The female vagina is a complex structure. Before a woman and her male partner have sexual intercourse, she will have sexual desire, or a large amount of water will flow out of the vagina during this process. But the reality is that many people have no water in their vagina at this time. When encountering this situation, many people will think that there is something wrong with them. So, does the lack of water in the vagina really mean that there is something wrong with their body? This condition is called vaginal dryness. The cause of vaginal dryness cannot be explained in a few words. It involves a wide range of factors, including psychological, physiological factors, sexual factors or other factors, etc. Sometimes the factors are intertwined with each other. A normal vagina maintains a certain degree of moisture. During the process of sexual arousal towards orgasm, due to the accumulation of sexual excitement, the vagina produces secretions from a small amount to an increasing amount, making the vaginal lubrication reach a very high level. These lubricants mainly come from cervical secretions, exudate formed by congestion of the vaginal wall, and secretions from the Bartholin's glands at the vaginal opening. During sexual intercourse, these fluids can only be secreted and gradually increase when sexual excitement reaches a certain level. If sexual excitement is insufficient, these lubricants will be secreted less or even not at all, which will of course lead to vaginal dryness. Some women may not have vaginal dryness originally, but it may appear after some special reasons, which are often caused by psychological or physiological factors. 1. Psychological factors: Psychological reasons are often related to changes in environment, mood, and emotional life. For example, work pressure, financial constraints, changes in marital relationships, strained interpersonal relationships, etc., these kinds of psychological pressure can cause low sexual desire, delayed sexual arousal, and slow sexual response. When sexual excitement is obviously insufficient, the cervical glands and Bartholin's glands do not secrete, the vaginal walls are not congested and therefore there is no exudate, so the vagina is not moisturized and becomes dry. Some infertile couples should follow the doctor's advice to complete "homework"-style sex every time the woman is ovulating. This happens regardless of whether either party has sexual desire or not. The woman is even more afraid of the consequences of failure and is under great psychological pressure. There is no romance or passion at this time, and it can also cause vaginal dryness. Men should not just blame their wives for this problem. Sometimes the lack of lubrication in women is caused by their husbands. There is nothing difficult to explain. The reason is due to men's sexual selfishness, impotence, or premature ejaculation. Some men only care about satisfying themselves or due to sexual dysfunction, women cannot get basic sexual satisfaction. After each sexual intercourse, they often feel used or exploited. Over time, they develop boredom or disgust with sex life and cannot arouse passion. Without sexual excitement, there is no secretion, and dryness is inevitable. 2. Physiological factors: After young women have ruled out psychological factors, they should look for the causes from a physiological perspective. Common ones are endocrine disorders, such as insufficient secretion of pituitary gonadotropin or lack of ovarian function in producing estrogen. This aspect of diagnosis is not difficult, and the result can be determined by drawing a few milliliters of venous blood for hormone testing. Some women experience vaginal dryness after giving birth. This may be due to two reasons: One is due to fatigue and loss of sexual interest; The second is endocrine changes. Due to postpartum breastfeeding, the prolactin level in the body increases, which inhibits the secretion of estrogen. Some women approaching menopause experience vaginal dryness due to the decline in ovarian function due to age. 3. Sexual skill factors: This refers to insufficient foreplay during sex, insufficient psychological preparation on the part of the woman, lack of sexual inducement on the part of the man, or unwelcome methods and approaches. Failure to arouse the woman sufficiently during sex or poor sexual function on the part of the man are also causes of vaginal dryness in women. 4. Human factors: Some women blindly pursue "cleanliness" and regard leucorrhea as dirt. They flush the vagina repeatedly for a long time, which makes it impossible for the vagina to retain the beneficial secretions that should be there, causing the vagina to appear really clean. Unfortunately, this "dryness" brings "astringency" that affects sexual sensation. Once the cause is found, adjustments or treatments can often be effective. After finding the cause of vaginal dryness, the next step is to "prescribe the right medicine". If it is an endocrine disorder, you can start with the test data of the hormone items checked, usually low estradiol levels or elevated prolactin and androgen, the latter two may have other clinical symptoms (the cause is sometimes more complicated, such as a large increase in prolactin, it is also necessary to rule out pituitary tumors). If the estradiol level is simply reduced, appropriate estrogen supplementation will suffice. |
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