Does estrogen therapy work for dyspareunia?
Yes, local oestrogen therapy is highly effective for dyspareunia related to vaginal dryness, menopause, or atrophic vaginitis.
Detailed Medical Explanation
Vaginal oestrogen (pessaries, creams, or rings) restores tissue elasticity, moisture, and pH, greatly reducing pain from dryness or thinning of the vaginal lining. It is considered safe and effective for most postmenopausal women and is supported by NICE and RCOG guidance. Systemic hormone replacement therapy may be needed for broader menopausal symptoms. NHS: Vaginal Dryness.
Clinical Context
Women with persistent vaginal dryness or discomfort after menopause should discuss local oestrogen therapy with their GP or women’s health specialist.
Evidence-Based Approaches
NICE and RCOG endorse local oestrogen for atrophic vaginitis and dyspareunia. RCOG: Vaginal Dryness After Menopause.