A member asked:

55 yr old female. just starting pre menapause is it normal when having sex it hurts and there is a little blood afterwards?

A doctor has provided 1 answer
Dr. James Chu answered

Dyspareunia : Estrogen deficiency in menopause causes vaginal skin dryness and thinning -- can cause pain during intercourse (dyspareunia) and light bleeding. Some women will benefit from using vaginal estrogen (cream, ring, tablet) or oral/patch estrogen replacement to treat these vaginal changes. Be sure to see a physician about other possible causes of pain: urinary infection, vaginitis, muscle spasms, etc.

Answered 10/4/2016

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