Vulvar and Vaginal Dryness: When to Use Lubricants versus Moisturizers

Not gonna lie, vaginal and vulvar dryness is the WORST.

First of all, let’s distinguish between your VAGINA and your VULVA.

Your vagina is the actual canal itself.

Your vulva includes everything you can see when you look between your legs with a mirror, including your labia majora, minora, perineum, clitoral hood, etc.

The moisturizes and lubricants you use on your vagina and vulva are NOT THE SAME. Our internal canal (vagina) has different requirements than our vulva (outer area) and BOTH the vagina and vulva have different requirements than the rest of the skin on our body. They have a different pH balance than the rest of our skin. Sorry, you can’t use your Aveeno or CeraVe on your hoo-ha.

Vaginal dryness can contribute to:

  • Painful sex and penetration

  • Compromised vaginal tissue integrity and tissue breakdown

  • Changes in vaginal discharge

Vulvar dryness can contribute to:

  • Pelvic pain with sex, intimacy, penetration, sitting, exercise, movement

  • Vulvar itchiness and discomfort

  • Feeling burning or itching around the urethra

What causes vaginal or vulvar dryness?

  • Hormonal changes

  • Stress and/or trauma

  • Medication side effects

  • Material worn surrounding vulva

  • Certain medical conditions

Moisturizers

Moisturizers can be purchased without a prescription and are applied regularly as part of a vulvar or vaginal skincare routine.

Moisturizers that do not contain topical estrogen can be purchased without a prescription. They can often be purchased online or at the drugstore. Examples include, but are not are limited to:

  • Mae by Damiva

  • Replens Vaginal Moisturizer

  • Natural oils such as coconut oil, Vitamin E Oil, and Emu Oil

  • Topical estrogen (prescription medication used under the supervision of a medical doctor)

Lubricants

Lubricants are used to decrease friction and ease insertion, and come in three types: water-based, silicone-based, and oil-based. It’s important to choose the right lubricant for the intended use and to note that oil-based lubricants cannot be used with latex condoms or silicone products!

Water-Based Lubricants: Great for inserting dilators and vibrators. They are also safe for use with latex condoms. You may need re-application as the lube will get ‘pushed around’ with movement. They will not hold up in the water.

Silicone-Based Lubricants: The initial application will last longer since they’re not absorbed by the vaginal tissues. They can be used with latex condoms and can be used in water, but you cannot use silicone lubricants with other silicone devices such as intimacy toys, sex aids, dilators, vibrators, etc.

Oil-Based Lubricants: Can be an option if you’d like long-lasting effects and avoiding re-application. They can be used in water, but cannot be used with silicone products either.

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