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Tips on discussing vaginal irritation and pain
Atrophic vaginitis is a condition that occurs in menopausal women as a result of decreased estrogen levels. The vulva and lining of the vagina become thin and easily damaged, causing vaginal irritation. Reduced vaginal lubrication causes dryness and can lead to pain during sexual intercourse. It may help you to know that these changes are normal and can be treated.
If you feel awkward talking about vaginal irritation and pain, you should know that you're not alone. It's normal to feel self-conscious. There are effective treatments that can relieve the vaginal discomfort associated with atrophic vaginitis that can lead to pain during sexual intercourse. Menopause and atrophic vaginitis do not automatically mean the end of an active sex life.
Talking with your partner
Communication is one of the best ways for maintaining an active sex life. Try to be open and honest as you discuss the impact that vaginal irritation has on your enjoyment of sex.
Consider inviting your partner to visit your health care professional with you. You may actually find the support helpful during your consultation. Explain that the more your partner understands about vaginal dryness and atrophic vaginitis in general, the more reassured and educated you both will be. Your partner's participation can also strengthen your relationship.
Talking with your doctor or nurse
Before visiting your health care professional about vaginal discomfort, you should prepare for your visit. Make a list of questions to ask your health care professional before your visit so you don’t forget them. Consider the following:
- Include symptoms and concerns on your list.
- It might be a good idea to let the receptionist know that you plan on asking numerous questions during your visit so that more time can be allotted.
- You may be more comfortable getting your list of questions to your health care professional before you actually get into the exam room.
Also, bring a list of all the medications you’re taking, including over-the-counter medications.
During the visit, if your health care professional is rushing you along, don’t hesitate to ask him or her to slow down and let you tell your story. Don’t be afraid to bring up sexuality. Health care professionals might not bring up sex with you because they don’t want to make you uncomfortable, but they are trained and comfortable discussing sexual concerns with patients.

