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On-demand care for this condition is included with membership

With your membership you can:

Get 24/7 on-demand care via Video Chat or Treat Me Now
Convenient prescription refill and renewal requests
View a summary and action items after your visit, and directly message your care team
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Female hand holds white tube of vaginal estrogen cream for menopause symptoms

Visit with a provider for same-day vaginal dryness treatment

How it works

Start a visit
Get a virtual visit at your convenience 24/7—no appointment needed.
Meet with a trusted provider
A licensed provider will assess your concerns and recommend treatment.
Get treatment
Treatment for common conditions. If needed, prescriptions are sent to your pharmacy or delivered to your door with Amazon Pharmacy if eligible.
Stay connected
Receive personalized care plan, and get continued support from providers.
Smiling One Medical provider delivers telehealth care
Female healthcare provider discusses vaginal dryness symptoms with female patient in doctor's 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?

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

Fingers pinch yeast infection pill on teal background

Vaginal yeast infections

Prescription antifungal meds can relieve itchiness.
Get yeast infection treatment ›
Female hands hold white tube of BV cream on teal background

Bacterial vaginosis (BV)

Specialized antibiotics can relieve nagging symptoms.
Get BV treatment ›
Fingers pinch white UTI pill antibiotics on teal background

UTIs

Urinary tract infections cause painful and frequent urination.
Get UTI treatment ›
Online doctor smiles at telehealth patient from mobile phone

Not sure where to start?

For a one-time fee of $59, a Pay-per-visit telemedicine provider can diagnose and treat common health complaints, renew prescriptions, and answer your questions in real time. Restrictions apply.
Get urgent virtual care ›

Frequently asked questions

About Amazon One Medical

What are your telehealth options for vaginal dryness treatment?
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 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 2 types of telehealth for Amazon customers: video visits and message-only visits. Video visits are available from $49 in all 50 states and D.C. Message-only visits are available from $29 in 36+ states.*
To see your Pay-per-visit options for this condition, start a one-time virtual visit and choose your state.
*State availability varies by condition. Prices subject to change.
Can I use my health insurance for Amazon One Medical 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 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.
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.
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.
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