11 Comments

Thank you. This is helpful. If a person is on low-dose estrogen vaginal cream can they also use a moisturizer? My gyn doesn’t think it’s necessary, but my ladybits feel otherwise.

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First, I love your news letter!!! Thanks for being a voice of reason.

Second, as an OB/GYN who serves a very poor population of women, these products are all out of reach. I find the best results and the best uptake with extra virgin coconut oil both as moisturizer and lube (if not using condoms of course). thanks

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I'm not experiencing vaginal dryness from menopause, but I use Nuvaring continuously (for PMDD) and find that it irritates my vagina and makes sex painful, especially when I've been exercising (I guess it moves around a bit). Would a vaginal moisturizer potentially help with this? I don't really have a better hormonal option at this point because BCPs make me nauseated.

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Some journals (not sure reputability?) list Hyalo Gyn having a high osmolality, along with Replens. Should we worry about this— or is that even accurate? Hard to find a product with good ph and osmolality (the Good Clean Love sounds like it is the only with both?).

Replens did work for me, but wanted to try suppository and the HA, so tried Revaree, which worked for a month, but then my vagina felt like it was going to burn away —eek.

Also, as someone who uses condoms, it looks like the Hyaluronic acid suppositories aren’t compatible, correct? Same with silicone dilators? Thx for your expertise! So hard to figure all of this out;)

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Hi Dr. Gunter, new subscriber here! Slightly off topic, but you mentioned Bonafide in this article and I was curious to know more. I'm a sex therapist and sometimes have clients that are checking out supplements to help with lowered desire and difficulty with orgasm due to SSRI use. I've heard of many supplements including Bonafide's Ristela and Olly's Lovin' Libido (primarily maca and ashwaganda). It's out of my scope of practice to recommend supplements as a mental health professional, and at the same time I try to stay informed about the medical world since a lot of my patients are seeking concurrent medical treatment. Any thoughts about these supplements? Are there any that have good evidence? I checked out the studies for Ristela and they all seem to be sponsored by the company that sells it...never a good sign... Thank you so much for any thoughts you can provide!

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