Hi, It's Dr. C. Board certified Ob-gyne with 30 years of experience. I can help you today.
Yes as women get into the menopausal transition and into menopause, there is thinning of the tissue and also an elevation in the vaginal pH with lowering estrogen levels. Elevation in pH can make it easier to catch yeast infections and can also cause tissue rawness, burning, dryness and tearing with sex and the use of a vibrator.
Most likely, some vaginal estrogen cream or tablets will be helpful. The symptoms are very common in women who are in menopause or nearing menopause. It is usually quite easy to solve. Estrogen cream is cheaper but messier to use. Vagifem tablets are easier to use but more expensive. Women need to check with their insurance to see if they have coverage for both equally.If so, the Vagifem tablets are preferred. Although it's an estrogen product, there is virtually no absorption into the blood stream of estrogen. So even though the package insert (which is required for all estrogen products by the FDA) will say things about breast cancer, blood clots, etc., these warning do not apply to the Vagifem product. There is somewhat more absorption into the blood system with the cream. The only reason why women will definitely want the tablets is if a woman has a history of breast cancer, blood clots or heart attack. The proper usage is to use for the 2 products is as follows:
Estrace (estradiol) cream - use 1 gram nightly for 7nights, than use 1 gram twice weekly
Vagifem pellets - use one pellet nightly for 14 nights, than use twice weekly
Most women will notice an improvement within 2 weeks.
If this treatment doesn't help, there may be something else going on.
I hope this was reassuring and helpful. Please reply if I can clarify anything.