HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

75 Years Of Age, Difficulty To Have Intercourse, Penetration Is Painful. Suggest?

default
Posted on Wed, 23 Oct 2013
Question: Trying to hve intercourse, I can get two fingers into the vagina, but the penis has difficulty entering, and then there is some bleeding, the hymen has been broken, I can put fingers into up to three inches, but penetration is painful, and I do then to be frightend by this, how come young kids, everyone can do this, but I ahve this obstacle or fear?
e-mail: YYYY@YYYY







doctor
Answered by Dr. Timothy Raichle (6 minutes later)
Brief Answer:
Patience, dilators and estrogen...

Detailed Answer:
At age 75, you have virtually no estrogen in your system. This is normal. One of the problems is that you then develop "atrophy" of the vagina and narrowing like you describe. This can be addressed, but best done with an OB/GYN:

1. You will definitely need dilators that can be used (over the course of months) to slowly increase the caliber of the vagina
2. You need vaginal estrogen - this will make the vaginal 'skin' more healthy and easier to dilate without the bleeding
3. With the dilators and ANY attempts at intercourse, you need lubrication - you can try a product called ASTROGLIDE. This will help.

This is something that you can overcome, and I am impressed by your courage to address this. Good luck!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Timothy Raichle (34 minutes later)
do I need to see an ob/gen or can I buy over the counter meds to help with this?
thank you for being impressed by me asking, this is so embarrassing, everyone is normal except me? I would prefer to do this with your recommendation on my own,
I keep asking why me>
Many thanks, you appear to be a very gentle kind doctor,
Sincerely XXXXXXX
doctor
Answered by Dr. Timothy Raichle (5 hours later)
Brief Answer:
You can buy over the counter...

Detailed Answer:
Here is one link to what I am talking about:

WWW.WWWW.WW

Your doctor can also write you a prescription for these and they would likely be covered by your insurance. I would imagine that they would come with instructions, but in general it involves SLOWLY over the course of weeks dilation and stretching of the vaginal opening. Combining these with a lubricant such as Astroglide, as well as the daily use of a longer-acting lubricant (called Replens) is the way to go.

The 'best care' would be to do this in conjuction with the care of an OB/GYN, but a motivated patient could do this on their own I imagine.

This is a normal problem, do not be embarassed. It is also normal for women to be sexually active at your age, but the limiting factor is often vaginal atrophy and associated pain with intercourse itself. You should be able to get to the point where things are more 'normal', but this might take a few months.

I hope that this helps!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Timothy Raichle (7 hours later)
I appreciate your help and response! I will think about your advice and will follow some course of action. I will be patient in my treatment, and hopefully it will help.
If other questions come to mind will contact, but I do sincerely thank you for your advice and assistance. XXXXXXX
doctor
Answered by Dr. Timothy Raichle (1 hour later)
Brief Answer:
You are very welcome!

Detailed Answer: XXXXXXX

You are going to do great. If you have future questions, please just start off with "This is for Dr. Raichle" and I will be happy to help.

Thank you.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Timothy Raichle

OBGYN

Practicing since :1999

Answered : 1687 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
75 Years Of Age, Difficulty To Have Intercourse, Penetration Is Painful. Suggest?

Brief Answer:
Patience, dilators and estrogen...

Detailed Answer:
At age 75, you have virtually no estrogen in your system. This is normal. One of the problems is that you then develop "atrophy" of the vagina and narrowing like you describe. This can be addressed, but best done with an OB/GYN:

1. You will definitely need dilators that can be used (over the course of months) to slowly increase the caliber of the vagina
2. You need vaginal estrogen - this will make the vaginal 'skin' more healthy and easier to dilate without the bleeding
3. With the dilators and ANY attempts at intercourse, you need lubrication - you can try a product called ASTROGLIDE. This will help.

This is something that you can overcome, and I am impressed by your courage to address this. Good luck!