A thorough medical history. Women are worried about using hormonal therapies, even localized ones, which is yet another reason women need to talk about their options with their health care provider, says Kingsberg. Sex after menopause can have particular issues. An interesting survey run on menopausal women in the United States revealed the following:. This often leads to vaginal symptoms such as dryness, itching, pain with passing urine and pain with sex although the latter can have more serious causes too, and should be checked by your doctor. Treat vulvar skin gently. Pelvic floor physical therapy.
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Your doctor may ask when your pain began, exactly where it hurts, how it feels, and if it happens with every sexual partner and every sexual position. In some cases, inflamed tissues can become infected. Millions of women experience pain before, during, or after sexual intercourse—a medical condition called dyspareunia. That may be changing. In the interest of full disclosure, Kingsberg reports that she and her colleagues received financial support from Osphena's drugmaker, Shionogi, even though the drug wasn't part of the study. Some women who experience painful intercourse are also uncomfortable during a pelvic exam, no matter how gentle the doctor is. Until vaginal penetration becomes less painful, you and your partner might find other ways to be intimate.