Find Information About:

Drugs & Supplements

Get information and reviews on prescription drugs, over-the-counter medications, vitamins, and supplements. Search by name or medical condition.

Pill Identifier

Pill Identifier

Having trouble identifying your pills?

Enter the shape, color, or imprint of your prescription or OTC drug. Our pill identification tool will display pictures that you can compare to your pill.

Get Started

My Medicine

Save your medicine, check interactions, sign up for FDA alerts, create family profiles and more.

Get Started

WebMD Health Experts and Community

Talk to health experts and other people like you in WebMD's Communities. It's a safe forum where you can create or participate in support groups and discussions about health topics that interest you.

  • Second Opinion

    Second Opinion

    Read expert perspectives on popular health topics.

  • Community


    Connect with people like you, and get expert guidance on living a healthy life.

Got a health question? Get answers provided by leading organizations, doctors, and experts.

Get Answers

Sign up to receive WebMD's award-winning content delivered to your inbox.

Sign Up


All communities will be placed in read-only mode (you will be able to see and search for posts but not start or reply to discussions) as we conduct maintenance. We will make another announcement when posting is re-opened. Thank you for your continued support and patience, and if you have any further questions, please email

Yours in health,
WebMD Community Management

Includes Expert Content
Vaginal dryness and pain
An_248066 posted:
I'm definitely menopausal and am not taking any menopausal medications. I am taking a small dosage of for mood control. I have very dry vaginal passage and burning pain during sex. Instead of estrogen replacement which affects my mood immensely, can I effect this dryness via diet? I have heard that refraining from caffeine, alcohol, sugar and/or medications might be able to alleviate the problem. Is this definitely true? I really like having coffee in morning and some wine in the evenings and would like to know if eliminating these nutrients would really work to help my situation before I give them up.
fcl responded:
To be honest, a good vaginal lubricant would be much more effective during sex. Does the dryness affect you at any other tiime?
Jane Harrison Hohner, RN, RNP responded:
Dear An: I concur with FCL's comment (as usual), but I would like to add some additional information. Most estrogen replacement (eg pill/patch/gel/cream) is given in doses high enough to create a blood level of 60 or more picograms.

There is good data about estradiol blood levels in women using vaginal estrogen products. Rioux (2000) compared the older 25 microgram Vagifem (which is being taken off the market in favor of a newer 10 microgram dose) to Premarin vaginal cream. After 24 weeks only 3/80 of the Vagifem users had an elevated estradiol of more than 40 picograms compared to 21/79 Premarin users. Mettler (1991) found blood estradiol levels of 11.2 picograms after a year of usage--this compares to 9.6 before treatment began. And that was will the higher dose Vagifem. Notelovitz (2002) found blood levels of 23 picograms after three months of use of Vagifem 25 micrograms.

What this means is that local vaginal estrogen is designed to not have a high blood level. We do not even need to prescribe a progesterone in a woman using these low dose vaginal estrogen products. You can certainly try a good lubricant during sex, or a vaginal moisturizer (eg (Replens) to see if those will work. IF neither of these over the counter approaches work you might consider the very lowest dose Vagifem. Some women use this prescription for two week until the symptoms improve then only use it as needed (eg once a week or less). Giving up coffee and wine is worth a try but that is a quality of life issue, too!


Helpful Tips

I am having heavy bleeding and sever pain with it every month that it affects my daily living when I have it I even had to drop out of ... More
Was this Helpful?
16 of 27 found this helpful

Expert Blog

Below the Belt: Women's Health - Jane Harrison-Hohner, RN, RNP

From HPV to irregular periods to PMS to fibroids, Jane Harrison-Hohner, RN, is here to share her knowledge and insight...Read More

Report Problems With Your Medications to the FDA

FDAYou are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.