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This vaginal insert delivers the hormone dehydroepiandrosterone directly to the vagina to help ease painful sex. You use this medication nightly to ease the symptoms of moderate to severe vaginal dryness associated with GSM. Most women benefit from a treatment approach aimed at the many causes behind this condition. Recommendations may include sex education, counseling, and sometimes medication and hormone therapy. A specialized counselor or sex therapist may be able to better evaluate emotional and relationship factors that can cause low sex drive.