Why PCOS Can Make It Harder To Get Wet

Vaginal dryness. Right, we’ve said it upfront and got it out of the way. Not the sexiest of topics but one that’s close to our hearts as sexual wellness experts - especially this Polycystic Ovary Syndrome Awareness Month. PCOS affects around 1 in 10 of us who have ovaries, and whilst you might have heard of symptoms including irregular periods and excessive hair growth, one of its less talked-about impacts is vaginal dryness. Let's dive into why this happens and what you can actually do about it…

The Science Bit 

PCOS is basically your hormones throwing an absolute tantrum. Your body produces higher levels of androgens (think testosterone), which messes with your oestrogen production. And oestrogen? That's your vagina's best friend when it comes to staying naturally lubricated. When oestrogen drops, your vaginal tissues, especially the inner labia, become thinner, less elastic, and drier. It also means these delicate tissues are more sensitive and prone to irritation, so getting it on, masterbating or even putting in a tampon can feel really sore.

“Why Can’t I Just Get Wet?” 

When your body’s natural lubrication goes on strike, sex can feel like sandpaper against silk. You might also experience everyday itchiness, soreness, and increased UTI risk. This isn't just physical. Finding it hard to get wet naturally can seriously mess with your head, making you feel frustrated or disconnected from your body. Let’s put one myth to rest: anyone, at any age, can experience vaginal dryness, even when they’re turned on. It’s often stereotyped as something that only happens to menopausal people (rude) and we’ve heard from younger members of our community that this misconception has made them feel even worse about themselves. If you’ve found yourself avoiding sex or intimacy for fear of vaginal soreness, you’re not alone. These concerns are completely valid and more common than you think. So, we’re here to say: don’t panic. There are things you can do to support your natural lubrication and put sex back on the menu.

How To Handle PCOS Vaginal Dryness

Lube Is Your Best Friend: Water-based lubricants are game-changers. The NHS recommends them because they're really gentle, exactly what you need if you’re sore down there. With our Co-Founder and in-house gynae expert Dr Sarah Welsh’s expertise, we developed our water-based lubricant specifically for sensitive skin. Whether you’re experiencing dryness related to PCOS hormonal changes, postpartum or menopause, apply a pump or two liberally to toys, fingers or penises before any penetrative activity and don't be shy about reapplying mid-fun.

Daily Moisture: Vaginal moisturisers (different from lube) can be used regularly to maintain moisture levels. Think of them as your daily skincare routine but for your vagina. Have a chat with your GP or gynaecologist to find out more if they might be suitable for you.

Lifestyle Tweaks: We’re all carrying Stanley Cups around but are we actually getting enough fluid? The NHS recommends 6-8 glasses a day (which can include sugar-free diluted squashes, tea and coffee but of course, water is king) so stay hydrated and ditch perfumed soaps or douches, too. Your vulva needs gentle, unperfumed care. As Dr Sarah always tells us: clean water and if really necessary, a mild unscented soap is all you need.

Finally, reducing stress can also have a positive effect, not just on vaginal lubrication. Work, relationship or general life stress increases the hormone cortisol which can lead to a decrease in oestrogen. As we’ve explored above, oestrogen is crucial for vaginal moisture, so whack on a mindfulness podcast and take steps to minimise tension and anxiety where you can.

When to See Your GP: Don't suffer in silence. Vaginal dryness can have a major impact on your pleasure and enjoyment of sex - and that is a very valid reason to speak to a healthcare provider. Book an appointment if you find that making lifestyle changes isn't having any impact after a few weeks, or if you have unusual discharge or bleeding, or dryness is significantly impacting your daily life e.g. it hurts to walk.
 

The Bottom Line

PCOS might be messing with your hormones, but vaginal dryness doesn’t have to sign off your sex life for good. With the help of a good water-based lube (hello, HANX), proper medical support, and self-care, you can absolutely enjoy a pleasurable sex life when you’re living with PCOS.

Need more PCOS info? Check the NHS website for comprehensive guidance. Remember, your GP is always your first port of call for personalised medical advice.

Want more?

• Is it harder to lose weight when you have PCOS? We explore.
  

• Shop our water-based lubricant and sexual wellness essentials here.