From the Guidelines
Estrogen, specifically vaginal estrogen, is an effective treatment for dyspareunia (painful intercourse) in postmenopausal individuals, as it has been shown to improve vaginal dryness, itching, discomfort, and painful intercourse 1. When considering treatment options for dyspareunia, it's essential to evaluate the underlying cause and the individual's medical history.
- Vaginal estrogen is a well-studied treatment for vaginal dryness and painful intercourse in postmenopausal women, including those with a history of breast cancer 1.
- The use of vaginal estrogen has been found to be safe and effective in improving vaginal atrophy and sexual function in postmenopausal survivors of hormone receptor-positive breast cancer receiving aromatase inhibitor therapy 1.
- A large cohort study of almost 50,000 patients with breast cancer followed for up to 20 years showed no evidence of a higher risk of breast cancer-specific mortality in those using vaginal estrogen 1.
- Other treatment options, such as vaginal androgens (e.g., DHEA) and selective estrogen receptor modulators (e.g., ospemifene), may also be considered for dyspareunia, but their safety and efficacy in certain populations, such as survivors of estrogen-dependent cancers, are not as well established 1. It's crucial to consult with a healthcare provider to determine the best course of treatment for dyspareunia, as individual circumstances and medical histories may vary.
- The healthcare provider can help evaluate the underlying cause of dyspareunia and recommend the most appropriate treatment option, which may include vaginal estrogen, other medications, or alternative therapies such as pelvic floor physical therapy or vaginal dilators 1.
From the Research
Estrogen Therapy for Dysquania (Dysania)
There is no direct evidence in the provided studies to suggest that estrogen helps treat dysquania (dysania).
Related Conditions and Treatments
- Vulvovaginal atrophy (VVA) is a condition that affects postmenopausal women, causing symptoms such as vaginal dryness and dyspareunia 2, 3, 4, 5, 6.
- Topical estrogen therapy is an effective treatment for VVA, relieving symptoms and improving quality of life 2, 3, 4, 5.
- Non-hormonal preparations, such as lubricants and moisturizers, can also be used to treat VVA, especially in women who are not candidates for estrogen therapy 4, 6.