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I just read the article about vaginal dryness and atrophy and was just wondering if I would be a candidate for it? I am 54 years old and had a hysterectomy in 2002. I have NO sex drive at all, not even interested in having sex. I experience pain when I do have sex, and afterwards, it feels like something is torn.

I have been married for 31 years and the fact that I don’t want to have sex is starting to bother my husband. Can you please help me? I have tried over-the-counter items and saw a doctor, but nothing helps. Thank you.

Thank you for your question. You likely do not have a sex drive because you are in pain from the vaginal atrophy. The libido is quite complicated, but this could be one of the reasons. Being intimate in other ways besides intercourse can be helpful.

Vaginal atrophy can be treated with vaginal estrogen, which is very safe and is not taken systemically (into the body) - it stays locally in the vagina. There are also intravaginal troches, consisting of DHEA, which gets converted in the vagina into estrogen. Both options are by prescription only.

When you are sexually active make sure you are lubricating, you can even use olive oil. The vaginal prescriptions can take up to four weeks until you notice an improvement.

You are always welcome to come see us in the Center for Specialized Women's Health for treatment and advice. Thank you, again for your question and all my best.

May 23, 2013 at 2:39pm

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