Vaginal dryness treatment Doctors in Jordan

Vaginal dryness is a loss of the normal moisture of the vaginal tissue, along with thinning and loss of elasticity. It causes burning, itching and tightness, pain or light bleeding during intercourse, and sometimes urinary urgency or repeated urinary infections. The condition is very common and genuinely distressing, yet it is often left unmentioned out of embarrassment, and in most cases it responds to simple steps once the cause is identified. The commonest cause is a fall in oestrogen, the hormone that keeps the tissue thick and moist: after menopause, after childbirth and during breastfeeding, after removal of the ovaries, and after chemotherapy or anti-oestrogen medication used in breast cancer treatment. Other causes matter too: soaps, perfumed washes and vaginal douching that damage the natural environment, some medications such as antihistamines, smoking, autoimmune conditions affecting secretory glands, and genital skin conditions that must be excluded because their treatment is entirely different. Treatment begins with non-hormonal, inexpensive measures that are often enough on their own: lubricants used before intercourse to reduce friction, vaginal moisturisers used regularly several times a week to improve tissue hydration over the longer term, stopping everything that irritates the area including perfumed soap, washes, internal douching and scented wipes, washing the outside with water only, and wearing cotton underwear. Where the cause is low oestrogen and first measures are not enough, local vaginal oestrogen is effective because it treats the tissue directly with very little systemic absorption. It usually takes six to twelve weeks for its full effect, followed by a maintenance dose. Prescribed non-oestrogen alternatives also exist for women in whom oestrogen is unsuitable, and any woman with a history of breast cancer should discuss treatment with her treating specialist before starting. As for vaginal laser and radiofrequency devices, the evidence remains limited and results inconsistent; they are not a first-line treatment and not a proven replacement for local therapy. The limits are explicit. A lubricant reduces friction during intercourse but does not treat tissue atrophy, and a moisturiser does not restore oestrogen. Treating dryness alone does not resolve low desire caused by depression, exhaustion, a relationship difficulty or the side effect of a psychiatric medication, and chronic pain or pelvic floor muscle spasm may need dedicated rehabilitation. Whether a treatment suits you is decided by clinical examination, which also excludes infection and genital skin disease, not by reading.