Updated
Updated · Slate · May 24
Woman in Her 40s Endures Painful Sex After 5 Minutes, Prompting Advice to Seek Medical Care
Updated
Updated · Slate · May 24

Woman in Her 40s Endures Painful Sex After 5 Minutes, Prompting Advice to Seek Medical Care

3 articles · Updated · Slate · May 24

Summary

  • A husband told Slate’s advice column his wife can tolerate intercourse for only about five minutes before pain and dryness force them to stop, and that she refuses to see a doctor.
  • The column said the change in her 40s could point to perimenopause or vaginal atrophy, conditions linked to falling estrogen that can cause thinning, dryness and painful sex.
  • Short-term relief may come from switching from water-based lubricants to silicone products or trying moisturizing suppositories, though the advice stressed those are stopgaps rather than a diagnosis.
  • The response urged a gynecologist visit because infections or inflammation—including yeast infections, vaginitis, ureaplasma and mycoplasma—could also be involved, and said pain during sex should not be endured.

Insights

With new guidelines affirming estrogen's safety, how can women overcome medical bias to finally get treatment for painful sex?
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