What are the best lubricants for vaginal atrophy during sex?
The best lubricants for vaginal atrophy are water-based, fragrance-free, pH-balanced products such as YES WB, Sylk, and Sliquid. Silicone-based lubricants (like YES OB or Pjur) provide longer-lasting glide for severe dryness. Avoid glycerin, parabens, and scented or warming products, which may cause irritation.
Detailed Medical Explanation
Water-based lubricants are gentle, non-staining, and suitable for sensitive skin, while silicone-based lubricants provide more durable lubrication and are especially helpful for severe atrophy. Oil-based lubricants are not recommended with latex condoms. Always patch test new products if you have sensitivities. NHS: Choosing Lubricants.
Clinical Context
Many women find relief by combining a vaginal moisturiser several times a week with a lubricant during sex.
Evidence-Based Approaches
UK guidelines recommend water- or silicone-based lubricants for atrophy. Avoid additives, fragrances, and spermicides for sensitive tissue. RCOG: Lubricant Advice.