I am 50 years old, I am in the menopausal period, I ended my period three years ago. I underwent a perineoplasty and that's it. On the one hand, it is better, but the quality of sex has unfortunately deteriorated. Despite the use of moisturizing creams, I feel pain at the entrance to the vagina and the desire for further intercourse actually passes. My gynecologist said that it will be like this or really?
On the one hand, it may be that this is a permanent effect of perineal plasty, which we have little influence on. However, I think you have to consider all possible options. Have you used any local anesthetic gels - such as Lidocaine? Maybe they will be helpful. They are available with a prescription and must therefore be prescribed by a doctor. I would also consider the influence of mental factors on a given problem. Perhaps the pain that has occurred so many times has caused you to worry about the fact that you are about to have intercourse, muscle tension (including vaginal muscles), less sexual arousal, and this increases unpleasant sensations and pain. This creates a vicious circle, started by the pain that triggers the fear of another intercourse. Then the fear itself causes the pain. I suggest using an anesthetic gel and additional finger stimulation. Introducing one finger into the vagina gradually, and then two or three, may help you get used to the pain. The use of anesthetic gels will help you get out of the vicious cycle - if you do not feel pain during intercourse (because there will be anesthesia), you should not have such strong fears before the next intercourse.
Remember that our expert's answer is informative and will not replace a visit to the doctor.
Magdalena Krzak (Bogdaniuk)
Psychologist, psychotherapist, clinical sexologist and forensic sexologist. He has a Clinical Sexologist Certificate, awarded by the Polish Society of Sexology, after completing full specialization in clinical sexology in Warsaw, and a Court Sexologist Certificate. He deals with the treatment of sexual disorders in women and men. He works both individually and with couples. She conducts psychotherapy for victims of sexual violence. He conducts diagnostics and psychological support for transsexual people.
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