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What causes vaginal and perineal dryness?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have my perineum skin dry, and it keeps slicing like paper cuts. The paper cuts are present on the inner labia and all over the vagina. There are rips and bleeds during intercourse. I also have some burns. I am taking a contraceptive pill.

Please help.

Thank you.
Answered by Dr. Georges Hany Kozah

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

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Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

It sounds like you are experiencing significant vaginal and perineal dryness, leading to painful microtears, burning, and discomfort. A few possible causes are

  1. Hormonal changes – The contraceptive pill can sometimes lower estrogen levels, leading to vaginal dryness and thinning of the skin.
  2. Lichen sclerosus or other skin conditions – Chronic thinning and tearing of the vulvar skin may be linked to skin disorders.
  3. Yeast or bacterial infections – Recurrent irritation, burning, and small tears can sometimes be signs of infections.
  4. Allergic reactions or irritants – Soaps, detergents, scented products, or lubricants may cause skin sensitivity.
  5. Autoimmune conditions – Conditions like Sjögren’s syndrome can cause excessive dryness.
  6. Sexual friction and lack of lubrication – If lubrication is inadequate, tearing can occur.

Recommendations:

  1. See a gynecologist or dermatologist for an exam to check for infections, skin conditions, or hormone-related changes.
  2. Use an estrogen-based vaginal cream if your doctor confirms hormone-related atrophy.
  3. Switch lubricants. Opt for a pH-balanced, water-based, or silicone-based lubricant.
  4. Apply a gentle, fragrance-free moisturizer (like coconut oil or a medical-grade vaginal moisturizer) daily.
  5. Avoid harsh soaps, scented products, and douching.
  6. Consider switching contraceptives. Some pills lower estrogen levels, causing worsening dryness.

Since you are experiencing bleeding and persistent symptoms, it is essential to consult a healthcare provider to rule out underlying conditions. Would you like help finding a doctor near you?

I hope this answers the query.

Please let me know if I can assist you further.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At May 29, 2025
Reviewed At June 4, 2025

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

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Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Georges Hany Kozah
Dr. Georges Hany Kozah

Obstetrics and Gynecology

Consult this doctor

Education:

MD

Professional Bio:

Dr. Georges Hany Kozah is an experienced Lebanese Gynecologist with an MD from The Lebanese University Faculty of Medical Sciences (2016) and a Fellowship completed in 2022. Specializing in high-risk obstetrics, advanced ultrasound, oncology, colposcopy, and hysteroscopy, he combines expertise with a patient-centered approach. Passionate about women’s health, Dr. Kozah strives for excellence and optimal outcomes in collaborative, innovative care.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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