Vaginal dryness is a common concern that can cause discomfort, itching, burning, and even pain during intimacy. While it’s often linked to menopause due to declining estrogen levels, young women can also experience it for a variety of reasons—including hormonal fluctuations, certain medications, stress, and lifestyle habits. (1)

Below, we explore the key causes of vaginal dryness in young women and the best ways to manage it.

What Causes Vaginal Dryness in Young Women?

Vaginal dryness can happen for many reasons even in young women, some of the most common causes include: (1)(2)

• Breastfeeding and childbirth: After giving birth and during breastfeeding, estrogen levels drop, which might lead to vaginal dryness, but this usually improves once breastfeeding decreases or stops.
• Lack of arousal during intimacy: If there isn’t enough foreplay or stimulation, the body may not produce enough natural lubrication, making sex uncomfortable.
• Stress and anxiety: Feeling stressed—especially during intimacy—can interfere with arousal and reduce natural vaginal moisture.
• Certain medications: Some medications can contribute to dryness, including:
  
  • Allergy and cold medications
  • Some antidepressants
  • Chemotherapy drugs
  • Anti-estrogen medications (used for conditions like uterine fibroids or endometriosis)
• Harsh soaps, washes, and vaginal douches: Strong or scented products can irritate the vagina and disrupt its natural pH balance.
• Underlying health conditions: Such as certain medical conditions, like diabetes and Sjögren’s syndrome (an autoimmune disease that causes overall dryness in the body).
• Removing the ovaries or uterus.

How Can Vaginal Dryness Be Treated?

There are several options to manage and relieve vaginal dryness, here are the details: (3)

1- Using Vaginal Moisturizers Every 2–3 Days

Unlike sexual lubricants, which provide temporary relief during intimacy, vaginal moisturizers work long-term to keep the vaginal tissues hydrated.

They are typically applied every 2 to 3 days to maintain moisture levels, and usually contain hyaluronic acid (examples include Vaginal Hyal Gel, Replens, and Hyalo Gyn).

2- Using Lubricants for Intercourse

If dryness causes discomfort during intimacy, using a personal lubricant can reduce friction and make intercourse more comfortable and enjoyable.

• Best Lubricants for Dry Sensitive Skin:
  
  • Water-based lubricants (e.g., KY Jelly, Astroglide): Lightweight, easy to wash off, and unlikely to cause irritation.
  • Silicone-based lubricants: Last longer and provide extra glide without irritating the skin.

Avoid lubricants that contain glycerin, parabens, or artificial fragrances, as they may cause irritation.

You can use natural lubricants (like olive oil or petroleum jelly), but they’re not recommended with latex condoms, as they can weaken the material and reduce effectiveness in preventing pregnancy and STIs. Also, If you’re prone to frequent vaginal infections, it’s best not to use them and stick to lubricants specifically made for vaginal use.

3. Topical Estrogen (For Estrogen Deficiency)

For women with low estrogen levels, topical estrogen treatments—such as creams or vaginal inserts—can be one of the most effective ways to treat vaginal dryness. These treatments help rebuild the vaginal lining and improve its elasticity.

Prescription Required: This treatment is only available with a doctor’s prescription. If moisturizers and lubricants are not providing enough relief, consider consulting a doctor to see if vaginal estrogen therapy is right for you.

Doctors may prescribe it for women experiencing estrogen deficiency due to breastfeeding or certain medical conditions.

Safe and Localized Treatment: Topical estrogen is used in small doses and works locally, meaning it stays within the vaginal tissues and does not significantly affect the rest of the body like oral contraceptives. It is generally safe for most women but should always be used under medical supervision.

Important Tips

Taking care of your vaginal health starts with simple daily habits. Here are some tips to follow: (4)

• Avoid harsh vaginal products, especially scented washes and douches, as they can disrupt the natural pH balance.
• Avoid scented soaps and shower gels, they can irritate sensitive areas.
• Avoid bubble baths, bath salts, and essential oils, as they can throw off your vagina’s natural balance.
• Drinking enough water to maintain the body's natural moisture levels.
• Don’t use  wet wipes on intimate areas, they often contain chemicals that can cause irritation.
• Wear breathable clothing; Opt for 100% cotton underwear and avoid tight-fitting clothes.
• Don’t use regular body lotions or hand creams to relieve vaginal dryness. These products may contain chemicals that can irritate delicate vaginal tissues. (3)

When Should You See a Gynecologist?

If vaginal dryness is persistent, painful, or affecting your quality of life, you should see a gynecologist. A medical checkup can help rule out hormonal imbalances, infections, or autoimmune conditions.

Our Gynecology and Obstetrics Department at Dr. Soliman Fakeeh Hospital in Riyadh,provides comprehensive women’s healthcare that meets the highest international standards. Book your appointment today!

References

1. ACOG - Experiencing Vaginal Dryness? Here's What You Need to Know. | ACOG
2.  NHS - Vaginal dryness
3. UpToDate - Patient education: Vaginal dryness (Beyond the Basics)
4. Mayo Clinic Health System - Vaginal dryness: Symptoms, remedies