Can vaginal atrophy be treated without hormones?
Yes, non-hormonal treatments—such as vaginal moisturisers, lubricants, and pelvic floor exercises—can help manage mild to moderate vaginal atrophy, especially for women who cannot use oestrogen therapy.
Detailed Medical Explanation
Vaginal moisturisers (used several times a week) and water-based lubricants (used during intercourse) can ease dryness and discomfort. Pelvic floor exercises support blood flow and tissue health. However, for more severe atrophy, oestrogen therapy is usually the most effective option. Women with a history of breast cancer or those preferring to avoid hormones should consult their healthcare provider for personalised recommendations. NHS: Non-Hormonal Management.
Clinical Context
We routinely support women who cannot use oestrogen due to medical history or personal preference, ensuring symptom relief and improved quality of life.
Evidence-Based Approaches
All guidelines recommend non-hormonal options as first-line or adjunct therapies, especially for women at higher risk with hormones. RCOG: Non-Hormonal Atrophy Treatment.