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These include: not drinking enough water smoking cigarettes or other tobacco products using certain medications, like antihistamines, antidepressants, and hormonal birth control nursing experiencing perimenopause or menopause underlying health conditions, such as autoimmune disorders undergoing chemotherapy psychological factors Things like stress, anxiety, dehydration, and lack of sexual arousal are just some of the reasons why you may be experiencing vaginal dryness

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Strategies to minimize discomfort Follow the titration schedule The single most effective strategy is respecting the four-week intervals between dose increases