Keeping Your Vagina Happy & Comfortable Throughout Menopause & Beyond

Dr. Alyssa Dweck

Written by Dr. Alyssa Dweck, MS, MD, FACOG, Chief Medical Officer

Dr. Alyssa Dweck

Written by Dr. Alyssa Dweck, MS, MD, FACOG, Chief Medical Officer

You know the old saying, “there are only a few guarantees in life...” and I’m not talking about death and taxes. I’m referring to menopause and vaginal dryness. The sooner we ladies accept these truths, the better prepared we will be to actively manage what often takes us by surprise, and in this case it’s vaginal dryness.

Unlike hot flashes and night sweats, which will eventually cease, vaginal changes due to diminished estrogen production during menopause are chronic and progressive over time, if left untreated. Women complain of an unpleasant and constant “awareness of their vagina”. They typically suffer with gradual and worsening symptoms including: dryness, irritation, itching, pain and bleeding during sex, as well as proneness to infection and urinary complaints.

The medical term for these uncomfortable symptoms is vaginal atrophy. Anyone in menopause is at risk but complaints are typically more intense and more sudden in onset, especially in those women who smoke, those with breast cancer undergoing chemotherapy or taking anti-estrogen medications and in those who have had their ovaries removed before natural menopause.

So, while vaginal atrophy can be chronic and progressive, there are options available to heal, hydrate and renew thinning vaginal tissue.

Enter, hyaluronic acid; a naturally occurring super moisturizer. It is found in nature, as well as is naturally occurring in the body, and can retain up to 1,000 times its weight in moisture. It has been used for years both safely and effectively in the dermatology, anti-aging, cosmetic and orthopedic realms.

Revaree® is a solid, easy to use, mess and applicator free insert placed vaginally every 2-3 days, ideally at bedtime. Revaree® is easily inserted manually with your fingers into the vagina with the rounded edge first. The insert dissolves at body temperature in approximately 30 minutes. Women typically report improvement in symptoms of atrophy in just 9 days and research confirms these findings. Revaree® is best used regularly, since it won’t be long after discontinuing use that those miserable symptoms of atrophy will quickly recur. Trust me!

Unlike with other vaginal creams where “what goes up must come down…” women will not notice the same mess or copious discharge after using Revaree®. Some women have reported a minute oily droplet in the toilet upon awakening; but rest assured, this is not unusual and is nothing to worry about. In rare situations, women have reported a burning sensation with initial use; the vast majority notice this quickly resolves. As with any new product, if burning or irritation persists or worsens, use should be discontinued and a visit with your gynecologist is in order. It’s important to remember that some women might be initially sensitive to ingredients.

Keep in mind, when it comes to feminine hygiene and bath products during menopause, less is more. Harsh fragrances can irritate the delicate genital area. Douches are a definite no-no since the vaginal pH can be disrupted and lead to infection. Fun fact; the vagina has its own mechanisms to keep itself clean and pH balanced; vigorous scrubbing on the inside is just not necessary. 

Less estrogen means less blood flow to the vagina. Less blood flow leads to atrophy. The solution? Have more sex. Sexual arousal and orgasm, whether partnered or solo, can work to enhance blood flow and maintain a healthy vagina.

Now is the opportune moment to ask ourselves, isn’t it time to take an active, or better yet, a proactive role in maintaining our vaginal health? Remember, vaginal atrophy is treatable. We know menopause is a fact of life; so bring it on! Vaginal dryness, on the other hand? No thanks! Moisturize regularly. After all, we surely would not skip our regular facial moisturizer or body lotion. Don’t forget your vagina.


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Nancy Watson’s comments were most helpful to me. I had interstitial cystitis this year, diagnosed by bladder ultrasound, when I had a UTI and hematuria. My follow-up ultrasound 3 months later was normal. During that time I was taking Revaree and pelvic floor therapy, but never made the connection. And neither did my doctors.

Nina Luxenberg on

I have had Primary Biliary Cholangitis for 20+ years (also called the dry gland disease) and let me tell you the name fits! Vaginal dryness has been miserable, so miserable. A friend (nurse practitioner) who also has liver issues found Revaree and shared with me. Only two “doses” and I am already feeling relief. I hope this is the answer and am so grateful!

Linda l Djupstrom on

I am finding all these comments very helpful. I am 73, widowed and not sexually active. One day about 4 years ago I was burning and itching in the vaginal/vulva area. I thought I had an infection. Went to my OBGYN and was treated for infection. The problem did not go away. There was no infection. After months of no improvement, I was diagnosed with post menopausal dryness and prescribed estrogen creams. They did nothing to help either. I went to see a specialist who focused on vulvar disorders. I had exams and biopsies and still no relief. As an aside, I must be very careful about the clothing that I wear to make sure there is no rubbing in that area or I am very uncomfortable..
When doing my neverending google searches for relief, I came across Revaree. I decided I have nothing to lose. I’ve tried everything my doctors have ordered and nothing has worked. So I decided to try Revaree. I have used 6 of the 10 supositories in my first package. I’m not sure if there has been any improvement yet but am hopeful. I know this is early in my treatment and I will give this time to rehydrate me. This is where I am today……..hopeful.
I’ll revisit and let you all know. Fingers crossed.


I was diagnosed with: Pt presents for f/u of
chronic cystitis. Could be interstitial cystitis versus bladder dysfunction secondary to lack of estrogen in the postmenopausal state. AND Dyspareunia: This is likely due to lack of vaginal estrogen. We discussed the lack of systemic estrogen in this patient leads to dyspareunia. She will need to use vaginal estrogen cream and have pelvic floor physical therapy. So after the pelvic floor physical therapy, and no sex for 8+ years, I avoided relationships until I could not. So I gave this a try. I have NEVER had better sex – so ladies, if you are out there reading about this, just buy it and use it and get on with the best romance ever! So glad I found this product!

Sheila Coleman on

Worked well for me even after first use. I’m thankful to be able to find relief! . Thank you! ❤️

Becky on

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* These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

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