There are a number of treatment options available for women with estrogen deficient vulvovaginitis. Women who experience mild symptoms will be advised to use several lubricants or moisturizers as needed. However, if a woman experiences more severe symptoms that interfere with her daily life, a doctor may recommend hormone replacement therapy. This treatment can come in the form of an estrogen pill, cream, or a vaginal ring that secretes estrogen. Sometimes, doctors prescribe a combination hormonal therapy patch, which includes both estrogen and progestin, the hormone responsible for producing milk for breastfeeding. Most doctors also recommend an increase in sexual activity as well, which can help kick start your natural lubrication system and improve your vagina's elasticity.