Persistence is important for the treatment of sexual pain

Despite women now living more than a quarter of their lives past menopause and are gradually enduring cancer, deteriorating estrogen-related sexual problems are becoming increasingly common. Small wonder that so many women with vaginal pain feel isolated and ashamed and think of themselves as damaged goods. - Ms. Fish, a psychotherapist and a sexual pain patient herself said.
For a variety of reasons, millions of women endure genital irritation, and sometimes debilitating pain, most often a lack of estrogen. The subsequent vaginal dryness and atrophy may trigger a traumatic nightmare to have sexual intercourse, a pelvic inspection, urinate, or even sit, move, or ride.

Related article: Vagina PH Balance Facts Every Woman Should Know

Among those affected are women who have recently given birth or are breastfeeding, women who have been treated with estrogen-suppressing prescription drugs for breast cancer. Also, who have given chemotherapy or pelvic radiation for other cancers, and who have been surgically removed the ovaries.

Yet, only about one-quarter of women with vaginal pain have reported the problem. And those who speak up are often told — wrongly — that nothing can be done and they have to learn to live with the pain.

Connection of Hormones
The development of estrogen decreases when women approach menopause, then it ceases entirely, or almost, as the ovaries shut down. The lack of estrogen becomes sudden, once ovaries are surgically removed until menopause, or when premenopausal women with cancer are diagnosed with medications that inhibit estrogen or pelvic radiation. Women are often not prepared for the consequences.

Related article: What should I do if my wife has a low sex drive?

It is unlikely that doctors focused on cancer treatment will consider the effects on the sexuality of a woman. A new quasi-specialty called "oncosexology" attempts to educate oncologists on how to deal more effectively with this side effect.

Local therapies have shown to be effective include a vaginal estrogen ring (Estring) that are rotated every three months; an estrogen pill (Vagifem) used every day for two days, and occasionally a week later; or vaginal estrogen cream (Estrace, Premarin Vaginal Cream) used every day for a few hours, and twice a week later.
Vaginal atrophy, also known as atrophic vaginitis, is associated with thinning, drying, and inflammation of the vaginal walls from the loss of estrogen. The signs may include dryness and discomfort; vaginal canal shortening; urinary pain, pressure, and incontinence; and repeated infections of the urinary tract.

The uterus becomes less acidic. The good predominant bacteria, lactobacilli, disappear and are frequently replaced by harmful bacteria and fungi. The result may be a yellowish, irritating secretion. The vaginal lining also splits easily, leading to infections.

When vaginal walls are delicate, tiny tears can be induced by intrusion and thrusting during sex, when necessary. A female can try to avoid intercourse completely when sex hurts, which may jeopardize an existing relationship or keep it from entering a new relationship. There are also greater consequences of hormone deficiency in women who smoke and those who have not vaginally given birth.

The longer the sexual pain persists, the more likely it will result in pelvic floor nerve pain and dysfunction, making the problem even more difficult to treat. It is also necessary to have patience. To achieve the full benefits of effective treatment, which can involve several complementary approaches, it can take weeks or even months.

Using the medications as directed in small amounts will result in very little estrogen absorption throughout the body. Women can get these prescriptions drugs online through various online pharmacies and at a cost-efficient price.

An important component of treatment may also be physical therapy. Sexual distress also includes under-surface changes: reduced connective tissues and damaged muscles leading to sexual discomfort.


NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider. 

DISCLAIMER: This content is provided for informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Patients should always consult their physicians with any questions regarding a medical condition and to obtain medical advice and treatment.

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