What can be done to relieve pain during sex?
Intercourse may be painful when there is not enough moisture in the vagina or when the tissue lining the vagina becomes fragile because of lower estrogen levels in the body. Several methods are available to relieve pain during intercourse. It may sound surprising, but frequent sexual activity is one of the most effective remedies for vaginal dryness. Other remedies include taking a warm bath before intercourse or using lubricants. Short-acting, water-based lubricants, such as K-Y Jelly, supply moisture and are used immediately before intercourse. These products are readily available in grocery stores and pharmacies, usually at a low cost. Long-acting vaginal moisturizers are also available, and can provide extended relief. Vaginal creams containing estrogen are very helpful in relieving the symptoms of menopause, including vaginal dryness.
Lowered levels of estrogen not only cause decreased growth of the uterine lining and therefore irregular and, ultimately, cessation of periods, but also cause dryness and thinness of the vaginal wall. These vaginal changes can cause itchiness, burning, and pain with intercourse. Vaginal moisturizers, (e.g., Replens®), used two to three times a week, estrogen vaginal cream or rings will restore vaginal elasticity and moisture after one to three months. Intercourse may also be aided by sexual lubricants.
