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Doctor insights on: Is Menopause Painful

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Dr. Janet Greenhut
1,742 Doctors shared insights

Menopause (Definition)

The absence of menstrual periods for 12 months. During menopause, the ovaries stop producing estrogen and progesterone. After the complete transition into menopause, women can no longer get pregnant. The average age for menopause is 51 years old. Symptoms include dry vaginal tissue, irregular periods, hot flashes, mood ...Read more


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Could menopause cause bone pain, painful joints etc.?

Could menopause cause bone pain, painful joints etc.?

Not commonly: Some women complain of aches and pains but these are not typical joint pains. Certainly the joints do not show any obvious damage, swelling or inflammation which is the case in most types of arthritis. ...Read more

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How long does it take a Premarin (conjugated estrogens) cream to work? I am menopausal and sex is painful.

How long does it take a Premarin (conjugated estrogens) cream to work? I am menopausal and sex is painful.

Vaginal estrogen: Vaginal Estradiol takes at least a couple of weeks to change weak vaginal tissue back to a heathy resiliant vagina. I personally prefer to prescribe bio-identical Estradiol (some brand names are Estrace vaginal cream or vagifem vaginal tab or Estring (estradiol) vaginal ring) to restore vaginal health. ...Read more

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Will my uterus shrink after menopause? I have very painful adenomyosis which presses on my bladder.

Will my uterus shrink after menopause? I have very painful adenomyosis which presses on my bladder.

Good chance: That you will get alot of relief after menopause. Conservative surgery for adenomyosis is often unsatisfactory. Hysterectomy coudl bea good choice if you are not ineterested in future childbearing. ...Read more

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Will my uterus shrink after menopause, I have very painful adenomyosis which presses on my bladder.?

Will my uterus shrink after menopause, I have very painful adenomyosis which presses on my bladder.?

Yes: Once you go through menopause, defined as no period for 12 months, then your uterus will get slightly smaller and the adenomyosis will get better. If there is any confusion about the source of your pain, call your doctor! ...Read more

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Painful sex while in menopause?

Painful sex while in menopause?

Vaginal atrophy: Results from lack of estrogen. This thinning of the vaginal mucosa makes intercourse painful for the post menopausal woman. The condition can be treated with vaginal estrogen or systemic estrogen. Vaginal lubricants also help. ...Read more

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Will I ever enjoy sex again after menopause? Ever since I started going through menopause, sex has become more and more uncomfortable and almost painful. Is there anything I can do to enjoy sex again? .

Will I ever enjoy sex again after menopause? Ever since I started going through menopause, sex has become more and more uncomfortable and almost painful. Is there anything I can do to enjoy sex again? .

You: You can absolutely enjoy sex after menopause. First, make sure you're comfortable with your own body, then take that new knowledge and understanding and bring it into your relationship. Lower levels of estrogen after menopause can make the vaginal mucosa dry and thin, sometimes making sex uncomfortable. Lubrication is key. Experiment with different lubricants, and make sure you're using plenty. Talk to your doctor about this issue. There are certain medications that may be of help to you. ...Read more

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I'm in menopause and having sex is very painful is there something I can do?

I'm in menopause and having sex is very painful is there something I can do?

Yes.: If the pain you are having is at the opening of the vagina, and feels like a burning or tearing sensation. That is often due to loss of estrogen, and loss of elasticity and moisture in the vagina that can cause burning or dryness. You can use lubricants; or estrogen creams or tablets that will help a lot, or hyaluronic acid creams if you are not able to use Estrogens or hormones. Talk to your dr. ...Read more

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She has painful canker sores caused by menopause. Why the pain become unbearable/intolerable, when she is around fragrances/scents?

She has painful canker sores caused by menopause. Why the pain become unbearable/intolerable, when she is around fragrances/scents?

Osmophobia: Is sensitivity or aversion to smells. The condition is due to increased activation of specific scent and pain receptors in the brain. ...Read more

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I'm 55 I been spotting off and on for 3days a lot of cramping very painful I'm in menopause already?

I'm 55 I been spotting off and on for 3days a lot of cramping very painful I'm in menopause already?

Depends on cycles: You may want to check in with an obgyn and be examined. What have your cycles been like previously? Do you have any risk factors for cancer like obesity? Are you using any contraception? Regular pap smears? ...Read more

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I am 54 years old with a painful ovarian cyst for 4 years now. Ultrasounds show it is simple. Does it need to be removed? I am not menopausal yet.

Maybe: You do not mention how large or small it is. A large simple cyst can be painful just as a small one. If it does not respond to treatment and it is still painful, there may not be that many options left other than take it out. ...Read more

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Last 2 periods - painful & hvy. I was supposed to get my period on 3/31 & spotted light that day that's it. 46 w/ hot flashes. Can it be "menopause"?

Last 2 periods - painful & hvy. I was supposed to get my period on 3/31 & spotted light that day that's it. 46 w/ hot flashes. Can it be "menopause"?

Pre-menopause: Sounds like the early stages of heading towards menopause. I tell my patients that irregularity tends to be the regular thing for most people at this stage of their lives. However, that doesn't mean that there is nothing you can do to make the transition more gentle. Talk to your doctor about options. ...Read more

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Good day I am a 45 year old female who is menopausal. I have been suffering with sometimes a painful sensation in the area between my vagina and thigh?

Good day I am a 45 year old female who is menopausal. I have been suffering with sometimes a painful sensation in the area between my vagina and thigh?

Vaginismus: Or (menopausal) atrophy of the vaginal tissues. If you are sexually active, ask your physician about Premarin (conjugated estrogens) Vaginal Cream (conjugated estrogen cream) and additionally, use prolonged foreplay with sexual lubricant during penetration. Take occasional position changes and empty your bladder after intercourse. ...Read more

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I am going through the menopause and getting hot flushes day and night. I now have a rash on my chest. Could it be a sweat rash? Not itchy or painful.

I am going through the menopause and getting hot flushes day and night. I now have a rash on my chest. Could it be a sweat rash? Not itchy or painful.

Rash: A rash is best evaluated and treated when a physician can actually see it. Sounds like the rash is a separate entity from the menopause. ...Read more

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I'm 51, menopausal (no period), and intercourse has become painful. Lubrication doesn't help. I've been examined by my doc. What to do?

I'm 51, menopausal (no period), and intercourse has become painful. Lubrication doesn't help. I've been examined by my doc. What to do?

Estrogen?: Hormones like Premarin (conjugated estrogens) gel may help to rejuvenate your lower genital tract. However, your extra lubrication would certainly be a good idea, and if you have not tried a different one, do so. And, you should be liberal with it. ...Read more

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43 yo 5 IVF, ectopic pg, dysfunctional ovaries... 2 period 3wks. 2ndvery painful feeling hot menopause?

43 yo 5 IVF, ectopic pg, dysfunctional ovaries... 2 period 3wks. 2ndvery painful feeling hot menopause?

Possible: In the several years prior to stopping periods it is common to notice irregular periods and hot flashes or night sweats. A hot flash typically is a feeling of heat often over head and chest that lasts 5-10 minutes. It may or may not include sweating. Peri menopause is the several years prior to menopause when the hormones get increasingly irregular. ...Read more

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What is a good medicine for dry vagina and painful intercourse of women after menopause?

What is a good medicine for dry vagina and painful intercourse of women after menopause?

Estrogen cream: The vagina is dependent upon estrogen to avoid atrophy, dryness, and loss of elasticity. All of these need to be treated to make intercourse enjoyable. All of these are reverted back to normal with estrogen. The fastest way is to use a vaginal estriol cream. Oral estrogen, or estrogen patches will take care of the problem long term. This is only one of the tremendous benefits of taking estrog. ...Read more

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What would make a menopausal woman (49 yrs) grow toned and strong muscles when she's been totally inactive due to a painful knee injury? Confused!

What would make a menopausal woman (49 yrs) grow toned and strong muscles when she's been totally inactive due to a painful knee injury? Confused!

Nothing will help: If you want 'toned and strong muscles ' total inactivity is not going to help only way is exercise and exercise only. Inactivity will lead to muscles atrophy, see a physical therapy doctor who can help you ...Read more

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Second month on HRT and I am getting heavy bleeding and painful menstrual cramps. Is this normal? I used to get bad periods before menopause started.

Second month on HRT and I am getting heavy bleeding and painful menstrual cramps. Is this normal? I used to get bad periods before menopause started.

Yes and no: Yes this is a common side effect, but say "no" to it if you can't tolerate, and you 'd better consult your physician to either adjust the dose, add a diff. Med to it, change it to a different form, or any better solutions. ...Read more

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24 with very irregular painful and heavy periods. Hot flashes. Painful intercourse. Low sex drive. Family history: premature menopause & endometriosis

Too young: Menopause prior to age 40 is considered to be premature so you are too young for a normal menopause but there is no way to be too young for premature menopause. To know whether this is what you are experiencing you need to know what caused it in your family members and you need to be seen for a full history, exam, and appropriate testing. Hope this helps. ...Read more

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What is menopause?

What is menopause?

End of one's period: Menopause is defined as the absence of menstruation (one's period) for a year. The ovaries have stop releasing eggs (ovulating), and estrogen and Progesterone levels fall off as well. One's period becomes intermittent, vaginal bleeding becomes irregular, and then stops, all over a course of several months. Symptoms include hot flashes, mood and sleep changes, thinning hair, less full breasts. ...Read more

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What is menopause like?

Many changes: Most women experience some combination of symptoms including: menstrual irregularities, irritability, mood changes, sleep disturbances, hot flushes, night sweats, vaginal dryness, and decreased libido. In no particular order or timing. Earliest symptoms can start up to 10 years before menoause. ...Read more

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When does menopause end?

Varies: Technically menopause ends with the last period, however you are probably referring to the symptoms of menopause. Symptoms may persists for a few months to several years. It varies tremendously and there is no way to predict for any one individual how long symptoms may persist ...Read more

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Why does menopause occur?

Why does menopause occur?

Ovaries stop working: Physiologically, menopause occurs when the ovaries stop producing eggs, and then stop making estrogen. If you are asking teleologically why this occurs, it is because, from an evolution point of view, it is not advantageous for a species to produce offspring at an older age when they are not likely to live long enough to have the offspring survive (life expectancy was ...Read more

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When does menopause occur?

When does menopause occur?

Average 50: It partly depends on family history, but somewhere around age 50. ...Read more

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When does menopause happen?

When does menopause happen?

Average age is 51: In the us the average age for natural menopause is 51. But it can happen earlier or later and still be normal. ...Read more