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Did You Know This About How to Use Vaginal Estrogen?

The first question is: Are you sexually active.

And the next is: How often.

As women enter menopause, generally sexual frequency becomes less common, and intercourse as the sexual activity becomes less frequent.

And the type of sex will definitely determine how healthy the vulvar, vaginal, urethral (and even the rectal/anal) tissues are in need of vaginal estrogen.

For some women it will mean they need systemic estrogen or testosterone as part of their therapy, for others vaginal estrogen therapy alone will work. Hormone levels, tissue health, and bladder symptoms will guide therapy the most.

The frequency of sex decreases in menopausal women for many reasons.

Sometimes getting the right therapy, and then tailoring that therapy to how often and what type of sex you have can be difficult.

A study published in in Menopause: August 2019 – Volume 26 – Issue 8 – p 816–822 , called Sexual frequency and pain, they looked a in a randomized group of sexually active women in menopause using a variety of therapies including vaginal estradiol tablets, moisturizer, and placebo in postmenopausal women, to see which might be ‘best’ as a rule.

We use this information and our unique perspective of vaginal floor health and therapies to answer your questions, based on your personal needs.

Call for appointment, 217-356-3736.


Suzanne Trupin, MD, Board Certified Obstetrician and Gynecologist and owner of Women's Health Practice, Hada Cosmetic Medicine, and Hatha Yoga and Fitness

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