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Menopause is the natural decline in women ’s reproductive hormones as she reaches her 40s or L . Menopause is typically marked by the stopping of the menstrual cps . As you near change of life , your periods begin becoming more and more wandering before stopping . Alongside this , you will also witness a number of other change in your wellness and consistency . Although each cleaning lady is different , menopause symptoms such as mode changes , hot blink of an eye , weight gain , and fuss sleeping are typically experienced by all women . There is also a certain per centum of postmenopausal women who report having afflictive sex activity after menopause . Let us count at how mutual this is , what are the causes of painful sex after menopause , and can it be care for .

Causes of Painful Sex After Menopause

Nearly 30 to 45 percent of postmenopausal women report have botheration during sex.(1)It is believed that sex becomes abominable during or after menopause because of a want of estrogen . Estrogen is the hormone that is responsible for for energize the release of natural lubricator and also refill the lining of the vagina by grow new cellular phone . However , when you enroll the phase of menopause , your body begin to gradually cut down on the production of estrogen .

Without oestrogen , the lining of the vagina stay thin , psychiatrist , and may even dry out out . The vaginal liner also loses its born snap . This precondition is known as vulvovaginal wasting away .

In such a circumstance , with the vaginal lining cutting out , incursion during sexuality can be quite painful . The condition of experiencing pain during sexual activity is have a go at it asdyspareunia . This pain can finger like a sharp , jab pain , or a cauterize pain in the neck . Sometimes if the vaginal lining becomes too tenuous , then it can also rupture or shed blood during sex .

Painful sex can be a suit of anxiety and worry . Anxiety is know to decrease lubrication further , causing you to clench the vaginal muscles , which may make sex even more sore . When sex becomes too painful , you will finally start to avoid it altogether , which could impact your human relationship .

When you have sexual congress , it stimulates the rakehell flow to the vagina , keeping the vaginal tissues healthy . When you start keep off sex , the vaginal lining starts becoming even slight and loses its elasticity .

In some cases , the annoyance eases once you have make out menopause , but in some woman , it never truly goes forth .

How to Relieve Painful Sex After Menopause?

There are many treatments available nowadays to make sex more comfortable and ease pain after menopause . Some of these treatments can even help you bask sex again after change of life . However , it is best if you consult with your gynecologist to interpret which of these options will be the correct selection for you .

Lubricants

lube are the first line of treatment that doctors dictate to prevent awful sex after menopause . Lubricants are available in the form of a liquid or a gelatin , and they are efficacious in helping with balmy vaginal dryness .

Lubricants decoct detrition , thus preventing or quash pain . you’re able to hold the lubricant forthwith to your vagina or to your collaborator ’s member correctly before hold intercourse . If you are still not completely reached change of life , or if you use condoms , then you may consider using a piddle - based lubricant . crude oil - based lubricants can cause legal injury to the condoms , reducing their effectiveness .

Moisturizers

Moisturizers also work in a alike manner to lubricants , by reducing clash during sex . However , because moisturizers pervade into your skin , they remain efficacious for a longer time . A moisturizer such as Replens can even keep working for three to four day .

Low Dose Vaginal Estrogen

When you are suffering from more severe xerotes and pain that is not improving even after using a lubricant or a moisturizer , then your doctor may recommend that you use small - dose topical estrogen .

Estrogen helps better the flexibility and heaviness of vaginal tissues and also boosts rip flow to the vagina . Since estrogen goes directly into the vagina , it ward off make the body - extensive side consequence that are commonly associate with estrogen pills . Low - dose estrogen is available in the form of tablets , cream , conciliatory ring , or an inset .

Vaginal oestrogen cream is commonly sell under the mark names of Estrace and Premarin(2 ) , which is hypothecate to be utilize to the vagina two or three times in a week.(3 )

dispirited - dose oestrogen is also available as the vaginal ring sold under the sword name Estring . This is to be inserted into the vagina where it can stay at bottom for up to three months.(4 )

There is also a vaginal pad of paper that you may take , usable under the brand name name of Vagifem . This is post inside the vagina two clip in a week with your fingerbreadth or with an applicator.(5 )

It has been observed that most women favour to use the pill or the ring to use the cream because they are less messy . The majority of women using down - dose vaginal estrogen say that it reduces their pain during sex quite significantly .

Ospemifene

The US Food and Drug Administration ( FDA ) has only approved Ospemifene ( mark name Osphena and Senshio ) as a non - hormonal intervention for painful sexual practice because of menopause . Ospemifene works similar to estrogen and inspissate the lining of the vagina . However , ospemifene does not increase your risk for uterine or breast malignant neoplastic disease like estrogen pills can .

Studies(6)have shown that ospemifene helps improve both pain and dryness due to menopause . It has also been found to work well than or as well as a topical estrogen.(7 )

Ospemifene comes in a pill form , and you take to take it once a mean solar day . The important side effect of the medication is hot New York minute , and it may also increase the endangerment of stroke and stock clots .

Oral Estrogen

If you do not get any relief with oestrogen inserts and creams , then your MD may recommend that you take estrogen oral contraceptive . This is know as hormone therapy , and it can also help in allay some of the other symptoms of menopause , including hot flashes .

However , estrogen pills are not without risks . They can induce many side result , including :

tenacious - term use of oestrogen pills is known to increase the risk of breast and uterine malignant neoplastic disease . If you know that there is a chronicle of these Crab in your family line , then do ask your doctor whether it will be secure for you to take oestrogen pills .

Other Conditions That Can Cause Pain During Sex

Menopause is not the only intellect that can stimulate pain during sex . Pain during sex can also be a sign of the fall out conditions :

Vulvodynia : This is a circumstance that cause burning or pain in the vulva without any patent reason . Nearly 60 percent of women who have vulvodynia is not able to have sexual activity due to the pain.(8)Treatments for vulvodynia include physical therapy , topical anesthetics , as well as mental wellness counseling .

Vestibulodynia : The area where the vulva connect with the vagina is known as the hall . The vulva includes the proscribed parts of the vagina , including the labia , the clitoris , and the clitoral toughie . In many women , the foyer area becomes exceedingly sensitive to touch , and having sex activity or even inserting a tampon can be a very painful activity . Doctors process vestibulodynia with strong-arm therapy , local anesthetic gels or creams , and genial health guidance .

Cystitis : Inflammation of the bladder can also cause you to feel pain in the ass during sex . This happens because your vesica is sitting right on top of your vagina . some 90 percent of charwoman who were surveyed by the International Cystitis Association ( ICA)(9 ) , said that interstitial cystitis has negatively strike their sex life . Treatments for cystitis admit nerve blocks , medication , and physical therapy . relaxation method techniques , hot or frigid applications may also help alleviate the discomfort .

Vaginismus : Women who have vaginismus experience unspeakable contraction of the muscles around the vagina during sexual urge . It can also press distressingly when anything is inserted into the vagina , such as a tampon.(10)Vaginismus can be spark by fear after a traumatic experience . Treatments for vaginismus include a dilator for widen and loosen up the vagina combine withphysical therapy.(11 )

Conclusion

Dryness and thinning of the lining of the vagina can lead to painful sex when you are going through menopause . If you have hurting during gender , then you should consult your physician or woman’s doctor for advice . Moisturizers , lubricants , and several types of oestrogen therapy are available for treating vaginal dryness , which causes unspeakable sex .

Your medico will also value your overall health to determine whether there is another underlying term stimulate the pain .

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