My vagina doesn't lubricate well during sexual encounters. A doctor diagnosed me with low libido and prescribed mafebido and femenofit. But even these are not affecting, and I have been consuming these for quite sometime now. I am recently married and it's creating problems. I want to enjoy sex like others, not worry about it all the time. This issue even makes our parts injured at times. I even applied premarin ointment for a long time, it also stopped helping after a while. Please suggest which category of specialist should I consult. A gynaecologist or sexologist or psychiatrist or whom? Please help.

Dr. Rahul GuptaSexologist14yrs exp

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Hello- Better to consult a ayurveda doctor for a permanent treatment approach as vaginal dryness is an inside issue. A variety of conditions can cause vaginal dryness. Reduced estrogen levels are the main cause. Estrogen keeps vagina healthy by maintaining normal vaginal lubrication, elasticity, and acidity. These factors serve as a natural defense against vaginal and urinary tract infections. If estrogen level goes down, this natural barrier will be breaking down and resulting in a thinner, less elastic and much more fragile vaginal lining. There are many other herbs that help alleviate vaginal dryness. Aloe vera is helpful for infections and is known for its healing effects. It can be applied topically to relieve itching or taken internally or used in a douche. Calendula and vitamin A vaginal suppositories are soothing and healing. Pau d'arco contains natural antibiotic agents and has a healing effect. Effective treatment of vaginal dryness has also been achieved with isoflavones and black cohosh. 

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