What are the best over-the-counter treatments for vaginal atrophy?
Over-the-counter (OTC) treatments for vaginal atrophy include vaginal moisturisers (such as Replens or YES VM), water-based lubricants for intercourse, and pH-balanced intimate washes. These provide symptom relief but do not treat the underlying cause.
Detailed Medical Explanation
Vaginal moisturisers, used regularly, help maintain tissue moisture and elasticity. Lubricants reduce friction and pain during sex. Products should be fragrance-free and pH-balanced. OTC options do not reverse atrophy but can provide comfort. Prescription oestrogen therapy may be needed for moderate to severe symptoms. NHS: OTC Treatments for Atrophy.
Clinical Context
We recommend OTC moisturisers and lubricants for mild symptoms and as adjuncts to prescription therapy. Always avoid perfumed or irritating products.
Evidence-Based Approaches
Guidelines support non-hormonal OTC options for initial management, with escalation to hormonal therapy as needed. RCOG: OTC Management.
