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Painful sex
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An_246670 posted:
I haven't been able to have any sexual relationship with my husband for quite a few years now. My doctor told me to just use KY but that doesn't work. Whenever we had sex I had extreme vaginal burning inside and I now have ceased having sex and nothing seems to help. What can I do?
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Mary Jane Minkin, MD responded:
Dear AN_246670,
There is much that can be done; don't despair.
Women need to know that there is a difference between lubricants (like KY) and moisturizers, which provide longer lasting relief; and you can use both. Start today with some Replens; it is over the counter, and you insert it two to three times a week. (I'd start with three). If that doesn't do the job, in two to three weeks, you can speak with your health care provider about vaginal estrogens, which come in three different forms: vaginal creams (like Estrace or Premarin); vaginal tablets (Vagifem) and the EstRing, which is a ring you can leave in the vagina for three months at a time.I'd probably start with the creams or vaginal tablets: you insert the product daily (Many women do it before bed) for two weeks, and then you can go to a two to three times a week regime. That should work. Vaginal estrogens are quite safe; nothing significant gets absorbed, and they are quite effective.
The odds are that one of those approaches will work.
Good luck,
Mary Jane


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