Can I restore my vagina point non-surgically. I am 72 and married but celebrate for 40 years. I am now very dry and itchy.

Hello Anon

Thank you for writing!

I'm not sure what you mean by restoring your "vagina point" but it sounds like you would like to find a treatment for vaginal dryness which can indeed cause itchiness.

As you know, once a woman is in menopause, or is post-menopause, her estrogen levels are quite low.

Estrogens are responsible for the thickening and plumping of the blood vessels that supply the vaginal walls. Estrogen is also responsible for the coating of moisture and vaginal secretion on the vaginal wall that keeps it lubricated and helps to prevent infection.

With the decline of estrogens:

• The wall of the vagina becomes thinner and more fragile

• The lack of moisture causes dryness in the vaginal walls because the constriction of the blood vessels reduces the nutrient supply to the vagina

• There could be an increase of itching, irritation, discharge or unpleasant smell due to the lack of protective chemicals in the vaginal secretions

• Sexual intercourse can become more painful because of the thinning of the vaginal wall and reduces secretions

• The lack of acidic chemicals in the vaginal secretions reduces the protection from infection, increasing the risk for more viral and bacterial infections

Anon, in order to help you further, I have some questions: are you still taking the oral estrogen? If you have stopped, did the dryness and itching begin or increase? Did you then start the Premarin? If so, then how long ago?

Please answer these questions so we can help you further- we look forward to hearing back from you.

Best,
Susan