How to manage vaginal dryness after hysterectomy?
Vaginal dryness is common after hysterectomy, especially if the ovaries are removed. Local oestrogen therapy, non-hormonal moisturisers, and regular sexual activity are effective management options.
Detailed Medical Explanation
If a hysterectomy includes removal of the ovaries, there is a sudden drop in oestrogen, leading to vaginal dryness and discomfort. Even if the ovaries are left, some women experience dryness due to altered blood flow. Local oestrogen (creams, pessaries, rings) is highly effective. Non-hormonal moisturisers and lubricants help maintain comfort for those who cannot use hormones. Gentle sexual activity and pelvic floor exercises can support vaginal health. NHS: Hysterectomy Information.
Clinical Context
We routinely support women post-hysterectomy with tailored advice. Individual treatment is based on medical history, type of surgery, and personal preferences.
Evidence-Based Approaches
Clinical guidelines recommend local oestrogen for dryness after surgical menopause. For those with cancer history or who wish to avoid hormones, non-hormonal options remain effective. RCOG: Post-Hysterectomy Vaginal Health.