Female hand holds white tube of vaginal cream; male healthcare provider takes a woman's blood pressure measurement with BP cuff; online doctor smiles at telehealth patient from mobile phone

Vaginal dryness

Experiencing vaginal symptoms due to lower estrogen levels? Prescription treatments can help restore vaginal moisture.

Quickly treat vaginal dryness with 24/7 virtual care

$29
/message visit
$49
/video visit
*Messaging is not available in some states
• Self-pay visits - insurance not accepted or needed, FSA/HSA eligible
• Fast care - no appointment necessary
• Prime not required
• Your health data is secure and protected by our practices and by law
How it works
1. Choose a condition you need help with, answer some questions, and connect with a provider through message or video
2. Pick up any prescribed medication at a pharmacy of your choice or have it delivered
3. You have 14 days to follow up with the provider on any questions you may have
Explore ways to get care

Membership

Best for
• Booking same/next-day appointments* at offices near you with the app
• Booking primary care visits* for mental health, preventive care, chronic conditions, and more in states where we have offices
• 24/7 on-demand virtual care for quick treatment of common conditions, anywhere in the U.S. at no extra cost.
• Major insurance accepted for in-office and remote visits*

Pay-per-visit

Best for
• Quick treatment of common conditions
• Care by message or video**
• Self-pay visits – no insurance accepted or needed
• FSA/HSA eligible
*These appointments will be billed to you or your insurance
Membership
Pay-per-visit
Services
Common conditions
checkmark in a teal circle
checkmark in a teal circle
Select Rx renewal
checkmark in a teal circle
checkmark in a teal circle
Access
How to access care
One Medical app
Onemedical.com
Amazon.com
Schedule visits, in-office or remote*
checkmark in a teal circle
white x in a grey circle
Message with your care team
On demand
14-day
24/7 on-demand virtual care via message** and video
checkmark in a teal circle
checkmark in a teal circle
Payment
Membership fee
$9/mo or $99/yr for Prime members
$199/yr for non-Prime members
No membership fee
Prime membership required
white x in a grey circle
white x in a grey circle
Cost for on-demand virtual care
Included in the membership
$29 or $49
Insurance
Accepted for scheduled visits
Not accepted
FSA/HSA eligible
Accepted for scheduled visits
checkmark in a teal circle
**Messaging via Pay-per-visit is only available in 34 states
Learn more details via our FAQs

Get help for dryness and other health concerns

$9

/month

$99

/year
45% savings
with Prime
calendar icon
Book same/next day in-office appointments via the app
Scheduled visits (in-office/remote) billed to your insurance separately (cost sharing applies). One Medical accepts most insurance.
For $9/month, you can
• Book same/next day appointments at offices near you with the One Medical app
• Get 24/7 on-demand virtual care via video or messaging
• Send and receive secure messages with your care team
• Easily request prescription refills and renewals

Quickly treat vaginal dryness with 24/7 virtual care

$29
/message visit
$49
/video visit
*Messaging is not available in some states
• Self-pay visits - insurance not accepted or needed, FSA/HSA eligible
• Fast care - no appointment necessary
• Prime not required
• Your health data is secure and protected by our practices and by law
How it works
1. Choose a condition you need help with, answer some questions, and connect with a provider through message or video
2. Pick up any prescribed medication at a pharmacy of your choice or have it delivered
3. You have 14 days to follow up with the provider on any questions you may have
Explore ways to get care

Membership

Best for
• Booking same/next-day appointments* at offices near you with the app
• Booking primary care visits* for mental health, preventive care, chronic conditions, and more in states where we have offices
• 24/7 on-demand virtual care for quick treatment of common conditions, anywhere in the U.S. at no extra cost.
• Major insurance accepted for in-office and remote visits*

Pay-per-visit

Best for
• Quick treatment of common conditions
• Care by message or video**
• Self-pay visits – no insurance accepted or needed
• FSA/HSA eligible
*These appointments will be billed to you or your insurance
Membership
Pay-per-visit
Services
Common conditions
checkmark in a teal circle
checkmark in a teal circle
Select Rx renewal
checkmark in a teal circle
checkmark in a teal circle
Access
How to access care
One Medical app
Onemedical.com
Amazon.com
Schedule visits, in-office or remote*
checkmark in a teal circle
white x in a grey circle
Message with your care team
On demand
14-day
24/7 on-demand virtual care via message** and video
checkmark in a teal circle
checkmark in a teal circle
Payment
Membership fee
$9/mo or $99/yr for Prime members
$199/yr for non-Prime members
No membership fee
Prime membership required
white x in a grey circle
white x in a grey circle
Cost for on-demand virtual care
Included in the membership
$29 or $49
Insurance
Accepted for scheduled visits
Not accepted
FSA/HSA eligible
Accepted for scheduled visits
checkmark in a teal circle
**Messaging via Pay-per-visit is only available in 34 states
Learn more details via our FAQs

Quickly treat vaginal dryness with 24/7 virtual care

$29
/message visit
$49
/video visit
*Messaging is not available in some states
• Self-pay visits - insurance not accepted or needed, FSA/HSA eligible
• Fast care - no appointment necessary
• Prime not required
• Your health data is secure and protected by our practices and by law
How it works
1. Choose a condition you need help with, answer some questions, and connect with a provider through message or video
2. Pick up any prescribed medication at a pharmacy of your choice or have it delivered
3. You have 14 days to follow up with the provider on any questions you may have

Get help for dryness and other health concerns

$9

/month

$99

/year
45% savings
with Prime
This benefit is exclusively for Prime members
calendar icon
Book same/next day in-office appointments via the app
Scheduled visits (in-office/remote) billed to your insurance separately (cost sharing applies). One Medical accepts most insurance.
For $9/month, you can
• Book same/next day appointments at offices near you with the One Medical app
• Get 24/7 on-demand virtual care via video or messaging
• Send and receive secure messages with your care team
• Easily request prescription refills and renewals
Amazon Clinic is now Amazon One Medical
Female healthcare provider discusses a health issue face to face with older female patient in medical office

What’s the difference between over-the-counter (OTC) and prescription vaginal dryness medications?

OTC vaginal lubricants and moisturizers can treat mild symptoms of vaginal dryness. They can enhance comfort during sex and increase vaginal moisture, but they won't reverse vaginal atrophy.

Prescription vaginal dryness treatments often contain estrogen, which can actually strengthen vaginal tissue.

Is Pay-per-visit right for me?

checkmark in a teal circle
You're 18-64
checkmark in a teal circle
Your sex assigned at birth was female
checkmark in a teal circle
You’re experiencing vaginal dryness due to hormonal changes
checkmark in a teal circle
You’re not bleeding between periods or experiencing postmenopausal bleeding
checkmark in a teal circle
You don’t need systemic estrogen (menopausal hormone therapy)
checkmark in a teal circle
You're not pregnant

Common vaginal dryness treatments

Your Amazon One Medical provider will determine which (if any) vaginal dryness treatment is medically appropriate for you based on your symptoms and health history. If you're prescribed medication, pick it up at a pharmacy of your choice. Choose Amazon Pharmacy for free delivery and transparent Prime pricing. The cost of your prescribed medication may be covered by health insurance.

Oral estrogen prescriptions for menopause symptoms aren't available through Pay-per-visit.
Vaginal ring icon
Vaginal estrogen therapy
Low-dose estrogen treatments can increase vaginal secretions, restore normal vaginal pH and microflora, and strengthen vaginal tissue. These prescription medications can also have urinary tract benefits.
• Conjugated estrogen (Premarin) intravaginal cream
• Estradiol (Estrace) intravaginal cream
• Estradiol (Estring, Femring) vaginal ring
• Estradiol (Vagifem, Yuvafem) vaginal tablet
Tube icon
Vaginal lubricants
OTC lubricants can be used during sex to reduce friction and ease discomfort.
• Water-based (Astroglide, Slippery Stuff, K-Y Jelly)
• Silicone-based (Pjur, ID Millennium)
• Oil-based (Elegance Women's Lubricant, Simply Slick)
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Vaginal moisturizers
OTC vaginal moisturizers, often bioadhesive gels or inserts, can be used regularly. Their benefits typically last 2 to 3 days.
• Feminease
• Hyalo GYN
• K-Y Liquibeads
• Moist Again
• Replens
• Revaree
• Vagisil Moisturizer

More care for women's health

Female hands hold white tube of BV cream on teal background

Bacterial vaginosis (BV)

Specialized antibiotics can relieve nagging symptoms.
Fingers pinch round white pill on teal background

UTIs

Urinary tract infections cause painful and frequent urination.
Fingers pinch white capsule on teal background

Vaginal yeast infections

Prescription antifungal meds can relieve itchiness.
Online doctor smiles at telehealth patient from mobile phone

Not sure where to start?

For a one-time fee of $49, a One Medical provider can diagnose and treat common health complaints, renew prescriptions, and answer your questions in real time. Restrictions apply.

Frequently asked questions

About Amazon One Medical

What are my telehealth options for this condition?
Amazon One Medical offers multiple ways to get care from the comfort of your own home.

If you're a One Medical member and you live in a state where One Medical has offices, you can schedule Remote Visits with One Medical providers, which are billable to you or your health insurance. As a member, you can also get 24/7 on-demand virtual care with Treat Me Now or Urgent Video Chat via the One Medical app at no extra cost, no matter where you live in the United States.

If you're not a One Medical member, you can start a one-time virtual visit with Pay-per-visit. Pay-per-visit offers two types of telehealth for Amazon customers: video visits and message-only visits. Video visits are available for $49 in all 50 states and D.C. Message-only visits are currently available for $29 in 34 states.

To see your Pay-per-visit options, first choose your state.
Can I use my health insurance for Pay-per-visit?
Amazon One Medical doesn't accept health insurance for Pay-per-visit care. You can submit a claim to your insurance provider for reimbursement, but we can’t guarantee they’ll reimburse you for your one-time virtual visit.

If you normally use insurance to pay for your medications, you can do that with medications prescribed through all Amazon One Medical services. Amazon Pharmacy accepts most insurance plans. For other pharmacies, please talk with your pharmacy directly about insurance coverage. The cost of medication isn’t included in the cost of your visit.
What happens if my provider can't diagnose or treat my health issue through Amazon One Medical Pay-per-visit?
If your provider can’t diagnose or treat your health issue through Pay-per-visit, they may recommend that you see a primary care provider or a specialist for in-person care. If that happens, you won't be charged.
Can I communicate with a provider after I get my Pay-per-visit treatment plan?
Yes. When you use Pay-per-visit, you can message with One Medical providers within your personal dashboard for an additional 2 weeks (14 days) at no extra cost. This complimentary communication window allows you time to:
Ask follow-up questions about any prescriptions or over-the-counter medications in your treatment plan

• Connect with a provider if you think your treatment needs to be adjusted

• Tell a provider if you're experiencing side effects from your medication

• Tell a provider if there's an issue getting your prescription from the pharmacy

• Let the One Medical care team know that you're feeling better
Your secure, HIPAA-compliant message will be received by the first available provider, who will be able to review your visit’s treatment plan and any follow-up correspondence. If you still need treatment adjustments or have questions after the 14-day communication window, you'll need to start a new visit.
What if I want to refill my medication?
If your provider didn't include refills with a prescription when they sent your treatment plan through Pay-per-visit, you'll need to start a new one-time virtual visit to request another prescription.

There are many reasons why a provider may decide that prescription refills aren't medically appropriate. For example, they may want to assess how well a medication is working and whether or not it needs to be adjusted before you continue with the same treatment.
How does Amazon One Medical protect my health information?
Amazon One Medical protects customers’ protected health information (PHI) with stringent, Health Insurance Portability and Accountability Act (HIPAA)-compliant privacy and security practices to keep information safe and secure.

We’re committed to building an infrastructure that fosters and promotes a culture of customer privacy and a strong commitment to safeguarding health information. We maintain administrative, physical, and technical safeguards to protect customer information. This includes conducting rigorous security reviews and testing during product development, using encryption to protect data, and providing features like two-step verification to help customers protect their accounts.

Amazon does not sell customers’ personal information, including PHI.

About vaginal dryness

What causes vaginal dryness (vaginal atrophy)?
Vaginal dryness is caused by a decline in estrogen levels in the blood. Estrogens (the "female" sex hormones) influence hundreds of functions in the body, including the menstrual cycle. These hormones also help maintain the tissue strength of the vagina, labia, clitoris, vulva, urethra, and bladder.

Between premenopause and postmenopause, women experience a 95% reduction in their estradiol estrogen levels.

When estrogen levels decline, usually due to menopause, women can have the following symptoms:
• Less vaginal lubrication
• Thinning of vaginal tissue due to reduced collagen production
• Loss of vaginal elasticity
• Increased vaginal pH
• Loss of pubic hair
Collectively, these symptoms make up a condition that healthcare providers call vaginal atrophy, vulvovaginal atrophy, atrophic vaginitis, or—since 2014—the genitourinary syndrome of menopause (GSM).

GSM can lead to discomfort, pain, sexual impairment, and distress. Research suggests that this treatable condition affects up to 85% of women over age 40.

Did you know?
• Vaginal dryness affects 60% of women after menopause

• Up to 70% of women with vaginal atrophy don’t discuss their symptoms with a healthcare provider
What are the symptoms of vaginal atrophy?
Vaginal atrophy, now called genitourinary syndrome of menopause (GSM), comprises far more than just vaginal dryness. GSM can have a wide range of symptoms, including the following:
• Vaginal burning, irritation, or itching
• Milky or yellow vaginal discharge
• Inflammation (swollen vulva or labia)
• Dryness during daily activities
• Dryness during sex
• Pain or discomfort during sex
• Sensitive vaginal tissue sometimes leading to small tears (fissures)
• Loss of vaginal elasticity (tightness)
• Recurring urinary tract infections (UTIs)
• Urinary urgency
• Pain or burning when urinating
• Levator spasm (sporadic pain in your rectum)
These symptoms can occur at the same time as other common menopause symptoms like hot flashes.
Can I experience vaginal atrophy even if I'm not going through menopause?
Menopause isn't the only cause of vaginal atrophy. Other possible reasons for low estrogen levels include the following:
• Childbirth (vaginal dryness postpartum)
• Breastfeeding
• Hypothalamus issues that lead to a period stopping (amenorrhea)
• Antiestrogenic medication
• Pelvic radiation
• Surgical removal of the ovaries
• Breast cancer
The median age of menopause is 51.4 years, but younger women can also experience the change. When someone 40 to 50 goes through menopause, it's called early menopause. When someone younger than 40 experiences it, it's called primary ovarian insufficiency.
How can I increase my natural lubrication?
There are no clinically-proven natural remedies for vaginal dryness that will increase estrogen levels in the body. But research shows that having sex can help preserve vaginal tissue, probably by increasing blood flow to the area.
Clinical sources
1. Bachmann, G., & Pinkerton, J. (2022). Genitourinary syndrome of menopause (vulvovaginal atrophy): Clinical manifestations and diagnosis. In A. Chakrabarti (Ed.), UpToDate. Accessed April 20, 2023, from https://www.uptodate.com/contents/genitourinary-syndrome-of-menopause-vulvovaginal-atrophy-clinical-manifestations-and-diagnosis
2. Goncharenko, V., Bubnov, R., Polivka, J., Jr, Zubor, P., Biringer, K., Bielik, T., Kuhn, W., & Golubnitschaja, O. (2019). Vaginal dryness: individualised patient profiles, risks and mitigating measures. The EPMA journal, 10(1), 73–79. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6459457/
3. Sarmento, A. C. A., Costa, A. P. F., Vieira-Baptista, P., Giraldo, P. C., Eleutério, J., Jr, & Gonçalves, A. K. (2021). Genitourinary Syndrome of Menopause: Epidemiology, Physiopathology, Clinical Manifestation and Diagnostic. Frontiers in reproductive health, 3, 779398.Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9580828/
4. Tomczyk, K., Chmaj-Wierzchowska, K., Wszołek, K., & Wilczak, M. (2023). New Possibilities for Hormonal Vaginal Treatment in Menopausal Women. Journal of clinical medicine, 12(14), 4740. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10380877/