Most women know that menopause often causes hot flashes and night sweats, but another common symptom is vaginal dryness, which can mean painful and less enjoyable sex. A board-certified OB/GYN offers advice on how to treat it:
The vaginal walls contain an abundance of estrogen receptors. When estrogen level plummet during menopause vaginal walls that were once elastic, expandable, supple, and sturdy can, over time, become tightened and fragile. The skin can become as thin as tissue paper, unable to withstand the manipulation that occurs with sexual activity, and can tear and even bleed with intercourse.When sex becomes painful, the natural response is to begin to avoid intercourse.
Vaginal estrogen works by thickening the vaginal walls, improving blood flow to the vaginal area and by increasing natural vaginal secretions. It comes in many options–Estradiol tablets , Estradiol vaginal suppositories , and Estrogen vaginal creams , and the estradiol vaginal ring . Estrogen doses are lowest for the ring and highest for the cream, but you can adjust the dose by simply using less cream.
Not every patient I’ve offered dilators feels up to the task. In that case, they confine their sexual activities to non-penetrative sex, which for many women, is where the fun is anyway.Over years of being together, what with children and a busy life, some couples may have gotten out of the habit of foreplay, but have had a very satisfactory sex life just getting down to business. But now, with her vaginal dryness and his erectile dysfunction this may not work so well.
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