Free Book Excerpt from "The V Book: A Doctor's Guide to Complete Vulvovaginal Health"

Perimenopause and menopause

With the decline in estrogen that occurs during late perimenopause and menopause, significant V changes occur, including dryness. I am a big proponent of supplemental estrogen, not least to relieve the annoying vaginal dryness these natural changes inevitably bring. In Chapter 4, "At Different Ages," I describe the most popular current remedies for vaginal dryness caused by menopause. Explore the options with your clinician…