Vaginal discomfort & dryness

Different causes need different care

Vaginitis can involve soreness, itching or changes in discharge. Infection, irritation and hormonal changes are among the possible causes. A clinician may recommend an examination or tests.

Prepare for a consultation

Note the symptoms, their timing and any products or treatments you have used. Ask what diagnosis is being considered before agreeing to medication or a procedure.

Be cautious about rejuvenation claims

Marketing language does not establish a medical benefit. NICE advises against vaginal laser treatment for menopause-related genitourinary symptoms outside a randomized controlled trial. Ask about established alternatives first.

Options to discuss with a clinician

Diagnosis-led treatment

Symptoms can reflect infection, irritation or hormonal changes. The examination and any tests should guide treatment.

Dryness care

Vaginal moisturisers and lubricants may help dryness. A clinician may discuss local hormonal treatment where appropriate.

Persistent symptoms

If symptoms persist, ask whether the diagnosis should be reviewed or specialist assessment arranged rather than repeatedly trying the same treatment.

Questions specific to this concern

• What findings support the suspected cause?
• Do I need a swab, urine test or examination before treatment?
• Could products, medicines or a skin condition be contributing?
• If a device treatment is proposed, why is it preferable to established alternatives?

What to bring

Note when discomfort occurs, discharge changes, any bleeding, recent products and previous treatments. Tell the clinician whether pain is at the skin, vaginal opening or deeper, and whether symptoms relate to sex or urination.

Plan the care after your appointment

Agree what improvement to expect and when persistent symptoms require reassessment. Ask about avoiding irritants and whether a proposed medicine or device is appropriate for pregnancy, breastfeeding or your other treatments.