Can hormone replacement therapy cure dyspareunia?
Hormone replacement therapy (HRT) is highly effective for dyspareunia caused by oestrogen deficiency, but may not cure all forms of painful sex.
Detailed Medical Explanation
HRT restores oestrogen, improving vaginal moisture, elasticity, and comfort for women with menopausal or postmenopausal dyspareunia. However, pain caused by other medical, psychological, or pelvic floor issues may not respond. Local oestrogen treatments can be as effective as systemic HRT for vaginal symptoms. Consult your doctor to determine the best option. NHS: Hormone Replacement Therapy.
Clinical Context
HRT can be prescribed as tablets, patches, gels, or vaginal preparations. Benefits and risks should be discussed with your GP or menopause specialist.
Evidence-Based Approaches
NICE and BMS guidelines support HRT for women with atrophic vaginal symptoms. NICE Guidance: Menopause.