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Vaginal atrophy and painful intercourse: What helps?

Women's Health | Last Active: 3 days ago | Replies (146)

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@ch47

Complete hysterectomy at 44, no cancer thankfully, and had hrt for a couple years until supposedly medical community said the chance of breast cancer became enormous. Of course, stopped hrt.
Atrophy started, and had tons of bladder and urethra issues, urethra dilation became a regular part of my life.

My old urologist retired, fortunately, and my new doctor had specialties in urology and gynecology. Gave me the estrogen tabs, which worked great for years, then I started having problems again. Atrophy and very painful sex.

Moved south, and found a woman urologist who recommended compounding the meds in a non irritating cream base. She asked the compounding pharmacy to give me several samples of different base cream to try with no meds, to see which was comfortable, and they graciously did. The vaginal and urethra issues almost disappeared.

I asked my doctor if she could RX just the base cream to use as a lubricant. It works great and really inexpensive and not messy.

She also rx’d pelvic therapy/dilation which was extremely painful at first, because I was so tight, but that loosened up.

Things are better now, I am 71 and seemingly have some comfort for a while…maybe your doctors could recommend the same type of cream for a lubricant with no meds?

Good luck to all!

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Replies to "Complete hysterectomy at 44, no cancer thankfully, and had hrt for a couple years until supposedly..."

My story is much the same. If i keep up with the pelvic floor exercises, estrogen cream twice a week, and coconut oil in between, I don’t have symptoms.

An update on the vaginal atrophy issues I’ve been working on for years.
I posted in September ‘23, and mentioned several things that have worked for me over the years.
Unfortunately, after years, any vaginally inserted med/creme caused inflammation in the whole external pelvic area. Back to square one. Sigh. Used estrogen patches and developed the butt and chest fit for a porn star 😳
Not good. Since I was using the lowest dose reasonably affordable, decided to cut the patch in half, put 1/2 waterproof bandage on exposed area of patch and change it in 5 days instead of 7.
Swelling is down some and feel pretty good.
Good luck to all of you…keep trying!