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Seeking Relief from Vaginal Soreness and Tenderness
Gynecology and Obstetrics
Question #51106
20 days ago
317

Seeking Relief from Vaginal Soreness and Tenderness - #51106

Client_18ab2a

I am over 70years old sexuallactive experiencing soreness and tenderness on the outside skin of my vagina making sex with my partner very painful? What can I do l have tried everything can you please help

How long have you been experiencing this soreness and tenderness?:

- More than 6 months

Have you noticed any specific triggers for the pain during intercourse?:

- Lack of lubrication

Have you tried any treatments or remedies? If so, which ones?:

- Topical creams
PAID
Question is closed

Doctor-recommended remedies for this condition

94 Doctors recommend

Doctors' responses

intake 4 lit water do picchu at vaginal part with jatyadi ghurth 2 timess day take shatavri churna 5 gm 2 times day take ashwagandha 5 gm 2 times day

1485 answered questions
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Kottakkal Jatyadi Ghritam
Kottakkal Ashwagandha Churna
Agatsya Aushadh Shatavari Churna
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No worries Start with Strirasayana vati 1-0-1 Chandraprabha vati 1-0-1 Dashamoola aristha 2-0-2 tsp Patrangasava 2-0-2 tsp with water

4789 answered questions
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Chandraprabha Vati (Tablets) - Dabur
Dashamularista - Dhootapapeshwar
SDM Dashamoolarista - SDM Ayurveda Pharmacy
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Hello Thank you for sharing openly At your age (above 70) and being sexually active this issue is very common and very well treatable so dont worry we are here to help you out 😊 IMPORTANT TO KNOW At this stage the most common cause of -External vaginal soreness -Tenderness -Pain during intercourse Is due to Post menopausal vaginal atrophy After menopause, estrogen level drops down significantly This causes -thinking of vaginal skin making it prone for soreness AYURVEDIC TREATMENT PLAN Local External care( most important ) - Apply pure organic coconut oil externally daily at bed time - Gentle oil massage around the vulva This reduces vata and nourishes tissue 2.Before intercourse use a good quality water based lubricant Avoid petroleum based products Do not proceed if dryness is present as it will further increase soreness INTERNAL TREATMENT 1.Shatavari kalpa 1 tsp with warm milk after food 2.Ashwagandha capsule 1 capsule twice daily after food DIET PLAN -have warm nourishing food - milk with pinch of turmeric - soaked almonds Avoid-excess spicy food Very dry fruits Wishing you good health😊 Warm Regards Dr Snehal Vidhate

11888 answered questions
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Ashvagandha Tablets - Himalaya
Arkashala Shatavari Kalpa
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—After menopause, the skin of the vagina and outer area becomes thinner and drier because estrogen levels are low. This can cause soreness and pain with sex. —Treatment 1. Internal Medicines: Shatavari Churna – 3 gm with warm milk, BD Ashokarishta – 15 ml with equal water, BD after food Gandharva Haritaki – 1 tsp HS (if constipation present) 2. External Treatment: Yoni Pichu with Jatyadi Taila or Bala Taila – once daily at bedtime Gentle application of Shatadhouta Ghrita locally BD 3. Pathya (Advice): Use natural lubricant (coconut oil) during intercourse Avoid excessive washing/chemical soaps Warm milk, ghee, sesame, soaked almonds in diet Avoid ruksha, spicy, very dry foods —Follow up: 15 days

12054 answered questions
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Take Arogya vardini vati 1tab bd AF Gandhak rasayana 1tab bd AF Gynosin 1tab bd AF Ashokarista 20ml bd Trophala churna kashayam with sitzbath Jyatadhi tail yonipichu u ll get results

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Gandhak Rasayan - Baidyanath
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AT YOUR AGE THIS PROBLEM HAPPENS BECAUSE AFTER MENOPAUSE THE HORMONAL LEVELS ESPECIALLY ESTROGEN BECOME VERY LOW BECAUSE OF THIS THE VAGINAL SKIN BECOMES THIN DRY LESS ELASTIC AND MORE SENSITIVE IN AYURVEDA WE UNDERSTAND THIS AS VATA INCREASE AND REDUCTION OF NATURAL TISSUE NOURISHMENT WHEN VATA INCREASES THERE IS DRYNESS ROUGHNESS PAIN AND TENDERNESS SO EVEN NORMAL INTERCOURSE CAN FEEL PAINFUL LACK OF LUBRICATION FURTHER INCREASES FRICTION WHICH CAUSES MICRO TEARS AND SORENESS ON THE OUTER SKIN FIRST DO NOT CONTINUE INTERCOURSE WHEN THERE IS ACTIVE PAIN GIVE THE TISSUE SOME TIME TO HEAL CONTINUING WITH PAIN WILL ONLY WORSEN THE CONDITION FOR LOCAL CARE APPLY PURE COLD PRESSED COCONUT OIL OR PURE SESAME OIL GENTLY OVER THE OUTER VAGINAL AREA TWICE DAILY THIS HELPS REDUCE DRYNESS AND CALMS VATA YOU CAN ALSO APPLY A SMALL AMOUNT OF SHATAVARI GHRITA LOCALLY AT NIGHT IF AVAILABLE THIS HELPS IN TISSUE NOURISHMENT BEFORE INTERCOURSE USE A GOOD QUALITY WATER BASED LUBRICANT GENEROUSLY DO NOT DEPEND ONLY ON NATURAL LUBRICATION BECAUSE AT THIS AGE IT IS USUALLY INSUFFICIENT FOREPLAY SHOULD BE SLOW AND GENTLE AND THERE SHOULD BE NO RUSH IF PAIN STARTS STOP IMMEDIATELY INTERNALLY YOU CAN TAKE SHATAVARI CHOORNA HALF TEASPOON ONCE DAILY WITH WARM MILK THIS HELPS IMPROVE MOISTURE HORMONAL SUPPORT AND TISSUE NOURISHMENT TAKE ASHWAGANDHA HALF TEASPOON WITH WARM MILK IN THE MORNING TO SUPPORT STRENGTH AND TISSUE REPAIR INCLUDE ONE TEASPOON GHEE DAILY IN YOUR FOOD TO REDUCE DRYNESS FROM WITHIN DRINK ADEQUATE WARM WATER AND AVOID EXCESS SPICY VERY DRY OR PACKAGED FOODS IF THERE IS SEVERE BURNING ITCHING UNUSUAL DISCHARGE OR BLEEDING YOU MUST CONSULT A GYNECOLOGIST TO RULE OUT INFECTION OR SEVERE VAGINAL ATROPHY SOMETIMES A LOCAL ESTROGEN CREAM PRESCRIBED BY A DOCTOR CAN GIVE SIGNIFICANT RELIEF AND IT IS SAFE WHEN USED UNDER MEDICAL GUIDANCE THIS CONDITION IS MANAGEABLE WITH PROPER LUBRICATION LOCAL NOURISHMENT AND GENTLE CARE YOUR BODY NEEDS MORE MOISTURE AND SUPPORT AT THIS STAGE WITH PATIENCE AND REGULAR CARE PAIN CAN REDUCE AND COMFORT CAN IMPROVE

13556 answered questions
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Shatavaryadi Churna - Baidyanath
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0 replies

Hello, As you have rightly identified the symptoms you are facing is due to lack of lubrication and vaginal dryness. The following will help- 1. Shatadhouta ghritham(vaidyaratnam): soak a clean tampoon in this ayurvedic ghee and apply to vagina; let it stay for 30 minutes a day, once a day. 2. V gel(himalaya) application before and after sexula activity. Take care, Kind regards.

10526 answered questions
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V Gel - Himalaya

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Follow some simple lifestyle changes and dietary changes and you will see results for your problem. ✔️Do’s✔️ Drink buttermilk daily. Eat freshly cooked food. Drink warm water. Lunch and dinner on fixed timings. 100 steps after every meal. If possible dinner as early as 7-8 pm. ❌Don’ts:❌ Packed and processed food. Ready to eat items. Oily and spicy food. Sour and fermented products. Dals (only moong dal can be eaten) Besan Raw vegetables and sprouts Curd Reduce dairy intake. 💊Medication 💊 Cap. Femigen 2 caps twice a day before food Syp. Ashokarishta 2 tsp thrice a day with half cup warm water. Shatadhaut Ghrit Local Application. Use lubricant during sexual activity Use alum crystal as soap in the vaginal area twice a day. Avoid washing with water too frequently The vagina has its own fluid which keeps it healthy and hydrated. Excessive washing cleans out the fluid leading to dryness.

1311 answered questions
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Ashokarishta - Dhootapapeshwar
Femiforte Tablets - Charak
Kottakkal Dhathryadi Ghritam

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Take a cotton suit in warm ksheerbala oil and place externally for 1 to 2 hours on vagina opening before bed 1) Shatavari powder 325 gram with warm milk or Water 2 times a day 2) Amalaki Rasayan -1 teaspoon daily empty stomach 3) triphala gugglu one tablet two times a day Ensure you are drinking a warm water throughout the day keep the tissue hydrated avoid any Harsh so scented products

923 answered questions
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+1 more medications

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At your age, persistent soreness and tenderness on the outer vaginal skin is very commonly related to post-menopausal thinning and dryness of tissues. After menopause, estrogen levels reduce, which makes the vaginal and vulval skin thinner, less elastic, and more sensitive. This alone can make intercourse painful, especially if lubrication is low. When topical creams have not helped much, it usually means the tissue needs deeper nourishment and repair, not just surface moisture. What generally helps: • Use a good quality, water-based or natural lubricant every time during intercourse • Avoid soaps, perfumed washes, or harsh products in that area • Keep the area well moisturized regularly, not only during intimacy • Gentle local oil application (only suitable types) can help improve tissue softness • Pelvic floor relaxation exercises may also reduce discomfort However, since this has been ongoing for months, it is important to rule out conditions like vaginal atrophy, chronic inflammation, lichen sclerosus, or mild infections — all of which require specific treatment. This situation is very manageable with the right approach, but it needs individual assessment rather than trial and error. A proper consultation will help identify whether this is purely dryness-related or if there is underlying tissue thinning or inflammation, and then guide you with a safe, targeted treatment plan so intimacy can become comfortable again.

372 answered questions
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AVP Sathadhowtha Gritham - Arya Vaidya Pharmacy

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HELLO, At your age, the symptoms you describe- outer vaginal soreness, tenderness, pain with intercourse, worse with dryness, lasting more than 6 months- are most commonly due to post menopausal vaginal atrophy (now medically called genitourinary syndrome of Menopause - GSM In Ayurveda, this correlates mainly with -Vata vriddhi increased dryness and tissue depletion -Artava Dhatu Kshaya - reproductive tissue depletion -Local rukshata(dryness)- and loss of elasiticity INTERNAL TREATMENT At this stage of life, treatment must focus on rejuvenation and vata balancin 1) SHATAVARI KALPA= 1 tsp with warm milk twice daily after meals =shatavari is best herb for female tissue nourishment, lubrication and hormonal balance 2) ASHWAGANDHA CHURNA= 1 tsp with warm milk at bedtime =strenthens tissues, improves elasticity, supports libido, reduces pain due to vata 3) GHEE THERAPY VERY IMPORTANT -1 tsp cows ghee daily in warm food or milk Ghee rebuilds depleted tissues and reduces internal dryness LOCAL TREATMENT- VERY IMPORTANT Since your pain is on the outer vaginal skin , local therapies is esential 1) MEDICATED OIL APPLICATION At bedtime -slightly warm pure sesame oil OR -shatavari infused oil -soak clean cotton In oil -place gently at vaginal opening -leave overnight -do 3-4 times weekly This deeply restores lubrication and elasticity 2) DAILY LOCAL MOSITURIZING After bath -apply a few drops of coconut oil externally Avoid chemical creams 3) BEFORE INTERCOURSE -use warm coconut oil as a natural lubricant -do not attempt intercourse without proper lubrication -slow, gentle approach is essential Pain worsen vata - so comfort is key 4) DIET Increase -warm milk -ghee -almonds soaked overnight -dates -sesame seeds -moong dal -well cooked warm foods AVOID -excess tea,coffee -dry foods toast, crackers -very spicy foods -cold foods -excess sugar LIFESTYLE CORRECTIONS -avoid excessive washing of genital area -no harsh soaps -use only lukewarm water -gentle pelvic floor exercises -adequate sleep Because you are over 70 and sexual active, you should also rule out -Lichen sclerosus -Chronic fungal infection -Vulvuar skin thinning -Estrogen deficiency requiring topical estrogen IF THE SKIN APPEARS -white patches -cracks -bleeding -severe burning Please see a gnecologist for examination Ayurveda works best after ruling out serious pathology With consistent treatment -Improvement in 3-4 weeks -Significant relief in 8-12 weeks But tisue rebuilding at. the age requires pateince This is extremely common after menopause You are not alone It is treatable DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU

12452 answered questions
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1.Shatavari capsules 2 cap twice daily with warm milk after meals 2.Ashokarishta 20 ml with 20 ml water twice daily after meals Lifestyle & Local Care---- - Lubrication: Use natural lubricants (like coconut oil or aloe vera gel) externally before intercourse. - Diet: Include milk, ghee, nuts, dates, and fresh fruits for nourishment. - Hydration: Drink lukewarm water regularly. - Avoid irritants: Perfumed soaps, harsh cleansers, or synthetic undergarments. - Yoga/Pranayama: Gentle pelvic floor exercises and breathing practices help circulation.

11591 answered questions
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Hello, After menopause body undergoes s lot of hormonal deficiencies and this may cause the complaints like this. I hope you are not experiencing feeling like something coming down the vagina, bleeding,or burning sensation etc. The ideal choice of medicine in your case is *sukumara ghrta 10 gms every day morning empty stomach. *Shatavari choorna 5gm mixed with warm milk twice daily before food will help manage hormonal deficiencies Along with these the best treatment would be yoni pichu. Role a ball of cotton into a medium grape size , wrap it with clean white cotton cloth . Tie it like a pouch with a long tail. This should be made and kept very clean, better if you can steam these. Dip these clean cotton pouches in sumara ghrta and insert it into your vagina gently after lubricating with sukumara ghrta itself keeping the long tail hanging outside. Let it stay there as long as possible and take it out gently pulling on the tail of the pouch when you feel the need to pee.these will strengthen the pelvic floor muscles also reduce the dosha kopa and vaginal mucosa absorbs medicine faster and also provides lubrication. Do these and reach back out

164 answered questions
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Thanks a lot for the detailed ans, Doctor! Your clear advice really put my mind at ease. Appreciate the alternatives too.
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Thanks for the clear advice! Really helpful to know the alternatives to Gandhak Rasayan. Finally feel like I’m on the right path!
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