Is intercourse painful because of decreased lubrication? Do you wonder why your “oasis” has turned into the Sahara Desert?

If you are asking yourself these questions, you are likely experiencing Atrophic Vaginitis.

This condition occurs commonly in menopause when our bodies are low in Estradiol which then leads to thinning of the vaginal wall and urethra. The vagina wall can lose its normal moisture and become dry and uncomfortable. Atrophic vaginitis can also while breastfeeding, when our bodies are in a naturally low state of estrogenization.

In addition to dryness, irritation and occasionally itch, pain with penetrative intercourse can occur. Lubricants (specifically water and silicone based such as Astroglide or Liquid Silk) can help with vaginal dryness. Organic coconut oil or olive oil is also helpful (but not to be used with condoms, as this can weaken the condom strength).

Relaxation techniques are helpful to decrease tension throughout the body and in the pelvic floor muscles. Localized estrogen creams placed in the vagina are very helpful at reversing these changes and addressing urinary symptoms as well. There are safe options that can provide soothing care without the risks of systemic estradiol that are very effective.

Additionally, purchasing a sexual aid such as a vibrator is very helpful in increasing circulation and lubrication and sensation in the genital area.


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