Estrogen cream could potentially help with local treatment of the vagina; it works better than the hormonal replacement therapy women typically take for hot flashes and night sweats.
Is it expected that every woman should have an orgasm? It is interesting about 20 percent of women actually won’t have an orgasm with their partner and they need to do it on their own. And there is also a small portion of women who have never had an orgasm. And when we talk about sexual dysfunction, the central component of it is personal distress. If a woman says she doesn’t have an orgasm, but it doesn’t cause her distress, she has or has been in an intimate relationship, she is fulfilled and feel satisfied, and it is a healthy relationship without an orgasm than it actually not considered a problem.
It is a little different in men. Women are a bit more complex than men. We always joke about for a man for the sexual function it is kind of like a light switch – turn it on and turn it off. For a woman, it is a lot more complex, and there are different components to a woman being sexually satisfied:
- their own body image,
- the relationship with their partner,
- their medical problems,
- their stressors in their life.
And you know just different components that really come together to make a woman sexually satisfied an orgasm doesn’t necessarily have to be a part of that to make them feel happy.
And then the last category that seems a little bit more problematic is a pain. So what are the usual causes of pain during intercourse? Yes, a woman can have pain with intercourse for a few different reasons:
Dyspareunia – is when a woman has pain with sex for various reasons, where the muscles can be tender or there could be an underlying disease such as endometriosis that is just causing the organs nearby not to move so it makes it a difficult and painful with the activity.
Vaginismus – is when the actual pelvic muscle spasms and it is much more discomfort for the woman at times. Either of these problems it is still a team approach because when you are having pelvic pain and pain with intercourse, you need to talk to your partner about it. You usually need a therapist so you can both feel comfortable talking about what approaches you can use to make things less uncomfortable.