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#23255
mazemelissa
Moderator

Hi 60isthenewfifty,

Post menopausal vaginal dryness can be a secondary cause for vaginismus. When the tissue of the vagina and vaginal entrance become less elastic, less lubricated and essentially not healthy, the area will be uncomfortable, burning, stinging, etc. Those painful feelings will cause a reaction in the body to tighten the vaginal muscles. This creates a viscous cycle of pain and tension, eventually causing a tightened vaginal opening.

Post menopausal atrophy with vaginal tension can be reversed. First the tissue needs to be rehabilitated, usually with either hormonal creams, other types of topicals if you can’t use hormones, or laser treatment like mona lisa. Once the tissue is healthier, one can do vaginal dilation to help stretch the muscles and make the opening bigger to have penetration with a penis again.

Key is treating both the tissue and the muscles.

Hope this helps,

Melissa