The medical term for painful intercourse. Persistent or recurrent genital pain that occurs just before, during, or after intercourse.
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Occurs most often after menopause. The thinning, drying, and inflammation of the vaginal walls due to your body having less estrogen. For many women, vaginal atrophy makes intercourse painful.
There are many types of estrogen. Conjugated estrogens are a mixture of estrogen hormones.
Frequently Asked Questions
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Up to 40% of postmenopausal women experience vaginal atrophy, and painful intercourse is a common symptom. While it’s not usually discussed as openly as hot flashes and night sweats, you’re certainly not the only one.
With vulvar and vaginal atrophy (VVA), you may experience dryness, burning, and itching in and around the vagina. And having intercourse may be painful. If you’re experiencing any of these symptoms, make an appointment to see your doctor. There are prescription treatments that may be able to help. To prepare for your appointment, print your Doctor Discussion Guide.
Vaginal symptoms like moderate to severe painful intercourse are unlikely to go away on their own and may even worsen over time. Talk to your doctor about whether Premarin® (conjugated estrogens) Vaginal Cream may be right for you.
Over-the-counter lubricants may give you some temporary relief from your symptoms. But they weren't designed to do what a prescription treatment can. Premarin® (conjugated estrogens) Vaginal Cream provides estrogen to help rebuild vaginal tissue and make intercourse more comfortable. Learn more about how Premarin Vaginal Cream works.
You should apply the cream in accordance with your prescribed treatment schedule. It can be applied at any time of day that’s convenient for you.
To treat moderate to severe painful intercourse due to menopause, Premarin® (conjugated estrogens) Vaginal Cream can be applied twice a week (for example on the twice-a-week regimen, you might choose Monday and Thursday evening) or in a cyclic regimen of 21 days of therapy, followed by 7 days off therapy, using a 0.5 g dose.
To treat vulvar and vaginal atrophy (VVA), Premarin Vaginal Cream should be applied in a cyclic regimen of 21 days on therapy, followed by 7 days off therapy. Generally, women should be started at the 0.5 g dosage strength. Dosage adjustments (0.5 to 2 g) may be made based on individual response.
Estrogens should be used at the lowest effective dose, for the shortest duration consistent with treatment goals and risks for the individual woman. You and your doctor should talk regularly to decide how long you need treatment.
Sticking with your treatment plan is key to feeling relief. In a clinical study, patients taking Premarin Vaginal Cream felt significant relief of moderate to severe painful intercourse due to menopause at 12 weeks. Individual results may vary.