New treatment for painful intercourse after menopause

Painful intercourse, also known as dyspareunia, is a common symptom experienced by many women after menopause. While there are various treatments available, new research and advancements have led to the development of innovative therapies to alleviate this condition. Here are some new treatments for painful intercourse after menopause:

1. Vaginal Estrogen Therapy: Vaginal estrogen therapy (VET) is a topical treatment that delivers estrogen directly to the vagina, helping to restore vaginal moisture and elasticity. This can reduce pain and discomfort during intercourse.
2. Ospemifene (Osphena): Ospemifene is a selective estrogen receptor modulator (SERM) that is specifically approved for the treatment of dyspareunia in postmenopausal women. It works by increasing vaginal lubrication and reducing inflammation.
3. Bupivacaine (Marcaine): Bupivacaine is a local anesthetic that can be injected into the vagina to numb the area, providing temporary relief from pain during intercourse.
4. Platelet-rich Plasma (PRP) Therapy: PRP therapy involves injecting platelet-rich plasma (PRP) into the vagina. PRP is derived from the patient's own blood and contains growth factors that promote tissue repair and regeneration. This treatment has shown promise in reducing pain and improving sexual function.
5. Low-Level Laser Therapy (LLLT): LLLT uses low-intensity laser or light-emitting diodes to stimulate cellular processes, promoting tissue repair and reducing inflammation. This treatment has been shown to improve vaginal health and reduce pain during intercourse.
6. Pelvic Floor Physical Therapy: Pelvic floor physical therapy (PFPT) is a non-invasive treatment that targets the muscles and connective tissue in the pelvic floor. PFPT can help improve sexual function, reduce pain, and increase vaginal lubrication.
7. Vaginal Laser Therapy: Vaginal laser therapy uses a laser to stimulate collagen production, improving vaginal elasticity and reducing pain during intercourse.
8. Hyaluronic Acid (HA) Injections: HA injections involve injecting a natural substance into the vagina to stimulate collagen production and improve vaginal health. This treatment has been shown to reduce pain and improve sexual function.
9. Botulinum Toxin Injections: Botulinum toxin injections can be used to relax the muscles in the pelvic floor, reducing pain and discomfort during intercourse.
10. Combination Therapy: Many healthcare providers recommend combining two or more of these treatments to achieve optimal results. For example, combining VET with ospemifene or PRP therapy may be more effective than using a single treatment.

It's essential to consult with a healthcare provider to determine the best course of treatment for your specific case of painful intercourse after menopause. They will help you weigh the benefits and risks of each treatment and develop a personalized treatment plan.