Many people, including clinicians, don’t always connect menopause and sexual health. So many women I see think pain with intercourse is normal for aging.
DEAR MAYO CLINIC: I am a 64-year-old woman, happily married for over 30 years. My husband and I have always had a healthy sex life. However, a few years ago, I began experiencing pain during intercourse. My doctor said I am postmenopausal and in excellent health otherwise. The pain makes me want to avoid intimacy.
am so glad you’re asking this question. I’m here to tell you that is not the case. You should not have pain with intercourse. Due to the changes in hormones, however, postmenopausal women are at risk of developing something called genitourinary syndrome of menopause, or GSM. Typically, GSM symptoms start about two years after the final menstrual period, so they lag behind other menopausal symptoms like hot flashes and night sweats.
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