A reader asks about painful sex after menopause. Is this how it's going to be forever?
The New York TimesIn it, the author, Dr. Jen Gunter, says that while these symptoms are distressing for many women, they can almost always be treated. So, there's hope here.
During perimenopause—the period leading up to menopause—up to 15 percent of women deal with GSM, with that number climbing to about 50 percent by three years after menopause. But, for women who experience problems, there are treatments to help—both over-the-counter and prescription products.A lubricant can help make sex less painful and more comfortable. Some data suggests that a silicone-based one will be more effective than one that is water-based.
And then there are prescription options. Vaginal estrogen is considered to be the gold standard to replace your missing estrogen after menopause. It's available as estradiol or conjugated equine estrogen and comes in different formulations including vaginal tablets, gel caps, creams or in a vaginal ring. This type of estrogen is low-dose and considered very safe. It is not associated with risks like breast cancer or stroke when used as prescribed.
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