**5. Conclusions**

Our findings suggest that the "modified Schirmer test" can be used as an objective indicator of vaginal moisture level, distinguishing women who suffer from vaginal dryness from those who do not. This test may also prove useful for evaluation of non-hormonal treatment results in longitudinal research, where direct and objective measures of vaginal moisture are sought to complement the subjective VAS score.

**Author Contributions:** Conceptualization, A.L.-S.; methodology, D.G. and A.L.-S.; data curation, Y.S.-C., S.J. and A.L.-S.; formal analysis, D.G.; writing—original draft, review, and editing, D.G. and A.L.-S. All authors have read and agreed to the published version of the manuscript.

**Funding:** This research received no external funding.

**Institutional Review Board Statement:** The study was conducted in accordance with the Declaration of Helsinki and approved by the Institutional Review Board of Hadassah Medical Center, Jerusalem, Israel (Number 0923-20-HMO, approved 31 December 2020).

**Informed Consent Statement:** Written informed consent was obtained from all subjects involved in the study.

**Data Availability Statement:** The data presented in this study are available on request from the corresponding author.

**Conflicts of Interest:** The authors declare no conflict of interest.
