MacArthur Medical Center

When women first notice vaginal dryness during perimenopause or menopause, their initial response is typically to purchase an over-the-counter lubricant.

While lubricants are helpful for reducing friction, they are a temporary, symptom-management strategy. They do not address the underlying physiological changes occurring in the tissues due to estrogen deprivation.

For moderate to severe symptoms, or when symptoms interfere significantly with your quality of life, over-the-counter options are rarely sufficient.

Local vaginal estrogen therapy is considered the gold standard for treatment—and it is a safe option for the vast majority of women.

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