We take a comprehensive, root-cause approach that includes hormone support, lifestyle, pelvic health, and emotional wellness.

1. Nourish Vaginal Tissue with Moisture and Lubrication

For many women, the first and most noticeable symptom is vaginal dryness. A few natural options include:

• Hyaluronic acid vaginal moisturizers: These mimic your body’s natural hydration and can be used several times per week.

   

• Vitamin E suppositories: Shown to improve vaginal comfort and elasticity over time.

   

• Clean, pH-balanced lubricants: Look for natural options that are glycerin- and paraben-free, especially during intimacy.

   

These do not replace estrogen, but they provide much-needed surface support.

2. Include Vaginal-Specific Nutrients in Your Diet

What you eat affects the health of your entire body—including your vaginal tissue. Supportive nutrients include:

• Omega-3 fatty acids (salmon, flaxseed, walnuts): Anti-inflammatory and support healthy tissue.

   

• Vitamin C and collagen-rich foods (berries, citrus, bone broth): Important for connective tissue.

   

• Water and electrolytes: Even mild dehydration can worsen dryness.

   

• Probiotic-rich foods (yogurt, kefir, fermented veggies): Help maintain a healthy vaginal pH and microbiome.

   

A healthy internal environment supports better function and comfort externally.

3. Balance Hormones Naturally

Because many symptoms of GSM stem from low or fluctuating estrogen, balancing hormones can make a significant difference. We may support this using:

• Phytoestrogens (such as red clover, soy isoflavones, or flaxseed): These plant compounds gently bind to estrogen receptors and can help maintain vaginal tissue health.

   

• Maca root: A hormone-balancing adaptogen that may support libido and energy.

   

• Black cohosh or shatavari: Herbs that support female reproductive tissue and have been traditionally used for menopausal symptoms.

   

• DIM and calcium-D-glucarate: For estrogen detox support if imbalances are present.

   

Every supplement we use is chosen based on your hormone profile, health history, and personal comfort level.

4. Consider Low-Dose Vaginal Estrogen

If natural strategies alone aren’t providing enough relief, we may discuss local hormone therapy.

Unlike systemic hormone therapy, vaginal estrogen:

• Is applied directly to vaginal tissue

   

• Has minimal absorption into the bloodstream

   

• Is considered safe even for many women with contraindications to systemic estrogen

   

• Can be incredibly effective in restoring lubrication, reducing discomfort, and supporting long-term vaginal tissue health

   

This option is often underused due to fear or misinformation—but when used appropriately and monitored, it can be life-changing.

5. Support Your Pelvic Floor and Circulation

Vaginal and sexual health isn’t just about hormones—it’s also about muscle tone, circulation, and nervous system function.

We often recommend:

• Pelvic floor physical therapy for tone, coordination, and increased blood flow

   

• Yoni steaming (if appropriate) using soothing, antimicrobial herbs

   

• Movement and walking to promote circulation to the pelvic area

   

• Kegel exercises, only if evaluated as appropriate (some women with tight pelvic floors may need relaxation instead)

   

These therapies can help improve sensation, reduce discomfort, and increase confidence during intimacy.

6. Nurture Your Emotional and Sexual Identity

Your sense of intimacy and pleasure doesn’t need to fade with age. In fact, many women find that with the right support, this phase of life can be one of their most connected and empowered.

At Sequence Wellness, we recognize that sexual health is physical, emotional, and relational. If you’re feeling disconnected, overwhelmed, or ashamed of the changes you’re experiencing—we see you. You deserve a care plan that respects your full identity and prioritizes your comfort, dignity, and joy.