@gravity3,

Great topic. I have read articles and listened to presentations on sexual health for women in menopause and/or cancer. All affected hormones. I had early menopause due to a hysterectomy, then later developed breast cancer. I am 70.

In my case, after I got to a certain age, my primary stopped doing pelvic exams, etc I did have one when asked about a problem, and said everything was OK, but mentioned vaginal atrophy in the report. I followed up with a provider in gynecology to find out I had Lichen Sclerosus. She had a wealth of information on vaginal atrophy, estrogen cream, etc. I have a yearly checkup with her.

Some clinics have specialized departments for women dealing with sexual issues; Mayo has a Menopause and Women's Sexual Health Clinic.

I think this is an area that women need to advocate for themself.