I am a 45 year old female and have just
started menopause. I now find sexual intercourse quite painful. It never used
to be like that. What can I do about it?
During menopause, the vaginal
secretions diminish. In addition the vaginal tissues loosen and become
thin. This often results in painful intercourse. The pain can vary from mild to
severe. However, there are several treatments you may want to try. Use a
vaginal estrogen cream. There is a flexible vaginal ring which is placed inside
the vagina and it releases low doses of estrogen. It takes a few
weeks to get the full effect but it will make sex better. Also use
lubricants liberally during sex. Lubricants help decrease friction.
I
do not recommend the use of lidocaine which is a local anesthetic. While this
chemical can take away the pain, it also numbs the pleasurable sensations.
Finally, you may want to try intercourse with you on top of your partner. This
position is less painful than the routine missionary position.
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