This common problem can sap sexual desire and pleasure, strain relationships, and erode a woman's quality of life. Treat vulvar skin gently. Suffering from vaginal dryness? For postmenopausal women, in particular, it can bring up issues of aging and body image. Please return to AARP. American College of Obstetricians and Gynecologists.
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These include creams, pills and a vaginal ring that administer a small amount of estrogen directly to the affected tissues. You can ask to stop the exam at any time if it's too painful. Risk factors for dyspareunia after first childbirth. Women also learn exercises to help strengthen pelvic floor muscles, which may have been weakened by aging, childbirth, hormonal changes, and certain physical strains. Counseling or sex therapy. You can help to pick the winner of the Movies for Grownups Readers' Choice award! She says the condition is both "underdiagnosed and undertreated" in older women, thanks to a lack of communication between health care providers and their postmenopausal patients.