Herbs for vaginal dryness: what to know

Herbal remedies have limited predictable evidence for vaginal dryness, and products placed in or taken for this symptom may cause irritation or interactions. A clinician can identify the cause and suggest treatments designed for vaginal tissue rather than relying on an unverified supplement.

Dryness may occur with hormonal changes around [Perimenopause](/conditions/perimenopause/) or [Menopause](/conditions/menopause/), after childbirth, during breastfeeding, with some medicines, or from irritation. Persistent symptoms may be part of [Genitourinary Syndrome of Menopause](/conditions/genitourinary-syndrome-of-menopause/). Earlier or unexpected ovarian hormone loss, including [Premature Ovarian Insufficiency](/conditions/premature-ovarian-insufficiency/), needs a proper assessment rather than self-treatment.

Avoid douching, fragranced washes and inserting kitchen or homemade preparations. A water-based lubricant can reduce friction during sex, while a vaginal moisturiser may help ongoing comfort; use products according to their instructions. Ask a pharmacist to review any oral herb against your medicines. Depending on the cause, a clinician may discuss [Hormone Replacement Therapy](/treatments/menopause-and-hormone-therapy/hormone-replacement-therapy/) or local [Vaginal Oestrogen Therapy](/treatments/menopause-and-hormone-therapy/vaginal-oestrogen-therapy/).

Book an appointment if dryness lasts, causes pain during sex, affects urination, or returns despite gentle care. Seek prompt advice for bleeding after sex, unusual discharge, sores, fever, pelvic pain or burning with urination. Get urgent help for severe pain, heavy bleeding, fainting or difficulty passing urine. The [Vaginal Dryness](/symptoms/vaginal-dryness/) page offers a focused overview of the symptom.

Could a medicine, hormonal change or skin condition explain this? Is an examination or test needed? Which lubricant or moisturiser is suitable? Would local oestrogen be appropriate for me, and what should I monitor?