What foods/supplements are good for painful sex & recurrent UTIs?

What causes painful sex?

Painful sex, or dyspareunia, is most commonly caused by vaginal atrophy. It is also called atrophic vaginitis. It is thinning, drying, and inflammation of the vaginal walls. It may occur naturally after menopause when you get older and your body has reduced estrogen. It may also occur artificially due to surgery like hysterectomy, treatment for breast cancer, or pelvic radiation for cancers in the pelvis.

When the vagina is atrophied, it shows dryness, shrinkage, and decreased elasticity.

Changes associated with vaginal atrophy

Vaginal atrophy results in three major changes:

• Vaginal dryness
• Tissue shrinkage
• Decreased elasticity

Discomforts caused by vaginal atrophy

Vaginal atrophy may make intercourse painful and cause uncomfortable urinary symptoms, like the chronic urinary tract infections (UTIs).

Major discomforts may include:

• Vaginal dryness, burning, and/or itching
• Vaginal discharge
• Burning or urgency with urination
• Frequent urination
• Recurrent UTIs
• Urinary incontinence
• Light bleeding after intercourse
• Painful intercourse
• Shortening and tightening of the vaginal canal

Since vaginal atrophy causes both painful sex and recurrent UTI symptoms, foods and/or supplements that prevent vaginal atrophy can also prevent painful sex and recurrent UTIs

How vaginal atrophy is treated?

Currently, three types of methods are used to treat vaginal atrophy. One type includes estrogen and its derivatives. The second type includes energy-based devices like Mona Lisa Touch. NeuEve is a third and new type of treatment.

Estrogen heals vaginal atrophy by binding to estrogen receptors to stimulate the growth of the atrophied vaginal tissue. The trade-off is that it increases the risk of breast, ovary and uterine cancers.

Estrogen receptor trigger gene activation

MonaLisa Touch heals vaginal atrophy by creating micro-wounds deep inside the tissue with a laser gun. The micro-wounds inside the tissue trigger a wound-healing event. The event stimulates growth factors to achieve reversal of vaginal atrophy.

The laser gun of MonaLisa Touch

NeuEve heals vaginal atrophy by nutritional supplements, like calcium and vitamin D for bones. Due to nutrients starvation, the vaginal tissue shrinks. Supplementing nutrients reverses this process.

There are also lubes and jellies, but these products are for easing symptoms by providing temporary lubrication. They do not relieve vaginal atrophy.

Can dietary supplement help relieve vaginal atrophy?

Yes. It can. It may work well when combined with topical nutritional supplement with NeuEve.

Let us use a well-known example, osteoporosis, to explain it.

After menopause, women often develop osteoporosis, the reduction of bone density. The cause is reduced calcium uptake. Because estrogen can boost calcium uptake, one way to prevent osteoporosis is to take estrogen supplement. But it is not effective if calcium in the diet is low. Estrogen also increases the risk of breast cancer.

Another method to prevent osteoporosis is taking calcium and vitamin D. It is more effective than supplementing estrogen because it provides needed nutrients for bones directly in a sufficient amount. It is also safer because it has no cancer risk. Therefore, most women take calcium and vitamins D to prevent osteoporosis.

Osteoporosis occurs silently before fracture. Vaginal dryness may serve as an indication of calcium deficiency.

Likewise, after menopause, women often develop vaginal atrophy. The cause is a lack of nutrient supply to the vaginal tissue. Estrogen supplement can boost nutrient uptake to reverse vaginal atrophy, but it increases the risk for breast cancer. Dietary supplement can also work, but it has not been widely used due to a lack of knowledge and available products.

Route of nutritional supplement

Unlike bones that are inside the body, the vaginal lining skin is on the surface. Nutrients can be provided both topically and by ingestion. Small molecule nutrients can be directly absorbed by the skin. For example, NeuEve products are specially formulated to delivery nutrients topically to the vaginal tissue, like a wrinkle cream applied to the facial skin. Large molecule nutrients like collagen proteins cannot pass the skin barrier. They can be taken as a dietary supplement.

Collagen fibers are very large molecules. They cannot be absorbed through the skin.

Dietary supplements good for atrophied vaginal tissue

Many nutrients are good for women over 50. But what specific nutrients prevent vaginal atrophy? Because vaginal atrophy results in three major changes in the vaginal tissue: dryness, shrinkage, and reduction of elasticity, specific nutrients can be divided into three groups.

1) Calcium – the nutrient helps relieve vaginal dryness

Dryness is caused by reduced self-lubrication by mucus secretion. Glands located in the cervix and the entrance of your vagina (Skene’s glands and Bartholin glands) secrete mucus that lubricates and protects the vaginal tissue. Secretion of these glands are regulated by calcium.

Skene’s glands and Bartholin glands are located at the entrance.
Mucus glands line the endocervix walls

However, there are no glands inside the vaginal tract. The vaginal lubrication is not from glands but from a transudative fluid. When a woman is aroused, her blood pressure pushes fluid from the capillary blood vessels through spaces between cells to seep out. This process requires blood vessel dilation, which needs calcium.

After menopause, if a woman develops osteoporosis, she is calcium deficient not only in bones but also in the blood and tissues. As a result, her gland secretion and vaginal transudative fluid reduce, showing vaginal dryness. Likewise, vaginal dryness may be an indication of osteoporosis. A bone density X-ray can confirm it.

Therefore, the most important nutrient for dietary supplement to relieve vaginal dryness is calcium. Since vaginal atrophy and osteoporosis may occur simultaneously, it is better to manage them together. Additionally, taking vitamins D3 and K2 can promote uptake and distribution of the ingested calcium, respectively.

In addition to vitamin D3, vitamin K2 has recently emerged as a new player in the treatment and prevention of postmenopausal osteoporosis and reversal of wrinkles.

Vitamin K2 also benefits vaginal health

Therefore, calcium and vitamins D3 and K2 pills are the most important dietary supplements for preventing and treating not only osteoporosis but also skin wrinkles and vaginal atrophy. We ranked this group of nutrients the most important because calcium deficiency causes not only vaginal dryness but also bone fracture, which is a serious health issue affecting women over 50.

2) Collagen – the nutrient helps restore skin shrinkage

The major structural protein inside the skin is collagen. When vaginal atrophy occurs, collagen reduces. Collagen is a large molecule that cannot be absorbed from the skin surface. The only way to supplement collagen is by dietary supplement.

When the skin is atrophied (wrinkled), collagen and elastin proteins are decreased or destroyed.

Studies show that eating more collagens improve the firmness of the skin and increases elasticity. It can also improve the skin of the vagina and vulva.

Collagen can also improve bone health. In addition to calcium, bones are made of collagen. Studies show that collagen supplementation can help prevent osteoporosis.

Eating foods rich in collagen helps support the skin and vaginal lining tissue.

Common foods rich in collagen include bone broth, fish with skin on, and chicken with skin. Because both bone and skin are mainly made with type I collagen, bone broth, like the Vietnamese Pho noddle soup, can benefit both bones and skin.

Foods rich in collagen: bone broth, fish with skin and chicken with skin

Collagen synthesis requires vitamin C. Eating abundant vegetables and fruits will provide sufficient vitamin C.

Since not everybody can eat sufficient collagen-rich food every day, there are dietary collagen supplements. These include

About the health benefits of gelatin and collagen, they are the same. Gelatin is the cooked form of collagen. It dissolves in hot water and forms jelly. It is used to make Jell-O and gummy bear. These two types have large molecules and will require digestion before absorption in the gut.

Collagen peptides and hydrolyzed collagen are the same. They are degraded collagen and have smaller molecules. Further digestions in the gut may not be required before absorption.

Therefore, if you have a good digestive function, you can eat collagen rich snacks like Jell-O, gummy bear, and/or pork rind or take collagen or gelatin supplements. When you eat Jell-O or gummy bear, watch out its high sugar content. If you have weight problem or diabetes, you should choose sugar-free Jell-O or gummy bear.

Collagen-rich snacks.

However, if you have a poor digestive function, it would be better to take collagen peptides or hydrolyzed collagen.

There are many collagen types. Types I and III are mainly for skin and bone support but type II is mainly for joint support. You should choose types I and III for supporting vaginal health.

For collagen supplement, the suggested daily dosage is 2.5-15 grams of dried collagen/gelatin.

If you are vegan, you can take vegan collagen.

Top 5 vegan collagen products

3) Sea buckthorn oil – the nutrient help promotes skin elasticity

The healthy skin needs a collection of right nutrients to support its well being. When people get older, nutrient uptake is reduced. As a result, the skin becomes atrophied, showing dryness, wrinkles, and reduced glowing and elasticity. To help keep your skin looking and feeling good, you will need to feed it with right nutrients.

According to WebMD, nutrients for skin elasticity include healthy fats, proteins, and multiple vitamins.

Healthy fats make your skin “glow.” Too little fat in the diet can make your skin wrinkled and dry. Fats from nuts, seeds, avocados, and fish are good fats. Some are essential fatty acids that humans cannot make and can only get from foods, like omega-3 and 6. Other fatty acids like omega-5, 7, and 9 are also beneficial to the skin.

Proteins are mainly collagen and gelatin as above-mentioned.

Vitamins required for skin elasticity include at least five groups, vitamins A, B, C, E and K.

Vitamin B is a group. Each member has its function, and some may benefit the skin.

• Vitamin B1 – Thiamine
• Vitamin B2 – Riboflavin
• Vitamin B3 – Niacinamide/Niacin/Nicotinic Acid
• Vitamin B5 – Pantothenic Acid
• Vitamin B6 – Pyridoxine
• Vitamin B7 – Biotin
• Vitamin B8 – Inositol
• Vitamin B9 – Folic Acid
• Vitamin B12 – Cobalamin

It was difficult to find one product that has many different nutrients for promoting skin elasticity until the discovery of sea buckthorn oil.

Additional benefits for sea buckthorn oil

Sea buckthorn oil contains about 14 vitamins, including vitamin A, C, D, E, F, K, P, and B complex vitamins (B1, B2, B6), and many carotenoids (beta-carotene, lycopene, cryptoxanthin, physalien, and zeaxanthin), phenolic (salicylic, p-coumaric, m-coumaric, p-hydroxyphenyl lactic acid, and gallic acid), and flavonoids (flavan-3-ols, catechin, epicatechin, gallocatechin, epigallocatechin, kaempferol, quercetin, isorhamnetin, myricetin, rutin, and proanthocyanidins).

Sea buckthorn oil

Sea buckthorn is rich in omega 3, 6, 7, and 9 fatty acids. Palmitoleic acid is an omega-7 fatty acid rarely found in plants, but sea buckthorn oil is one of the two plant-based sources of this unsaturated fatty acid. The other one is macadamia nuts. If you love nuts, add macadamia nuts to your daily diet can help support your vaginal skin health.

Except collagen proteins, sea buckthorn oil has almost everything else to promote skin elasticity.

In summary, three groups of nutrients can specifically benefit vaginal tissue health. These include

• Calcium (1,000 mg/day), vitamins D3 (1,000 IU), and K2 (45 µg/day)
• Collagen (2.5-15 g/day)
Sea buckthorn oil (350 -1,000 mg/day)

In addition to the three special groups of nutrients, vitamin C and several minerals like iron, copper, manganese, and zinc are also required for collagen and elastin biosynthesis. Therefore, taking One-A-day or Centrum Silver multi-vitamins and minerals at the same time can help supplement these nutrients.

Healthy diet and specific supplements can help relieve painful sex and current UTIs

Note: We do not sell these supplements. We do not get a cut when you buy them. We are not doing additional marketing. These are for your own benefit.

Disclaimer: This article is for information purposes only. It is about natural products, nutrients, and/or methods for managing vaginal aging-related discomfort (not a true infection or disease). It is not medical advice for the treatment of any diseases.

About the author

Dr. Renjie Chang's medical and pharmaceutical experience:
- OB-GYN in the Peking Union Hospital in China
- a faculty member of OB-GYN at University of Oklahoma Health Sciences Center
- drug developer at the Abbott Laboratories in Chicago
- Founder of Lavax, Inc, where she developed an innovative vaginal microbicide for preventing sexually transmitted disease with grants from NIH and Gates Foundation
- Founder of NeuEve, an all-natural women's health company


  1. Hi,
    Would it be possible to refer a calcium, d3, K2 supplement. I was looking for one with your suggested dosages and it is overwhelming. Do you have a brand you suggest. Also, is it good to add collagen supplement? If so do you have a brand? I know so much goes into picking high quality. I just placed my first order of silk and feeling fortunate I found you. Fingers crossed! Thank you so much!

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