Research indicates that decreased levels of estrogen that occur with menopause are associated with weight gain and changes in sexual function such as coital pain, diminished vaginal lubrication and lower sexual satisfaction (Huerta, Mena, Malacara, & Diaz de Leon, 1995).
Coital pain: "I often experience pain when I have intercourse." These findings are usually referred to here as pain during intercourse and less often as coital pain.
Firstly, women who experience coital pain may be negatively conditioned to engaging in sexual activity for fear of the pain.
And fear of coital pain was a contributing factor in 64 women.
Renshaw has found particularly helpful topical Xylocaine for helping women overcome their fear of coital pain during the first few attempts at intercourse, and alprazolam for patients with a high level of sexual anxiety.
Renshaw has found particularly helpful topical Xylocaine for helping women overcome their fear of coital pain
during the first few attempts at having intercourse, and alprazolam for patients with a high level of sexual anxiety.
In addition, coital pain
is a frequent sexual problem reported after perimenopausal oophorectomy (3)
The remaining 75% of patients believed that their coital pain was just a corollary symptom of their FMS disease.
In these patients, vulvar hyperexcitability alone may be not sufficient to produce coital pain, but could contribute to enhance spatial pain summation.
The reduction in the intercourse frequency in FMS + PVD compared to FMS may be due not only to coital pain but also to the greater symptom severity which influences these patients quality of life [6, 51].
Complications of after episiotomy repair are perineal pain, irritation, edema and post coital pain
. Perineal pain is the most maternal complaint.
Long-term treatment with systemic or topical estrogen will usually ease coital pain
. Surgery is not a mainstay of treatment of dyspareunia in postmenopausal women.