How does vaginal atrophy affect sexual intimacy?
Vaginal atrophy can cause dryness, pain, and reduced elasticity, which may lead to discomfort during intercourse and a decrease in sexual satisfaction for some women and their partners.
Detailed Medical Explanation
With oestrogen deficiency, vaginal tissues lose moisture and become fragile, leading to pain (dyspareunia) and sometimes minor bleeding during sex. This can result in avoidance of intimacy, reduced desire, and impact on relationships. Open communication, use of lubricants/moisturisers, and medical treatment can restore comfort. NHS: Vaginal Atrophy & Intimacy.
Clinical Context
Women commonly report distress and loss of confidence due to symptoms. Addressing atrophy restores wellbeing and sexual health.
Evidence-Based Approaches
Guidelines encourage early treatment and partner support for sexual difficulties due to atrophy. RCOG: GSM & Sexual Health.