Vaginal Dryness

By Stephanie McKenzie

Vaginal dryness is a common concern that many women experience at different stages of life yet it’s not often talked about. Whether related to hormonal changes, menopause, breastfeeding, certain medications or pelvic health conditions, dryness can lead to discomfort, irritation and even pain with sexual intercourse.

What is a Vaginal Moisturiser?

A vaginal moisturiser is a product designed to hydrate and maintain the natural moisture balance of the vaginal and vulval tissues. They are used to restore long lasting comfort and elasticity to the tissues over time.

How do they work?

These products are usually applied regularly (e.g. every 2-3 days), not just before intercourse. They help restore moisture balance, support the vaginal lining and can reduce symptoms like burning, itching, irritation, and discomfort.

Moisturisers vs Lubricants — What’s the Difference?

It’s easy to confuse vaginal moisturisers with lubricants, but they serve different purposes:

•  Vaginal moisturisers are for ongoing dryness, used regularly to maintain hydration.

•  Lubricants are for occasional use, typically during sexual activity, to reduce friction and discomfort.

Many women find that using both - a moisturiser regularly and a lubricant as needed - provides the best comfort and support.

What Should You Look For?

When choosing a vaginal moisturiser, look for products that are:

•  pH balanced and free from fragrances or harsh chemicals

•  Water- or oil-based, depending on your preference

•  Non-hormonal, unless prescribed by your doctor

Some well-tolerated options available in Australia include:

•  Replens

•  YES VM (Vaginal Moisturiser)

•  Olive and Bee (a natural alternative)

What about lubricants?

Lubricants are designed to make sexual activity more comfortable and enjoyable by reducing friction, irritation, or burning sensations. Even if you don’t experience dryness day to day, using a lubricant can help protect delicate tissues and prevent discomfort during intimacy.

There are a few different types:

 Water-based lubricants – suitable for most people, safe with condoms and sex toys, and easy to clean.

 Silicone-based lubricants – longer lasting and excellent for persistent dryness, but not compatible with silicone toys.



Oil-based lubricants – natural-feeling, but not safe to use with latex condoms and can sometimes cause irritation.

When choosing a lubricant, look for products that are pH balanced, fragrance-free, and free from glycerin, parabens, and dyes. A few gentle, well-tolerated brands include:

•  YES WB (Water-Based) or YES OB (Oil-Based)

•  Sliquid

•  Olive and Bee (natural alternative)

Many women find that combining a regular vaginal moisturiser with a lubricant during intimacy offers the best comfort and support.

What about topical oestrogen?

For some women, particularly during perimenopause, menopause, or while breastfeeding, vaginal dryness is related to reduced oestrogen levels. In these cases, topical vaginal oestrogen (available as a cream, tablet, or pessary prescribed by your GP) may be recommended. Unlike systemic hormone therapy, topical oestrogen works locally on the vaginal tissues, helping to improve tissue thickness, elasticity, natural lubrication, and comfort. It is considered low dose and very safe for most women, but it’s important to discuss whether it’s appropriate for you with your GP or gynaecologist.

When to Seek Professional Advice

If you’re unsure what’s causing your dryness, or if symptoms persist despite using a moisturiser or lubricant, it’s best to speak with your women’s health physiotherapist, GP, or gynaecologist.

Persistent dryness or pain may be linked to hormonal changes or other factors that can be assessed and managed with tailored care.