Painful Sex Gets a New Treatment
Generally gynos have recommended estrogen therapy as the treatment of choice for this condition, but not all women want to take estrogen therapy, and very little else works. Now there is an alternative. The new painful sex treatment ospemifene is a selective estrogen receptor modulator that makes vaginal tissue thicker and less fragile, resulting in a reduction in the amount of pain women experience with sexual intercourse. It is a given as a pill, and it works fairly rapidly to restore the natural moisture and the comfort of sex. We estimate that virtually all women remaining sexually active into their post menopausal years will have this complaint if not treated by hormone therapy, so a great number of women stand to benefit by considering this therapy. Women need to be treated for about 3 months for full effectiveness, and there is a warning that the medication can cause thickening of the lining of the uterus which would need to be evaluated. Women experiencing unusual vaginal discharge or bleeding need to see their gyno to see if they have this complication.