For a woman post-hysterectomy experiencing vaginal dryness, which hormonal treatment is recommended?

• A. Implanted testosterone pellets
• B. Progesterone only
• C. Oral combination contraceptives
• D. Low-dose oral estrogen

Answer: (D)

For a woman who has undergone a hysterectomy and is experiencing vaginal dryness, low-dose oral estrogen is the recommended hormonal treatment. This is because the removal of the uterus can lead to a decrease in estrogen levels, contributing to vaginal atrophy and dryness.

Low-dose oral estrogen works by directly addressing the deficiency of estrogen, improving vaginal moisture, and restoring the health of the vaginal epithelium. This treatment can help alleviate the symptoms of dryness, reduce discomfort during intercourse, and improve overall vaginal health.

Other options like testosterone pellets, progesterone alone, and oral combination contraceptives do not primarily target vaginal dryness associated with menopause or surgical menopause. Testosterone is not typically used for vaginal dryness in women, especially post-hysterectomy, as the focus should be on estrogen replacement. Progesterone alone is used to protect against endometrial hyperplasia in women with an intact uterus but does not address the symptoms of vaginal dryness directly. Oral combination contraceptives are primarily used for contraception and hormonal regulation, not specifically for managing vaginal atrophy or dryness.