Pain or discomfort during intercourse

Pain or discomfort during intercourse - clinically known as dyspareunia - is one of the most impactful consequences of Genitourinary Syndrome of Menopause (GSM). It affects intimate relationships, self-image, and overall quality of life in ways that can be profound and isolating. At Renew Health and Wellness, Dr. Jennifer Redmond, CNP, DNP addresses this symptom with the seriousness it deserves. She begins with a comprehensive assessment of vaginal tissue health, hormonal levels, and pelvic floor function. The root cause in most cases is the dramatic decline in estrogen that occurs during and after menopause, which causes vaginal tissues to thin, lose lubrication, and become susceptible to microtears, inflammation, and pain.

Treatment targets this underlying hormonal deficit directly. Local vaginal estrogen therapy - available in cream, suppository, or ring form - delivers estrogen precisely where it is needed. It restores tissue thickness, elasticity, and natural moisture without the systemic absorption associated with oral hormone therapy. For women receiving systemic bio-identical and body-identical hormone therapy for other menopausal symptoms, GSM symptoms often improve as part of the broader hormonal restoration. Complementary options such as intravaginal DHEA or Ospemifene may also be incorporated based on your health profile. Compounded topical vaginal formulations are another option discussed as part of your comprehensive care plan.

Our on-site mental health therapist is available to address the emotional and relational toll that painful intercourse often carries. At Renew Health and Wellness, intimacy should not be painful - and we have the tools and expertise to help you reclaim comfort.