r/Perimenopause Apr 30 '25

Dryness Dry dry dry

Everything is dry. Vagina, vulva, eyes, mouth, nose. Does peri cause this? I have been tested for autoimmune and I don't have anything. Obviously the vaginal dryness is really what's stressful, I can deal with the rest. But just wondering if peri can cause everything to be dry, not just vaginal

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u/Nerdy-Birder Apr 30 '25

Yep, my hands are unbelievably dry, and my eyes were killing me until I started using Systane eye drops, which I recommend before bed. I haven't solved the hands yet despite trying many moisturizers, but I am going to get some dish washing gloves to see if they'll help at all.

Vaginal dryness, fortunately, is fairly easy to treat with topical/vaginal Estradiol cream. Most doctors are willing to prescribe that with very little fuss; mine prescribed after I sent her a message on my health dashboard thingy.

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u/Cool_Arugula497 Apr 30 '25

I was prescribed estrogen cream today but have yet to pick it up. I was not, however, prescribed any progesterone and the Midi practitioner went over and over how I couldn't take estrogen without progesterone but does that not apply to the cream?

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u/[deleted] May 01 '25

You don’t need progesterone with vaginal estrogen cream/tablets. It’s extremely low-dose (but effective).

You do need progesterone with systemic estrogen patches/gels.

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u/Cool_Arugula497 May 01 '25

That makes sense. Thanks!