Menopause is a condition in which a woman's periods stop forever. Mood swings, weight gain, trouble sleeping and hot flashes can be symptoms of menopause. During this time, women have to face many physical and mental changes. Even menopause can affect sexual health. Yes, there are many hormonal changes in the body of women in menopause, which also affects sexual health. In this, pain during sex is considered to be the most common. This condition is called dyspareunia. Today in this article you will learn in detail about the causes and treatment of painful sex in menopause -

(Read more - Causes of painful sex in female)

  1. Causes Of Painful Sex After Menopause
  2. Treatment For Painful Sex Menopause
  3. Summary
Doctors for Painful Sex and Menopause: Causes, Treatments, and Support

Many changes occur in the body of women during and after menopause. In this condition, women may experience severe pain while having sex. The main reason for painful sex during menopause is the decrease in the level of estrogen (sex hormone). Let us know about these reasons in detail -

Painful Sex Due To Low Level Of Estrogen

The estrogen hormone normally releases natural lubricant. Along with this, estrogen helps in thickening the vaginal lining by developing new cells. At the same time, when a woman goes into menopause, her body gradually starts reducing the production of estrogen. In such a situation, without estrogen, the vaginal lining becomes thin, shrunken and dry. The elasticity of the vagina also starts decreasing. When the tissues inside the vagina become thin and dry, there may be severe pain during sex.

In this situation, burning sensation can also be felt during sex. Not only this, if the inner part of the vagina becomes thinner in menopause, it can also burst during sex and bleeding may occur.

(Read more - Common sex injury and side effects)

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Painful Sex Due To Pain In Vagina

During sex, it can occur in the outer part of the vagina and the initial inner part. This pain can be felt mainly when there is injury, irritation, infection or swelling in the vagina.

(Read more -Urinary Tract Infection After Sex)

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Painful Sex Due To Pelvis Pain

When there is pain in the inner part of the pelvis, it is called deep pain. The main reasons for this pain during sex can be pelvic inflammatory disease, endometriosis, fibroids, irritable bowel syndrome, constipation and pelvic floor dysfunction.

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To treat painful sex in menopause, the doctor first finds out the cause of the pain. After this, it is treated based on the cause. The most common treatment for painful intercourse is to increase estrogen levels. There are many treatments available to make sex more comfortable and enjoyable again -

Benefits Of Lubricants During Sex

Lubricants can be effective in preventing pain during sex. Lubricants come in both liquid and gel forms. They can help reduce vaginal dryness. Lubricants can prevent pain by reducing friction. For this, lubricants can be applied on the female vagina and the male penis before sex. If a woman is currently in perimenopause or the male partner is using a condom, then gel-based lubricants can be good. Oil-based lubricants can damage the condom and reduce its effectiveness.

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Benefits Of Estrogen For Sex

Low levels of estrogen are the main cause of painful sex in menopause. Therefore, if someone is experiencing pain while having sex during menopause, then first of all it is necessary to increase the level of estrogen.

Estrogen can be increased through tablets, creams, rings and strings. Estrogen can improve the thickness and elasticity of vaginal tissues. It can also increase blood flow to the vagina. To reduce pain during sex, you can apply estrogen cream on the vagina 2-3 times a week.

Apart from this, a vaginal ring or estring can also be used. This ring can remain in the vagina for about 3 months. Estrogen tablets can be used twice a week. This tablet can be placed in the vagina with the help of an applicator or finger.

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Benefits Of Estrogen Pills For Sex

When estrogen cream or insert does not provide pain relief, the doctor may recommend taking estrogen pills. This can increase the amount of estrogen in the body and vagina and can provide relief from pain during sex. Estrogen pills can cause side effects such as headaches, breast tenderness, nausea, weight gain and cancer.

(Read more - Bleeding After Menopause)

Benefits Of Ospemifene For Sex

Ospemifene is a better non-hormonal treatment to get relief from painful sex during menopause. It works like estrogen to thicken the vaginal lining. According to studies, ospemifene can help reduce vaginal dryness and pain. Ospemifene comes in the form of a tablet, which you can take once a day. It should always be taken on the advice of a doctor, as it can increase the risk of blood clots and stroke.

(Read more - Hormone replacement therapy for menopause)

Benefits Of Moisturizer For Vagina

Moisturizer can also help reduce pain during sex. It can be used on the vagina. It penetrates the vagina and its effect lasts for a long time.

(Read more - Painful ejaculation - Symptoms)

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Due to menopause, many changes occur in a woman's body. One of these is vaginal dryness, which can cause pain during sex. Actually, due to lack of estrogen in menopause, the lining of the vagina becomes thin and dry and pain starts while having sex. In such a situation, lubricants, moisturizers and various forms of estrogen can treat vaginal dryness. Using these things makes the vagina thick and elastic, which can relieve pain during sex.

Dr. Arpan Kundu

Dr. Arpan Kundu

Obstetrics & Gynaecology
7 Years of Experience

Dr Sujata Sinha

Dr Sujata Sinha

Obstetrics & Gynaecology
30 Years of Experience

Dr. Pratik Shikare

Dr. Pratik Shikare

Obstetrics & Gynaecology
5 Years of Experience

Dr. Payal Bajaj

Dr. Payal Bajaj

Obstetrics & Gynaecology
20 Years of Experience

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