I’m Using Vaginal Estrogen but Sex Still Hurts Like Hell

It’s a common scenario. A woman is given a prescription for a local vaginal estrogen, or DHEA and uses it faithfully but continues to have painful intercourse. In most cases, the product is working just fine and there is another reason for the pain.

In this segment Dr. Streicher discusses:

• The TOP 5 REASONS women have pain despite using estrogen
• Why a WRONG DIAGNOSIS might be the problem
• The importance of treating the VESTIBULE (the opening) of the vagina
• Why a painful, tight PELVIC FLOOR might be the problem
• The role of PELVIC FLOOR PHYSICAL THERAPY 
• VAGINAL DILATORS- What they are, how they help, and how to use them. 

Soul Source Dilators
https://www.soulsource.com/

How to Find a Pelvic Floor Physical Therapist

Pelvic Floor Physical therapists trained by Herman & Wallace Pelvic Rehabilitation Institute www.pelvicrehab.com 

American Physical Therapy Association (APTA) Section on Women’s Health www.aptapelvichealth.org/ptlocator 


For further information:
Episode 3: What's Up Down There? Genital Dryness & Misbehaving Bladders
Episode 4: Is Your Lubricant Helping or Hurting Your Vagina?
Episode 5: Vaginal Estrogen- Rings, Creams, and Other Things 
Episode 11: Vaginal Estrogen is Not Poison
Episode 63 DHEA-An Estrogen Alternative for Vaginal Dryness 
Episode 83 Get the Biggest Benefit from Vaginal Creams, Rings and Other Things
Episode 130- Are You Ever Done with Menopause? 


The Essential Guide to Hysterectomy
Episode 1: Is It Menopause or Some Other Pause?
Episode 23: Welcome to Peri-menopause

Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine, and the medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society.

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