What additional therapies can be helpful for vaginal dryness causing dyspareunia in premenopausal woman already using lubrication?

Lubricants are a good first-line option and are used as needed with sexual activity. The two main types recommended are water-based or silicone-based lubricants. Water-based lubricants are generally safe to use with condoms and sex toys and are easy to clean. They may also dry out more quickly and require reapplication. Lower osmolality lubricants with a pH of 4.5 may be less irritating than higher osmolality and higher pH options. Silicone-based lubricants are typically effective for longer and are waterproof, though they may be more difficult to clean and should not be used with silicone toys. Oil-based lubricants or products are another long-lasting option, but can degrade condoms.

Vaginal moisturizers are another commonly used first-line...