Your clinician may prescribe a vaginal estrogen therapy like conjugated vaginal estrogen (Premarin) cream, or estradiol, which is available in cream, tablet, capsule, and ring form. They may also prescribe ospemifene (Osphena) tablets or Prasterone (Intrarosa) vaginal inserts.
Vaginal estrogen therapy can help increase vaginal secretions, restore normal vaginal pH and microflora, and strengthen vaginal tissue. These hormonal medications can also have urinary tract benefits.
For mild symptoms, your clinician may recommend one of the following over-the-counter (OTC) vaginal dryness treatments:
● Nonhormonal vaginal moisturizers (bioadhesives) include Replens, Vagisil Moisturizer, Feminease, Moist Again, K-Y Liquibeads, Hyalo GYN, and Revaree suppositories
● Vaginal lubricants can be water-based (Astroglide, Slippery Stuff, K-Y Jelly), silicone-based (Pjur, ID Millennium), and oil-based (Elegance Women's Lubricant, Simply Slick)
OTC vaginal moisturizers and lubricants can enhance comfort during sex and increase vaginal moisture, but, unlike hormone-based menopause treatments, they won't reverse vaginal atrophy.
Please note: This information is for general reference only. Your online doctor or nurse practitioner will review your symptoms and health history to determine which (if any) vaginal atrophy treatments are medically appropriate.