Painful intercourse and menopause.

Painful Intercourse and other Menopause symptoms


Help may be on the way for women suffering from painful intercourse.

painful intercourse during menopause

There may be a new drug that will help menopausal women who experience pain during sex – and other menopause symptoms as well. If you’re a woman past menopause, your doctor might have told you about Ospemifene, a drug used to treat painful intercourse. Marketed under the name Osphena in North America, recent research suggests that this medication might help with other menopausal symptoms, too.

For many women, declines in estrogen at menopause bring about changes to the vagina. Estrogen is an important hormone for vaginal health. It keeps vaginal tissue moist and flexible. But when levels drop, vaginal tissue can become dry and brittle, making sex uncomfortable or even painful. The vagina can also become shorter and narrower.

Unfortunately, these symptoms usually don’t improve on their own. Some women try over-the-counter lubricants and moisturizers to make sex more enjoyable and pleasurable. Sometimes these lubricants or sprays may help provide some relief – but often times not. Hormone therapy is another option, although estrogen products are not appropriate for all women.


Is Osphena approved by the FDA?

Ospemifene was approved by the U.S. Food and Drug Administration in 2013. Specifically, it was approved to treat moderate to severe dyspareunia – painful sex. An alternative to estrogen, ospemifene works to keep vaginal tissue healthy and elastic.

At the 2014 annual meeting of the North American Menopause Society, Dr. Ginger Constantine of EndoRheum Consultants presented new research on ospemifene. The results suggest that ospemifene might relieve other menopausal symptoms beyond painful intercourse.

In the study, some women reported that symptoms like vaginal dryness, itching, and irritation improved because of ospemifene. The drug also relieved difficult and painful urination and vaginal bleeding during sex in some patients.

It’s important to note that the drug is still FDA-approved for moderate to severe dyspareunia (painful sex). It’s possible that future research may explore ospemifene’s role in relieving other symptoms and that the FDA may revise the drug’s label. For now, doctors who prescribe ospemifene for symptoms other than painful intercourse are doing so “off-label” at their own discretion.


One of the biggest concerns about ospemifene is its potential effects on the endometrium – the lining of the uterus.

Before menopause, a woman’s endometrium thickens once a month, in case she becomes pregnant. If there is no pregnancy, the endometrium “sheds” when she has her menstrual period.

painful intercourse

After menopause, this no longer happens. However, there have been cases in which ospemifene causes the endometrium to thicken anyway. With this in mind, women taking ospemifene should see a doctor if they notice any unusual bleeding.

Ospemifene may also raise a woman’s risk for blood clots and strokes. If you think ospemifene is worth a try, be sure to talk to your doctor. He or she can guide you on the best treatment options for your personal situation.


Of course, Ospemifene is a prescription drug – and as such there can be a range of side effects which may be experienced. If your discomfort during sex is mild, you may simply want to try a sexual lubricant, gel, or spray. There are many natural female sexual enhancement creams and lubricants which can improve vaginal dryness and make sex more pleasurable again. If you suffer from more extreme pain or discomfort during sex, you should see your doctor as soon as possible.



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