Vaginal atrophy is a condition in which the walls of the vaginal become thinner, leading to tightness, dryness, itching, and painful intercourse. It is often caused by low estrogen levels, so the go-to treatment is estrogen supplements and estrogen creams. But not all women can tolerate these estrogen products. If you are someone who cannot tolerate estrogen, here are some of the other treatments and management tactics your OBGYN may recommend.

Water-Based Lubricants

Water-based lubricants can be used before and during intercourse to make sex more comfortable for women with vaginal atrophy. They can also be used throughout the day, as needed, to alleviate dryness. Often, these lubricants are more effective at relieving dryness and itching than vaginal moisturizers sold specifically for this purpose. They tend to be thicker and stay around for longer. You can keep a small bottle of lubricant in your purse and use it each time you go to the bathroom.

Vaginal Dilators

If your vaginal atrophy has resulted in a lot of narrowing of the vaginal walls, then your doctor may recommend using a vaginal dilator. These are hard tubes of increasing size. You start by using the smallest one, leaving it inserted for the recommended period of time. Then, you slowly work your way up to using larger dilators. Over time, this is meant to help expand the vaginal walls and counteract the narrowing associated with atrophy. It should make sexual intercourse less painful.

Omega-3 Fatty Acids

Omega-3 fatty acids are typically recommended for patients with heart disease concerns, but they can also be helpful for anyone with vaginal atrophy. Omega-3s help keep body tissues moist and supple, including the tissues in the vagina. They also help with the production of mucous, such as the mucous that is meant to lubricate the vagina and is often lacking in vaginal atrophy patients. Take an omega-3 fatty acid supplement as directed on the label, or work to include more omega-3 rich foods in your diet. Salmon, tuna, herring, and mackerel are all good choices. If you prefer plant-based sources, try flax seed, chia seed, and walnuts. 

Vaginal atrophy can be a bothersome condition to navigate, especially if you cannot use estrogen-based treatments. However, with some or all of the treatments above, you should be able to keep the symptoms minimal and well-managed. Talk to your OBGYN for more vaginal atrophy treatments and advice, and keep them updated on your progress.