In some rare cases, you could have a severe reaction to hormonal birth control that causes vestibulodynia, a type of vulvodynia (or chronic pain in the vulva) that can also stem from breastfeeding (more on that in a minute!), and some other health conditions. In addition to burning, stinging, and raw, tender skin, “it can cause excruciatingly painful sex,” says Dr. Streicher.
How to deal:
If you think the pill is causing problems, bring it up to your doc. They might be able to suggest a non-hormonal contraception that’ll be less likely to irritate your vagina, such as a copper IUD or spermicide. According to Streicher, topical estrogen creams can also sometimes help improve dryness and irritation. (Here are seven reasons to consider switching your birth control.)
4. Medications—particularly the hormonal kind
Birth control isn’t the only drug-related culprit here: Any medicine that decreases estrogen, such as tamoxifen (a drug used to prevent, and treat, breast cancer), can affect the moisture of your vagina. Some medications for conditions like endometriosis, like dienogest, can also lead to issues.
Also, meds that dry out your body in general (think antihistamines or cold medicines) can have the same effect on your vagina, says Dr. Seifi. Antidepressants and anti-anxiety medications have also been known to reduce overall moisture in the body.
How to deal:
Again, lube can be your best friend here. But if that’s not enough, your doctor can step in to find you an alternative treatment that won’t wipe out moisture *everywhere.* If allergy or cold meds are to blame, staying hydrated can help, too. An important reminder: Don’t stop taking meds, especially ones you’ve been prescribed, on your own without your doctor’s guidance.
5. Certain medical conditions
Some existing health issues can also reduce moisture in your vagina (another good reason to talk to your doctor). Vaginal dryness may also be a symptom of diabetes. Though it’s rare—affecting only 1% of the population—Sjögren’s syndrome, an autoimmune disease that can affect your eyes and mouth, can also dry out tissue throughout your body, including the vagina.
Though it’s not necessarily a condition per se, if you recently had a baby, your postpartum period could be another (temporary) reason. That’s because, if you’re breastfeeding, you may not be producing enough estrogen to keep your vagina well-lubricated—but when you stop, it should increase again. Plus, if you’re sleep-deprived because you are taking care of a newborn, your sexual drive may be non-existent—which means you might be dry down there, too.
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