"Vaginal dryness is most often the result of insufficient estrogen effect on the vaginal wall and is quite common in menopause," says Dr. Bustillo. "There are a variety of potential treatments, including lubricants, local estrogen treatment to the vagina (in the form of creams, vaginal pills, or a vaginal estrogen ring), and an oral estrogen pill, which targets primarily the vaginal lining, while not stimulating other tissues such as the breasts. There is also a vaginal laser procedure called Mona Lisa Touch, which is effective and drug-free," says Dr. Bustillo.