Hi ! I get vaginal dryness before my period. Sometimes it’s worse than others. My doctor says it’s very common to have less vaginal moisture when estrogen is low and progesterone is high — which is exactly what happens in the days before bleeding starts. I’ve also had the dryness last longer than normal when my period is late. I don’t know if it’s caused by endometriosis, directly. But people with endo often have irregular periods and hormonal fluctuations. So there could be a number of progesterone/estrogen effects going on is my guess. I’m also 41, so perimenopause is likely messing with my hormone levels.
And lots of things make my vaginal dryness worse, including medication. The worst offender is the antihistamine in my occasional allergy meds. Certain antidepressants and hormonal birth control can also cause dryness.
My doc suggested some over-the-counter vaginal moisturizers/suppositories if my dryness gets uncomfortable. I haven’t had to use those yet, but I do use a water-based lubricant almost every time I have sex, especially later in my cycle. But I definitely think this is worth a conversation with your doctor. Keep us updated on how things go! - Keri (endometriosis.net team member)