionally and sexually as well.
When to See a Doctor
If vaginal dryness, irritation, or pain during intimacy is disrupting your quality of life, you don’t have to wait it out. These symptoms aren’t something you should ignore or feel embarrassed to talk about—they’re common, treatable, and worthy of care.
See a physician, like Dr. Leveno, if you notice ongoing dryness, burning, itching, or pain during sex, or if you’ve tried over-the-counter products without relief. An evaluation can rule out infections or other conditions and help you find a solution that truly works.
Take the First Step Toward Relief
Vaginal dryness may be common, but it’s not something you have to accept as “just part of aging” or a normal inconvenience. With the right care, you can restore comfort, confidence, and intimacy in your life. Dr. Leveno provides compassionate, personalized treatment to help women feel their best at every stage of life. Reach out to our Medical City Plano office today, to schedule an appointment to discuss your symptoms and explore the options available to improve your vaginal health and overall well-being.