I am poised to start taking estradiol for post-menopausal vaginal dryness, but I keep hesitating because I like receiving oral sex from my mate and worry about him getting prescription products in his mouth! How to ensure he doesn’t inadvertently get a dose? (Funny but serious)
Hi Dr. Gunter, I would love to know your thoughts on the ThermiVa™ treatment for vaginal dryness. The only information I can find on it is on their website. They claim that ThermiVa can help with a whole host of symptoms - from "cosmetic" problems to anorgasmia! The ThermiVa inventor claims that his treatment is perfect for addressing vaginal dryness, but it's hard for me to understand the mechanics of how it could have an impact on vaginal secretions, but then again I'm not an expert. I know that you get a lot of requests and questions - thank you for reading mine.
The vaginal estrogens made me burn and have vaginal spasms... I even went to PT for a hypotonic pelvic floor... But I finally gave up. Nothing helped. Skipping my annual with my gynecologist, my gp recommended replens three days a week, but now I am using it every other night. Recently I have started spotting (the first time in ten years, I am 59...) Do you think it is ok every other night? If I go longer it is really uncomfortable. Will see my gyn again in February...
Do you have any more information to offer regarding brands of vaginal moisturizers that are safe and effective, or how to evaluate ones on the market? Thank you.
I KNOW I have read more info here about where to apply the moisturizer, but I can't find it now! I took your advice about CeraVe but am not sure if it is ok to apply on the inside of the labia minora, where my dryness is worst? (I also started Revaree inserts every 3 days.) And I'm wondering about using vaseline, aquaphor as alternatives to olive oil, or CeraVe?
You can apply a neutral oil (like coconut) or a vaginal moisturizer on the inner labia minora. Vaseline is fine too, we don't recommend inserting it into the vagina.
I thought things were going well with CeraVe and coconut oil, but now, after about a month of use, I got a UTI. No I/C during this time while waiting for moisturizers to work, so I’m wondering if CeraVe or coconut oil could be the culprit. Are there reliable studies about that likelihood?
Hello. I have a question: If you’ve had endometrial cancer (1a) can you use vaginal estrogens? I used a cream before my diagnosis and radical hysterectomy, and would like to again, but my doctor is hesitant to prescribe it given the sparse data (on longterm use in women with estrogen based cancers).
I am poised to start taking estradiol for post-menopausal vaginal dryness, but I keep hesitating because I like receiving oral sex from my mate and worry about him getting prescription products in his mouth! How to ensure he doesn’t inadvertently get a dose? (Funny but serious)
Hi Dr. Gunter, I would love to know your thoughts on the ThermiVa™ treatment for vaginal dryness. The only information I can find on it is on their website. They claim that ThermiVa can help with a whole host of symptoms - from "cosmetic" problems to anorgasmia! The ThermiVa inventor claims that his treatment is perfect for addressing vaginal dryness, but it's hard for me to understand the mechanics of how it could have an impact on vaginal secretions, but then again I'm not an expert. I know that you get a lot of requests and questions - thank you for reading mine.
The vaginal estrogens made me burn and have vaginal spasms... I even went to PT for a hypotonic pelvic floor... But I finally gave up. Nothing helped. Skipping my annual with my gynecologist, my gp recommended replens three days a week, but now I am using it every other night. Recently I have started spotting (the first time in ten years, I am 59...) Do you think it is ok every other night? If I go longer it is really uncomfortable. Will see my gyn again in February...
Dear Dr.Jen,
I have just started using Replens on GP advice for perimenopausal vaginal dryness.
Your table in The Menopause Manifesto shows this has a high osmolarity compared with other products.
When discussing lubricant, you advise avoiding those with high osmolarity.
So my question is:
Would you recommend Replens for long term use or choose a moisturiser with lower osmolarity?
Do you have any more information to offer regarding brands of vaginal moisturizers that are safe and effective, or how to evaluate ones on the market? Thank you.
I have a whole chapter on the in The Vagina Bible and a lot in The Menopause Manifesto as well
I KNOW I have read more info here about where to apply the moisturizer, but I can't find it now! I took your advice about CeraVe but am not sure if it is ok to apply on the inside of the labia minora, where my dryness is worst? (I also started Revaree inserts every 3 days.) And I'm wondering about using vaseline, aquaphor as alternatives to olive oil, or CeraVe?
You can apply a neutral oil (like coconut) or a vaginal moisturizer on the inner labia minora. Vaseline is fine too, we don't recommend inserting it into the vagina.
I thought things were going well with CeraVe and coconut oil, but now, after about a month of use, I got a UTI. No I/C during this time while waiting for moisturizers to work, so I’m wondering if CeraVe or coconut oil could be the culprit. Are there reliable studies about that likelihood?
But not CeraVe or aquaphor?
They are all probably fine
Hello. I have a question: If you’ve had endometrial cancer (1a) can you use vaginal estrogens? I used a cream before my diagnosis and radical hysterectomy, and would like to again, but my doctor is hesitant to prescribe it given the sparse data (on longterm use in women with estrogen based cancers).