Question : MY friend, who is 55, complains that her vagina is very dry, and that she is unable to have sex with her husband.

Answer : VAGINAL dryness refers to a lack of moisture of the skin in the vulva and vagina. It usually results from an oestrogen deficiency, which causes thinning, shrinking of the tissues of the vagina and decreased lubrication.

However, it is a natural condition and can affect all women over the age of 18. Factors that may lead to oestrogen deficiency are pregnancy, childbirth, nursing, hysterectomy and use of fertility drugs. Emotional stress, rigorous exercise and fatigue can also cause vaginal dryness. About 10 to 40 per cent of women who've reached menopause suffer from vaginal dryness due to lower oestrogen levels.

The healthy vagina includes a small amount of bacteria and organisms. When the vaginal balance is disrupted by the overgrowth of these bacteria, another protective bacterium-lactobacilli is unable to perform its normal function. Sometimes sexual intercourse helps spread these anaerobic bacteria. Other things that can upset the balance are antibiotics, diabetes, pregnancy, vaginal douching, wearing damp underwear, tight pants and synthetic pantyhose during hot weather, a poor diet and vaginal products (sprays, lubricants, steroids and birth control devices such as IUD).

A good urogenital health supplement to take is probiotics specially formulated for women's health. It helps to promote healthy vaginal flora. Look for a supplement that contains two clinically proven strains, Lactobacillus GR-1 and Lactobacillus RC-14 which have been shown in clinical trials to prevent urogenital problems in women.

It is also good to take a supplement to help relieve psychological and emotional complaints associated with menopause.

Black cohosh is an effective herb for perimenopausal symptoms and symptoms arising from ovarian insufficiency (lack of oestrogen and progesterone production) such as hot flushes and night sweat. This may help reduce some menopausal symptoms including vaginal dryness. It also possesses anti-inflammatory and anti-spasmodic (relieve menstrual cramps) properties. Dong quai, also known as 'female ginseng' tones the uterus, nourishes the blood and stimulates a healthy circulation.

Soya is highest in isoflavones (also called phytoestrogens), with beneficial health effects for menopause-related hot flashes, osteoporosis and certain types of cancers. Recent evidence shows that Red Clover helps improve heart health in menopausal women. Lastly, sage helps with dyspeptic symptoms (digestive disorders associated with PMS) and excessive perspiration (night sweats).

Do increase the intake of oily fish such as anchovies, kembung and sardines, fresh raw vegetables, whole brown rice and oats. Wash your vaginal area everyday and (also before and after intercourse). Use a mild hygiene wash. Rinse well and pat dry. Wipe your vagina and anus from front to back. Don't douche; this can upset the natural balance of the vagina. Always wear cotton or cotton-lined underwear.


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