From the Blog
Surgical Solutions to Pain During Sex in Menopause and Perimenopause
Not all changes during “The Change” are positive – and painful sex during perimenopause and menopause can rank near the top of the “this isn’t fun” list.
As women enter perimenopause and menopause, their bodies go through a range of changes – both physical and emotional. The drop in hormones like estrogen that mark this season of life can lead to a whole lot of symptoms – and our society hasn’t always done the best job in preparing women for this transition.
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One of the lesser-discussed, yet deeply impactful aspects of this phase is the pain that many women experience during sex. Thanks to a decline in hormones, most women will experience some thinning of the vaginal tissues, making them more prone to irritation and tearing. A loss of collagen can lead to skin becoming looser, too, making penetration uncomfortable and less satisfying.
Changes in sexual desire are common, too, and can be because of hormone shifts as well as the desire to avoid uncomfortable or painful intimacy.
If you’re navigating this stage of life, it’s important to know that you are not alone and there are solutions that can help restore your comfort, confidence and pleasure. With the right care and treatment, you can overcome these challenges and enjoy a fulfilling sex life once again.
Dr. Courtenay Poucher, OB/GYN, labiaplasty surgeon and owner of the Labiaplasty Center of Los Angeles, emphasizes the importance of addressing the issues that arise during menopause and perimenopause. “Many women were raised to believe that discussions about our vaginas were ‘off-limits,’ leaving us undereducated about our bodies,” Dr. Poucher explains. “It’s crucial to break that silence and have open conversations about the discomfort and changes that happen as we age, especially when it comes to painful sex.”
Hormone Replacement Therapy (HRT) and Menopausal Hormone Therapy (MRT)
Hormone Replacement Therapy (HRT) and Menopausal Hormone Therapy (MRT) are two of the most effective treatments for vaginal atrophy, which can lead to discomfort during sex. These therapies work by restoring estrogen levels in the body, improving both vaginal lubrication and the overall health of vaginal tissues.
Non-Surgical Solutions for Pain During Intercourse: Thermiva & O Shot
If you’re looking for non-surgical, non-hormonal treatments, there are several innovative options that can rejuvenate vaginal tissue and improve sexual function. For example, ThermiVa is a non-invasive treatment that uses radiofrequency to stimulate collagen production and tighten the vaginal tissues, helping to restore both function and sensation. O Shot, which involves injecting platelet-rich plasma (PRP) around the clitoris and “g spot,” can also enhance sexual arousal by revitalizing the area.
These non-surgical options can be a great starting point for women seeking relief from pain during sex. However, if you find that these treatments don’t fully address your concerns, surgical solutions may offer further benefits.
Surgical Options for Pain During Sex: Vaginoplasty and Labiaplasty
For women who need more significant treatment, there are surgical options that can help. Both vaginoplasty and labiaplasty are minimally-invasive surgical procedures performed in office that can improve sexual comfort and function.
Vaginoplasty: This procedure tightens the vaginal canal, which may lose its tone and elasticity after childbirth or during menopause. By restoring the strength of the vaginal muscles, vaginoplasty can improve sexual function and reduce discomfort during intercourse. It can be a transformative option for women who feel that the vaginal area has become less responsive or enjoyable due to changes in muscle tone.
Labiaplasty: For women who experience discomfort due to elongated, asymmetrical or excess labial tissue, labiaplasty offers a solution. This procedure reshapes the labia to enhance both its appearance and function, improving comfort and reducing friction that may cause pain during sex. It can also boost confidence, allowing women to feel more at ease with their bodies and their intimate relationships.
If you’re experiencing pain during intercourse and are ready to explore your options, don’t hesitate to reach out to Labiaplasty Center of Los Angeles for a free consultation. With the right care and guidance, you can enjoy a more comfortable, confident and fulfilling sexual experience – no matter your stage of life.