Tightening of the vaginal opening is one of the effects women can experience from the loss of estrogen. The type of lubricants that offers the most "slipperiness" and the least resistance is silicone; Pink and Uberlube are the most popular at MiddlesexMD in that category.
It is possible to gradually, gently, and comfortably stretch the vaginal opening by using vaginal dilators. These are available in a set of graduated sizes; start with the smallest (and plenty of lubricant) in daily exercises and, when comfortable, progress to the next-larger size.
Only rarely is surgical modification appropriate for addressing this condition. With patience, women can typically achieve comfort with dilators and lubricants.
Dr. Barb DePree, M.D., has been a gynecologist and women’s health provider for almost 30 years and a menopause care specialist for the past ten. Read more about and from her here.