In endometriosis, cells that normally line the inside of the uterus (the endometrium) grow inappropriately outside on organs such as the ovaries, bladder, or rectum. Symptoms you may have: 1  Pelvic pain or cramps before or during your period.  Pain during or after sex.
Treatments for vaginal dryness caused by reduced estrogen levels include: 1  Estring. Estring is a vaginal ring that you or your doctor insert into your vagina. 2  Vagifem. Vagifem is a vaginal tablet that you insert into your vagina using a disposable applicator. 3  Premarin or Estrace.
Vaginal dryness can also be a concern for women younger than 60, however. The first step in treating vaginal dryness is figuring out the source of the discomfort, especially if a dry vagina is causing painful sex. A number of conditions can lead to a lack of vaginal lubrication: Changes in hormones. One of the most common causes of vaginal dryness is a decrease in estrogen levels during menopause or perimenopause, after childbirth, or during breastfeeding, according to the American Congress of Obstetricians and Gynecologists (ACOG).