Painful sex during perimenopause

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The menopause brings a whole array of challenges from hot flushes to anxiety, but the side effects with perhaps more of a stigma attached than most others are those related to sex and intimacy. One of the first steps here is recognition and the ability to seek help. Lack of oestrogen is the cause of the dryness, the reduced libido, the bladder irritation, so replacing the missing oestrogen is an obvious step. Women can go down the route of having local oestrogen which is given to the vagina and treats just the vaginal and vulval discomfort and bladder problems.
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Does Menopause Cause Pain?

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Perimenopause and Low Sexual Desire | HealthCentral

Although every woman is different, symptoms like hot flashes, mood changes, trouble sleeping, and weight gain are normal during this time. Between 25 and 45 percent of postmenopausal women say they have pain during sex. When sex hurts, you may avoid it, which could affect your relationship. Sex is painful during menopause due to a lack of estrogen. This hormone normally stimulates the release of natural lubricants and helps replenish the vaginal lining by growing new cells. When you go into menopause, your body gradually produces less estrogen.
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An Overview of Perimenopause

Menopause can cause physical and emotional side effects that interfere with a healthy sex life. Perimenopause happens in the years before periods stop and is characterized by hot flashes and other symptoms. Menopause begins when the menstrual cycle has stopped for at least a year. While every woman's experience is different, an estimated percent of menopausal women say sex can be painful.
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Some women have vaginal dryness when their bodies experience the menopausal transition. This can make sex painful. Women may also experience a tightening of the vaginal opening, burning, itching, and dryness called vaginal atrophy. Fortunately, there are options for women to address these issues. Talk with your doctor —he or she can suggest treatment options.
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