Painful Intercourse After Menopause: Here's What You Should Know

Is pain during intercourse causing you to lose interest in sex? Is your partner worried about your reaction to penetration? Between 25-45% of postmenopausal women say they have pain during sex, so if this sounds familiar, you’re not alone. 

At the OB/GYN practice of Gae Rodke, MD, FACOG, in the Upper West Side of New York City, treatment with the MonaLisa Touch® system can help you regain comfort and enjoy sexual contact and intimacy with your partner again. 

Postmenopausal painful intercourse

The primary reason for painful sex after menopause is dwindling estrogen. Estrogen is what keeps your vaginal and vulvar tissues flexible and prompts lubrication during arousal. With less estrogen in your system, vaginal skin can become dry and thin, and friction can make sex feel unbearable.

Treating painful intercourse

Dr. Rodke will discuss your symptoms and give you a thorough examination before recommending treatment. She may recommend any of the following:

MonaLisa Touch

The MonaLisa Touch system uses laser energy to restore blood flow and improve laxity in vaginal tissue. The MonaLisa Touch system works by emitting gentle laser energy from a small transvaginal probe. 

Dr. Rodke will make sure you’re comfortable and then apply appropriate lubrication and insert the probe gently into your vagina. When she turns on the system, it will emit laser energy through the probe for five minutes to stimulate blood flow in your pelvic tissues. This process will help increase natural lubrication and help to stimulate the tissues inside your vagina to make them tighten.

Furthermore, studies show it can also help with mild urinary issues, such as stress incontinence, and reduce discomfort caused by burning or itching sensations after menopause. The treatment is completely hormone and chemical free.

After the five minutes are up, Dr. Rodke will turn off the system and remove the probe. Since the laser energy from the probe will increase blood flow to the area, your vaginal region may feel warm and slightly engorged for a short time after treatment.

Each session is fast, efficient, and can be performed during your lunch hour. Most women schedule several treatments to reach optimal results.

Hormone replacement therapy

Hormone replacement therapy can help some women regain their sexual confidence by replacing lost estrogen.

Other options

Dr. Rodke may also suggest other treatments, such as:

Are you ready to regain your sexual confidence? Learn more by booking an appointment online or over the phone with the practice of Gae Rodke, MD, FACOG, today.

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