Features of vaginitis sicca:
(1) vaginal dryness
(2) dyspareunia secondary to the dryness, relieved by vaginal lubricants
Clues to Sjogren's Syndrome if presenting with vaginal dryness:
(1) symptoms and signs of xerostomia
(2) symptoms and signs of xerophthalmia
(3) symptoms of dry skin
Screening questions from the preliminary European criteria for Sjogren's Syndrome (after Bell et al):
(1) persistent, daily troublesome dry eyes for > 3 months
(2) recurrent sensation of gravel or sand in the eyes
(3) use tear substitutes > 3 times a day
(4) daily feeling of dry mouth for > 3 months
(5) recurrent or persistently swollen salivary/parotid glands as an adult
(6) frequently drink liquids when trying to swallow dry foods
