Brief Answer: there is a brand-new medication for this problem that is not estrogen Detailed Answer: Estrogen receptor modulators or selective estrogen receptor modulators have been used to fight breast cancer and to treat osteoporosis. They act by turning on estrogen receptors in some parts of the body and turning them off in others. The new estrogen receptor modulator Osphena is geared to the vaginal epithelium. It is supposed to reverse vaginal changes as if you were still producing estrogen without having to worry about absorbing estrogen systemically. I hope it works for you. If not you might wish to consider that vaginal estrogen does not carry the same risks as systemic estrogen. You only absorb about 100 th as much is if you were taking it for replacement systemically to treat hot flashes. I assume that you have tried over-the-counter water-based lubricants. Unfortunately these only coat the vaginal surface. It doesn't make the vagina stretchy and have normal blood flow. Still if you haven't tried them they may help. Some of the over-the-counter names are Replens, Astro glide, KY personal. I hope that this information is helpful to you and you have relief soon.

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