Introduction: Exploring Non-hormonal Approaches to Vulvovaginal Concerns Vulvovaginal dryness, irritation, discomfort and changes in skin appearance can affect women’s quality of life. While established treatments address many underlying causes, interest is growing in nonhormonal approaches involving microneedling and regenerative formulations. A 2026 pilot study published in Women’s Health investigated a combined treatment protocol involving microneedling, topical P198 ExoNa