An Ayurvedic Guide to Easing Vaginal Dryness Challenges in 40s

With growing age, there are a lot of changes that we face: physical, emotional, and cognitive. Women after age 40 and above go through a particular decline in estrogen levels, especially during perimenopause and menopause. They experience significant hormonal fluctuations. The reduction in estrogen, a hormone crucial for maintaining vaginal health, leads to thinning and drying of the vaginal walls.   

The thinning of the vaginal tissues, known as vaginal atrophy, contributes to various issues, making women more prone to urinary tract infections. While this common issue can impact both physical comfort and intimate relationships, there are effective natural remedies for vaginal dryness and expert advice to address and alleviate the challenges that come with it.  

Ayurvedic Point of View of Vaginal dryness

Ayurveda, a traditional system of medicine with roots in ancient India, emphasizes a holistic approach to health and wellness. In Ayurveda, maintaining balance in the body's doshas (Vata, Pitta, and Kapha) is crucial for overall well-being. Applying Ayurvedic principles to address vaginal dryness involves restoring balance and harmony to the reproductive system. 

Vaginal dryness is often associated with an imbalance in the Vata dosha, which governs the principle of movement and dryness in the body. According to Ayurvedic principles, the decrease in estrogen during perimenopause and menopause, which is common in women aged 40 and above, can aggravate Vata dosha.  

Vata imbalance can manifest as a lack of lubrication, irritation, and increased sensitivity in the vaginal tissues. The dryness may be accompanied by symptoms such as itching, burning sensations, and discomfort during sexual activity.   

Symptoms & Causes of Vaginal Dryness

According to the National Institutes of Health, the prevalence of vaginal dryness is 19.4% among all women at 42–53 years of age. Vaginal dryness, also known as vaginal atrophy or atrophic vaginitis, is often associated with hormonal changes, but various factors can contribute to its development. Let's explore this in more detail.  

Symptoms of Vaginal Dryness

• Dryness and Itching: Persistent dryness in the vaginal area can cause itching and a sensation of discomfort.
• Pain or Discomfort During Intercourse: Insufficient lubrication can lead to friction during sexual activity, resulting in pain and discomfort.
• Burning Sensation: Some women may experience a burning sensation, especially during urination.
• Light Vaginal Bleeding: Vata imbalance can lead to the thinning of the vaginal tissues, which may lead to small tears, causing light bleeding, particularly after intercourse.
• Increased Urinary Frequency: Vaginal dryness can sometimes be associated with urinary symptoms, such as increased frequency or urgency.
• Recurrent Urinary Tract Infections (UTIs): Changes in the pH of the vaginal environment can make women more susceptible to UTIs.
• Mood Swings and Irritability: Hormonal imbalances contributing to vaginal dryness can also affect mood and emotional well-being.

Causes of Vaginal Dryness

• Hormonal Changes: Menopause, the most common cause of vaginal dryness, involves a decline in estrogen levels, leading to changes in the vaginal tissues. Additionally, perimenopause, the transitional phase before menopause, can also cause hormonal fluctuations contributing to vaginal dryness.
• Vata Imbalance: Vata dosha, when aggravated, can result in dryness, and its natural qualities of mobility and coolness may impact the lubrication of the vaginal tissues.
• Depletion of Ojas (Essence of Vitality): Ayurveda suggests that the lack of Ojas, the vital essence responsible for overall health, can contribute to imbalances and dryness.
• Breastfeeding: Hormonal changes during breastfeeding can result in vaginal dryness.
• Certain Medications: Some medications, including specific birth control methods, can affect hormonal levels and contribute to vaginal dryness.
• Chemotherapy and Radiation: Cancer treatments can have significant effects on hormonal balance and may lead to vaginal dryness.
• Emotional Stress: Stress can influence hormonal levels and worsen symptoms of vaginal dryness.
• Sjögren's Syndrome: An autoimmune disorder that can affect moisture-producing glands, including those in the vagina.
• Douching and Harsh Soaps: Overuse of douches and harsh soaps can disrupt the natural pH balance of the vagina, contributing to dryness.
• Lack of Arousal: Insufficient sexual arousal can lead to inadequate vaginal lubrication during intercourse.
• Certain Health Conditions: Conditions like diabetes and hypothyroidism can affect hormonal balance and contribute to vaginal dryness.
• Lack of Nourishment: Insufficient nourishment and hydration, both internally and externally, can contribute to dryness in the body, including the vaginal area.

When to Seek Medical Attention

If you experience persistent or bothersome symptoms, it's essential to consult with a healthcare professional. They can determine the underlying cause, provide appropriate treatment, and offer guidance on managing symptoms effectively. In some cases, a healthcare provider may recommend hormonal therapy or other interventions to address the root cause of vaginal dryness.  

 Also Read: Holistic Solutions for Vaginal Dryness at the Age of 40

Ayurvedic Solutions & Practices for Vaginal Dryness

In Ayurveda, a holistic approach is applied to balance the doshas. Natural Ayurvedic remedies for managing vaginal dryness are as follows:  

1. Herbal Remedies: Ayurveda boasts a rich tradition of herbal remedies renowned for their rejuvenating and nourishing properties. Shatavari, Ashwagandha, and Yashtimadhu are standout examples. These herbs play a crucial role in balancing hormones and promoting vaginal health. Shatavari, in particular, is known for its ability to nourish the reproductive tissues, while Ashwagandha offers support in hormonal balance. 

2. Ghee and Oils: Internal consumption of clarified butter, known as ghee, and external application of nourishing oils have proven benefits in combating dryness and supporting tissue health. This dual approach contributes to a comprehensive solution for managing vaginal dryness.   

3. Sesame Oil Dhara: An ancient Ayurvedic practice, Sesame Oil Dhara involves gently pouring warm sesame oil over the lower abdomen in a rhythmic manner. This therapeutic technique is designed to alleviate Vata imbalances, enhance moisture, and promote overall well-being.   

4. Sitz Bath with Triphala Decoction: A sitz bath using a decoction of Triphala, a powerful combination of three fruits, is an Ayurvedic recommendation for cleansing and nourishing the vaginal area. This gentle and natural solution aids in maintaining hygiene, while the Triphala decoction contributes to the overall health of the reproductive tissues.  

5. Ayurvedic Diet: Tailoring your diet to include moistening and nourishing foods is pivotal in soothing Vata dosha and addressing vaginal dryness. Incorporating sweet and juicy fruits, cooked grains, and ghee into meals can provide the essential nutrients and hydration needed to support vaginal health.  

6. Lifestyle Modifications: Beyond specific remedies, lifestyle modifications form a crucial aspect of Ayurvedic approaches to health. Establishing a routine, managing stress through practices like yoga and meditation, and ensuring proper hydration contribute significantly to overall well-being.   

7. Abhyanga (Oil Massage): Regular self-massage with warm herbal oils, especially in the lower abdominal and pelvic region, promotes circulation and nourishes the tissues. Abhyanga is a time-honored practice in Ayurveda that enhances moisture, improves blood flow, and supports the body's natural lubrication mechanisms.    

8. Stay Hydrated: Drinking warm water throughout the day is a simple yet effective way to maintain hydration and support the natural lubrication of the body. Adequate hydration is paramount in addressing vaginal dryness and ensuring the overall health of the reproductive system.  

Other Advice for the Females Suffering from Vaginal Dryness

For women aged 40 and beyond grappling with vaginal dryness, incorporating lifestyle practices is paramount for overall well-being and symptom relief. Integrate omega-3 fatty acids through foods like flaxseeds and fatty fish to support mucous membrane health. Embrace herbal teas with soothing properties, such as licorice tea, under professional guidance. Avoid irritants by choosing gentle, fragrance-free products. Engage in regular, moderate exercise, practice stress management techniques, ensure sufficient sleep, consider vaginal moisturizers, and, if comfortable, engage in regular sexual activity to promote blood flow and natural lubrication. Consulting healthcare professionals or Ayurvedic practitioners is recommended for personalized advice.

Conclusion   

By embracing these lifestyle practices, women can promote not only improved vaginal health but also support their overall physical, mental, and emotional well-being during the transformative phase of aging. For a personalized and holistic approach to addressing female health issues, including vaginal dryness, consider consulting with Ayurvedic expert Dr. Shivani Nautiyal. As an experienced Ayurvedic consultant and Panchakarma specialist, Dr. Nautiyal is available on HealthyBazar's 'consult us' page. Offers tailored solutions to promote overall well-being and manage lifestyle diseases.