Vaginal dryness can feel unexpected, especially if you are otherwise healthy. Intimacy may become uncomfortable. Lubrication may reduce. Irritation can appear without infection. These changes are common, but they are not something you have to simply tolerate.
Hormones, tissue biology and circulation all play a role. When they shift, the vaginal environment changes too. Understanding why this happens allows you to choose treatment based on physiology, not guesswork.
At Vie Aesthetics Holborn, intimate health is assessed medically and discreetly. Vaginal dryness is approached as a hormonal and regenerative issue, not a cosmetic one.
The most common cause is declining oestrogen.
Oestrogen supports:
Vaginal wall thickness
Blood flow
Natural lubrication
Elasticity
Healthy bacterial balance
When oestrogen levels fall, tissue becomes thinner and less hydrated. Circulation reduces. Collagen declines.
Perimenopause
Menopause
Breastfeeding
Postpartum recovery
Hormonal contraception
Surgical menopause
Cancer treatments
Chronic stress
If dryness appears alongside sleep disturbance, mood changes or reduced libido, hormonal fluctuation is often central.
No.
Women in their 30s and early 40s increasingly report symptoms. Common contributors include:
Stress-induced cortisol elevation
Thyroid imbalance
Polycystic ovarian syndrome
Long-term hormonal contraception
Postnatal hormonal shifts
This is why medical assessment matters. Treating dryness with over-the-counter lubricants may provide temporary relief, but it does not address underlying tissue change.
Reduced lubrication increases friction.
Friction leads to:
Burning sensation
Micro-tears
Inflammation
Avoidance of intimacy
Anxiety around intercourse
Over time, thinning tissue becomes more fragile. This condition is medically referred to as Genitourinary Syndrome of Menopause (GSM) when linked to menopause.
Early intervention prevents progression.
Treatment should reflect severity, hormone status and personal goals.
At Vie Aesthetics Holborn, options may include hormonal, regenerative and collagen-stimulating approaches.
If systemic hormone decline is present, HRT can:
Restore oestrogen levels
Improve vaginal thickness
Improve natural lubrication
Reduce associated menopausal symptoms
Local vaginal oestrogen may be prescribed when dryness is isolated to vaginal tissue.
HRT requires structured medical assessment and monitoring.
Desirial is a hyaluronic acid injectable specifically designed for intimate tissue hydration and regeneration.
It works by:
Deeply hydrating vaginal tissue
Improving elasticity
Enhancing comfort during intimacy
Supporting tissue resilience
Hyaluronic acid attracts and retains moisture within the tissue, helping restore softness and suppleness.
Desirial is particularly helpful for women experiencing dryness that does not fully respond to hormonal therapy alone.
Caress Flow is a non-surgical intimate rejuvenation treatment designed to stimulate circulation and improve tissue health.
It may help:
Increase blood flow
Improve natural lubrication
Support collagen production
Enhance tissue tone
Improved circulation plays an important role in restoring tissue vitality.
Treatment is discreet, comfortable and requires minimal downtime.
PRP uses your own platelets and growth factors to stimulate regeneration within vaginal tissue.
It may:
Improve sensitivity
Support tissue repair
Enhance hydration
Improve overall tissue quality
Because PRP uses your own biological material, it is a regenerative option focused on cellular stimulation rather than temporary surface relief.
PRP is often used when tissue thinning is more pronounced or when additional regenerative support is beneficial.
Signs that hormones are involved include:
Irregular periods
Hot flushes
Night sweats
Mood changes
Brain fog
Blood testing and clinical assessment help determine this accurately.
In many cases, yes.
Mild dryness often improves with hormone optimisation. Moderate to severe dryness may require regenerative treatment to rebuild collagen and tissue thickness.
Most non-surgical treatments involve mild warmth and minimal discomfort. Downtime is limited. You can typically resume daily activities immediately.
Hormonal treatment may improve symptoms within weeks.
Regenerative treatments:
Show gradual improvement over 4–12 weeks
Continue improving as collagen builds
May require maintenance annually
Radiofrequency-based treatments may support mild stress incontinence by improving collagen support around the urethra.
Severe cases require referral to a urogynaecologist.
Different treatments work in different ways. Choosing the right one depends on whether dryness is hormonal, structural or regenerative in nature.
-Best suited for women experiencing perimenopause or menopause.
-HRT works by restoring declining oestrogen levels. This improves vaginal tissue thickness, elasticity and natural lubrication over time. It also addresses wider menopausal symptoms such as hot flushes, sleep disturbance and mood changes.
-Improvement is usually noticed within weeks.
-Best suited for localised vaginal dryness and tissue thinning.
-Desirial is a hyaluronic acid injectable designed specifically for intimate tissue. It works by deeply hydrating the vaginal walls, improving elasticity and restoring suppleness.
-Results develop gradually as hydration improves tissue quality.
-Best suited for women experiencing reduced circulation and mild tissue laxity.
-Caress Flow focuses on increasing blood flow and stimulating collagen production. Improved circulation supports natural lubrication and tissue vitality.
-Results build progressively with treatment.
-Best suited for regenerative support where tissue thinning is more advanced.
-PRP uses your own growth factors to stimulate tissue repair and cellular regeneration. It enhances hydration, improves sensitivity and supports long-term tissue quality.
-Visible improvement develops over several weeks as regeneration occurs.
If you are experiencing vaginal dryness:
Avoid harsh soaps or perfumed washes
Use pH-balanced intimate products
Stay hydrated
Consider omega-3 intake
Seek medical assessment rather than self-diagnosing
Early treatment prevents tissue thinning from worsening.
When addressing intimate health, medical oversight is essential.
At Vie Aesthetics Holborn:
Consultations are doctor-led
The clinic is CQC-registered
Hormonal assessment is available
Regenerative treatments are integrated
Care is discreet and personalised
We approach vaginal dryness through a whole-body lens — hormones, tissue biology and long-term wellness.
If you are ready to explore safe and effective solutions, book a confidential consultation today.
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