Postmenopausal Dyspareunia: Brief Guide for Women

Postmenopausal Dyspareunia: Brief Guide for Women |

There are lots of negative consequences, symptoms, side effects or ailments women experience when reaching the climax. Unfortunately, it is a natural but irreversible process. However, those ladies who might think it is the end of their sexual life or youth may rest assured knowing that menopause bad manifestations can be easily and most importantly efficiently effected. One of the problems that require prompt attention is postmenopausal dyspareunia. What is it, and how to find the treatment for dyspareunia?

What Is Postmenopausal Dyspareunia?

Postmenopausal dyspareunia is often mistaken with vaginitis or other non-coital sexual disorders. However, they should at all times be differentiated. So, dyspareunia is a painful condition in women while they have sexual intercourse. Vaginitis is the same painful condition but that occurs before sexual intercourse. Besides, it can manifest itself as a phobia of penetration. 

As of now, 45% of women experience postmenopausal dyspareunia. Even though it is quite a common disorder, doctors haven’t previously paid attention to it to find out the best treatment. Only, recently, it became a focused research topic within dedicated experts, and now, it is proven that it can occur in men as well. What is the classification?

The differentiation of dyspareunia in postmenopausal women will greatly depend on the time of the onset. For instance, there are primary and acquired forms. The first one occurs at the beginning of sexual life, and the latter is linked to how the disorder manifests itself after some time. Similarly, dyspareunia in postmenopausal women can be connected to the stress level. Stress is one of the accompaniments of this disorder. Accordingly, the mind can be affected, and it is not rare when pain prevents any attempts to penetrate.

Another classification concerns the nature of the underlying cause. It can be psychogenic, organic, mixed, therapeutic, and unknown. Finally, it can be determined by the location of the pain. And, of course, there is different treatment for dyspareunia that can affect the pain and provide you with comfortable living.

Causes of Postmenopausal Dyspareunia

There are only three categories of key causes, multisystem, multifactorial, and complex. Multisystem dyspareunia in postmenopausal women is a condition when many systems of the female body are involved in the pathological processes. They are endocrine, nervous, muscular, vascular, and immune.

Multifactorial is associated with psychological, sexual, relational factors.

Complex postmenopausal dyspareunia will encompass all the above-mentioned causes.

Localization of Pain

Doctors differentiate dyspareunia in postmenopausal women with the localization of pain as well. It can be superficial, mid-vaginal, and deep. To find out the difference between a mid and deep location, dedicated experts mention that the first type is distinguished by the defensive contraction of the anus. And, the pain should be evaluated using a pain degree intensity, where 0 is minimal, and 10 is unbearable.

Most commonly, postmenopausal women complain that they have variable pain that can both increase and decrease from time to time and depend on the situation. Thus, it is very crucial to know the best treatment for dyspareunia of postmenopausal women.

Guide to Efficient Treatment for Postmenopausal Dyspareunia

Today, the choice of tactics for treating postmenopausal dyspareunia varies and depends on the causes of this pathology. The best solution is psychological therapy. Women address all the concerns, reveal the medical history of before, and share the lifestyle habits with a psychologist. Such sessions take place regularly until a dedicated expert finds the real cause of the problem. Besides, it is a working-tool to understand if dyspareunia in women connected to the poor relationship level with a partner, or it is a signal of more severe illness. Probably, you will be advised to take antidepressants, tranquilizers, or antipsychotics.

In case, a woman experiences an increased dryness of the vagina, a gynecologist will prescribe or recommend local anesthetic ointment that will also minimize the pain level. Besides, it is important to use sufficient lubrication during sexual intercourse because menopause affects it radically. And, creams that will be perfect for the prevention of the vaginal walls, because they contain estrogens or oral preparations of estrogens in the composition. Make sure, you do not use instead of designated lubrication or cream, ordinary products for face or body. They may deteriorate the condition or provoke allergy because they are contraindicated for usage for the vagina.

Finally, treatment for postmenopausal dyspareunia may be directed to inflammatory diseases of female pelvic organs. Doctors will prescribe therapy and sometimes surgical intervention to remove neoplasms, abscesses. However, the latter is the last option they tend to go for.

How to Prevent Dyspareunia in Postmenopausal Women?

Natural treatment for menopausal dyspareunia is quite easy, consultations with psychologists, and taking care of health. Nevertheless, many postmenopausal women would like to understand how to prevent this condition. Today, the only prophylactics possible is the forehanded medical examinations with dedicated experts. Once you have stress, go to a psychologist. In the case of vaginal dryness, or problems in sexual life, visit gynecologists, and so on.

Sometimes, ladies are advised to undergo medical procedures or tests, especially when they hit menopause. Do not neglect this option, because dyspareunia may be mistaken with other hidden severe health conditions. A doctor may ask you to attend ultrasound or he will take scrap to exclude the presence of other vaginal pathologies or sexually transmitted diseases.

At last but not least, do not ever give up on following a healthy lifestyle. And, of course, opt for a healthy relationship. It is common practice when a woman cannot receive satisfaction during sexual intercourse because of the mental blocks. So, love your partner, take care of vaginal flora. If needed, you can quit smoking or other bad habits. For instance, nicotine greatly affects the body and organs’ condition. During the climax, everything you do wrong such as drinking less water, avoid sports, or eat unhealthy contribute to your overall state and may involve others who reside near you. Thus, the most efficient treatment for dyspareunia is proper care of yourself, and forehanded prevention of negative symptoms.

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Postmenopausal Dyspareunia: Brief Guide for Women
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by Isabella on

Thank you for the article. I previously knew only about vaginismus and I did not know about the existence of Dyspareunia. I will do my best to avoid it


Emma J. Johnson

Menopause consultant and sex therapist, media personality, author, woman health expert.

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