In this position, you might be able to regulate penetration to a depth that feels good to you. Treating the problem can help your sex life, your emotional intimacy and your self-image. A visual exam of your vagina, using an instrument called a speculum to separate the vaginal walls, may be performed as well. Talk to your doctor if you're having painful intercourse. A personal lubricant can make sex more comfortable. For women or couples who are struggling to understand and accept the changes in sexual function that may accompany menopause, counseling can be an option. Psychological factors may be involved, especially in women who associate the vaginal area with fear or injury. He or she may also try to identify the location of your pain by applying gentle pressure to your genitals and pelvic muscles. Table 4 summarizes findings from research on the relationship among dyspareunia, hormone levels and vaginal atrophy in postmenopausal women.
Many women suffer in silence because they're embarrassed or can't find a doctor who specializes in problems of this nature. You might reduce pain by delaying penetration until you feel fully aroused. This can contribute to pain during intercourse. However, this seems to mirror a decline in the number of women engaging in sexual activity with progressing age in the American sample How much distress do you feel about your sexual concerns? Painful intercourse has many possible causes, including hormonal changes, medical and nerve conditions, skin diseases, and emotional problems such as anxiety and depression. What lifestyle changes can I make to improve my situation? For women or couples who are struggling to understand and accept the changes in sexual function that may accompany menopause, counseling can be an option. Your sexual problems, including when they began and how often and under what conditions they occur Your key medical information, including conditions for which you're being treated All medications, vitamins or other supplements you take, including doses Questions to ask your doctor Some questions to ask your doctor include: Some women find that relaxation techniques, sensual massage , masturbation , or changing positions during coitus can heighten their sexual experiences. What you can do To prepare for this discussion with your doctor, make a list of: Talk about what feels good and what doesn't. However, whether the preponderance of such cases includes vulvar pain is unknown. However, this growth in the premenopausal etiological literature has not carried over to postmenopausal dyspareunia. Don't let embarrassment stop you from giving candid answers. If sex has been painful for some time, you might have a negative emotional response to sexual stimulation even after treatment. Often, this can be treated with topical estrogen applied directly to the vagina. Scarring from pelvic surgery, including hysterectomy, can cause painful intercourse. It's a capsule you place inside the vagina daily. What websites do you recommend? What treatments are available? These include antidepressants, high blood pressure medications, sedatives, antihistamines and certain birth control pills. Intensity of postmenopausal dyspareunic pain was assessed in a sole study examining a group of gynecological outpatients and volunteers; it was found that the majority of sufferers, For postmenopausal women, in particular, it can bring up issues of aging and body image. The Food and Drug Administration approved the drug ospemifene Osphena to treat moderate to severe dyspareunia in women who have problems with vaginal lubrication.
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Sex After Menopause Tips
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