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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How to treat poor libido and painful intercourse after menopause?

Hi I m Teresa I am now in full menopausal I have no estrogen and It hurts when I have sex. I have explained to my husband that I don t want to share my body for this reason. I have no libido and Im basically over anything that has to do with sex it just doesn t stop hurting. What can I expect from here on and is there a cure?.
Thu, 10 Mar 2016
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OB & GYN Specialist 's  Response

Hello,

Thanks for writing to us. I am trying to solve your problem.

According to your history, she is suffering from LOW libido and unable to achieve orgasm being more excited. It is one type of sexual dysfunction & more common in female. About 15% of women face this type of difficulties.

There are several underlying causative factors in association with. These include:

1) Psychological causes/ stress/ anxiety/ emotional upset.
2) Pelvic trauma/ infection/ history of pelvic surgery/ vaginal dryness (more common).
3) Hormonal imbalance, particularly low level of estrogen.
4) Use of certain medication or neurological causes associated with reduce sensitivity to clitoris.

Therefore, I suggest you to consult with gynecologist/ sexologist for suggestive measures through complete physical examination including pelvic exam and some initial investigations like blood test for estrogen & progesterone level, prolactin level, thyroid profile, blood sugar, vaginal swab test & urine examination- routine & microscopy. Complete treatment can only be done on pin point diagnosis or after ruled out causative factors.

The following measures are helpful in achieving orgasm:

1) Need complete body fitness- by the means of taking healthy diet with consuming more vegetables & fruits, drink more water to stay hydrated, regular physical exercise through running/ jogging/ treadmill etc.

2) Try to avoid stress/ tension/ anxiety by regular yoga/ meditation or breathing exercise (20-30 at a times).

3) Keep more time on foreplay with your partner and give time to arouse yourself more & more before actual vaginal penetration or partner's ejaculation.

4) Specific treatment- by means of hormonal patches (estradiol) or medication to correct other hormonal imbalances, using clitoral vacuum pump devices or vibrator and drugs to improve blood flow/ sexual sensation/ arousal.

In recent study, drugs like sildenafil/ vardenafil (though used in men) are quite useful in the reversal of female sexual dysfunction. Also you need to treat other underlying causes.

5) Vaginal dryness can be treated with water based lubrication/ jelly/ estradiol cream etc.

6) Maintain genital hygiene properly and need adequate sleeping with complete relaxation. Avoid using unnecessary medication.

Hope, it helps for your information. Good luck.
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How to treat poor libido and painful intercourse after menopause?

Hello, Thanks for writing to us. I am trying to solve your problem. According to your history, she is suffering from LOW libido and unable to achieve orgasm being more excited. It is one type of sexual dysfunction & more common in female. About 15% of women face this type of difficulties. There are several underlying causative factors in association with. These include: 1) Psychological causes/ stress/ anxiety/ emotional upset. 2) Pelvic trauma/ infection/ history of pelvic surgery/ vaginal dryness (more common). 3) Hormonal imbalance, particularly low level of estrogen. 4) Use of certain medication or neurological causes associated with reduce sensitivity to clitoris. Therefore, I suggest you to consult with gynecologist/ sexologist for suggestive measures through complete physical examination including pelvic exam and some initial investigations like blood test for estrogen & progesterone level, prolactin level, thyroid profile, blood sugar, vaginal swab test & urine examination- routine & microscopy. Complete treatment can only be done on pin point diagnosis or after ruled out causative factors. The following measures are helpful in achieving orgasm: 1) Need complete body fitness- by the means of taking healthy diet with consuming more vegetables & fruits, drink more water to stay hydrated, regular physical exercise through running/ jogging/ treadmill etc. 2) Try to avoid stress/ tension/ anxiety by regular yoga/ meditation or breathing exercise (20-30 at a times). 3) Keep more time on foreplay with your partner and give time to arouse yourself more & more before actual vaginal penetration or partner s ejaculation. 4) Specific treatment- by means of hormonal patches (estradiol) or medication to correct other hormonal imbalances, using clitoral vacuum pump devices or vibrator and drugs to improve blood flow/ sexual sensation/ arousal. In recent study, drugs like sildenafil/ vardenafil (though used in men) are quite useful in the reversal of female sexual dysfunction. Also you need to treat other underlying causes. 5) Vaginal dryness can be treated with water based lubrication/ jelly/ estradiol cream etc. 6) Maintain genital hygiene properly and need adequate sleeping with complete relaxation. Avoid using unnecessary medication. Hope, it helps for your information. Good luck.