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 r...