Private Matters in Menopause


Menopause is a naturally occurring transition in life that every woman will go through.  Menopause is when the levels of estrogen and progesterone decline.  This decline of female reproductive hormones not only marks the end of her reproductive potential, but also can create many unwanted symptoms.  It is the low estrogen and low progesterone that is the hallmark of menopause.

One common complaint I hear from women during menopause is vaginal atrophy and vaginal dryness.  Women are often uncomfortable to talk about vaginal dryness.  I find It is important to address these issues for not only quality of life, but for preserving a woman’s sex life.  I have many women that do not have relations because of this common symptom of menopause and are too embarrassed to talk about it.  So let’s talk about it right now.

Estrogen is very important in keeping the vaginal tissues strong and fully lubricated.  Estrogen in general is important in keeping cells hydrated.  During menopause when the estrogen levels decrease, the vaginal cells become small and fragile.  This creates vaginal atrophy, meaning a smaller vaginal opening.  The low estrogen levels will also result in vaginal dryness, pain with intercourse and sometimes bleeding with intercourse.

The lack of estrogen can also cause urinary incontinence or a leakage of urine.  That is because the urethra is kept toned by estrogen.  For example, an underwear elastic waistband over time will become loose and fall down.  That is what happens to the urethra; over time the lack of estrogen causes it to become loosened and urine can leak out.

I find that using estriol (E3) vaginal suppositories can help with vaginal dryness, vaginal atrophy and urinary incontinence.  Estriol E3 is the gentlest form of estrogen and is helpful in skin tissue hydration.

Estriol E3 1mg Vaginal Lubricating Suppositories - Bezwecken

Estriol E3 1mg Vaginal Lubricating Suppositories by Bezwecken is very effective in alleviating vaginal dryness and atrophy and helpful in urinary incontinence caused by low estrogen symptoms.  A common treatment is to use the suppositories twice a week for one to three months depending on symptoms.  The suppositories are inserted vaginally at night before bed.  There is no issue in using the Estriol E3 suppositories while using other bio-identical or herbal hormone replacement therapies.

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Take care,



About DrD

Dr. Davidson is a Naturopathic Physician who empowers her patients towards good health.

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