Vaginal Dryness

The average age of menopause (when estrogen production completely shuts down) is 51 and is often preceded by perimenopausal fluctuations for months, or occasionally years. Some women have no symptoms as they transition through perimenopause and menopause. The majority of women aren't so lucky and experience mood swings, insomnia, hot flashes, unpredictable bleeding, memory problems, decreased libido, and painful, dry intercourse.

Frequently all that is needed is the right silicone- or water-based lubricant. Fortunately, vaginal lubricants have come a long way since the advent of KY jelly and we are experts at recommending a product that is right for you.

Many women also benefit from vaginal estrogen rings, creams or tablets that work directly on vaginal tissues to increase lubrication and elasticity of thin, dry tissue.

Many women are good candidates for short- or long-term hormone supplementation, replacement, or extension. We are expert at finding just the right combination of hormones to eliminate symptoms safely.

Other women can't or choose not to take hormones. We provide non-hormonal options and recommendations to relieve unpleasant symptoms that occur as a result of changing estrogen levels, including vaginal dryness, hot flashes, and bone loss.

Watch Dr. Streicher talk about menopause and perimenopause on NBC's In the Loop with iVillage