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    Low estrogen during menopause can cause many undesirable symptoms. For example, many women notice that sex becomes painful after menopause due to low estrogen levels. Between 17-45% of postmenopausal women say that sex is painful for them. If you’ve noticed this change in your own life, you are not alone and there are treatments available to help you feel better and enjoy intimacy again.

    Low estrogen – HerKare Women’s Health Clinic

    Low estrogen during menopause can affect your life in many ways, but treatments can help you feel your best.

    How Low Estrogen Can Make Sex Painful

    Low estrogen during menopause can cause many physical symptoms that can affect your sex life. For example, decreased estrogen levels can cause your vaginal tissues to become dry and thin. This may make you feel a sense of dryness, “tightness” or even unbearable pain during sex. You may also notice soreness or a burning sensation in your vagina or vulva after sex. Vaginal dryness due to low estrogen can even lead to tearing, bleeding, or inflammation.

    However, painful sex during menopause isn’t all physical. Once you notice that sex can hurt, you may notice other symptoms that make it even worse. For example, fear of pain during sex can make it difficult to become aroused and create anxiety around intimacy. This can lead to even more vaginal dryness. Also, the anticipation of uncomfortable sex can sometimes make you involuntarily tighten your vaginal muscles. This is called vaginismus and can make sex hurt even more. Therefore, painful sex during menopause can become a cycle that is hard to break. However, our doctors are here to help you treat these symptoms so you can get back to feeling like yourself again.  One option is hormone replacement therapy.

    Hormone Replacement Therapy May Be Able to Help

    If sex is painful due to low estrogen levels, hormone replacement therapy may help with your symptoms. Estrogen injections may help with vaginal dryness and help prevent thinning vaginal walls. Painful sex can affect your health in many ways. For example, you may feel generally anxious or depressed, experience low self-esteem, and you may even notice it affects your relationships. However, seeking help can help you avoid these negative consequences and help you take pleasure in your sex life again.

    Hormone imbalance treatment during and after menopause can help improve your vaginal health and combat vaginal dryness, irritation, and painful sex. Hormone replacement during menopause may even increase your libido and fight off other symptoms that affect your quality of life like mood changes and anxiety. These benefits can all lead to more enjoyable sexual experiences. Therefore, if you’ve noticed that intimacy is painful, talk to your doctor about treatment plans that may be able to help.

    At HerKare, we provide personalized health care for women. We understand that your sex life, physical health, and mood are all important to your wellbeing. Our providers listen to you, help you identify underlying causes of your symptoms, and then collaborate with you to find a treatment plan that fits your lifestyle. Schedule your appointment online today to take the first step toward feeling better. We are here for you.


    It is with heavy hearts that we announce that Dr. Sridevi Panchamukhi will be discontinuing her affiliation with HerKare. Dr. Panchamoukhi’s last day with HerKare was Monday, March 27, 2023. As a patient you may obtain copies of your medical records or arrange transfer of your medical records to another physician. HerKare Physician Group, PLLC will continue to maintain your medical records. You may reach out to to obtain copies of your records. We wish Dr. Panchamoukhi the very best.