MANAGING MENOPAUSE SYMPTOMS

Pain During Sex  During Menopause

Several factors contribute to this condition:

• Vaginal Dryness: Decreased oestrogen levels can lead to reduced natural lubrication, causing friction and discomfort during intercourse.
• Vaginal Atrophy (Genitourinary Syndrome of Menopause): Thinning and inflammation of the vaginal walls can make sexual activity painful .
• Decreased Blood Flow: Reduced circulation to the vaginal area can affect tissue health and sensitivity.
• Psychological Factors: Anxiety, stress, or previous painful experiences can exacerbate discomfort.
• Pelvic Floor Dysfunction: Weak or tight pelvic floor muscles can contribute to pain during sex .

Treatment Options

1. Lubricants and Moisturizers

• Water-Based Lubricants: These can reduce friction during intercourse. It's advisable to choose products that are fragrance-free to minimize irritation.
• Vaginal Moisturizers: Regular use can help maintain vaginal hydration and elasticity over time

2. Hormonal Treatments

• Low-Dose Vaginal Oestrogen: Available in creams, tablets, or rings, these treatments can restore vaginal tissue health and improve lubrication

Ospemifene (Osphena): An oral medication that acts on vaginal tissues to reduce pain during intercourse, suitable for those who cannot use local oestrogen therapy 3. Pelvic Floor Physiotherapy

• Strengthening Exercises: Kegel exercises can improve muscle tone and blood flow to the vaginal area.
• Relaxation Techniques: Therapies may include stretching exercises, breathing techniques, and biofeedback to alleviate muscle tension

4. Lifestyle Adjustments

• Regular Sexual Activity: Engaging in sexual activity or vaginal stimulation can help maintain tissue health.
• Stress Management: Practices like mindfulness, meditation, or yoga can reduce anxiety and improve overall well-being.
• Open Communication: Discussing concerns with your partner can alleviate emotional distress and improve intimacy.