Dr. Gott: Estring may help alleviate painful intercourse

Dear Dr. Gott: I see a lot of advertising for men with erectile dysfunction, but nothing for women. I am a “young” 63-year-old female. I have had diabetes since I was 36 years old, and it is under control. I walk back and forth to work each day. I am very active. Whenever my husband and I try to make love, it’s very painful. My gynecologist recommended Bactroban 2 percent cream, which did not work. I then tried KY, but it also does not work. This is ruining our sex life, and I don’t know where to turn. I have begun sleeping on the couch to avoid the chance of contact. We have been married for 28 years, and this problem has been ongoing for at least five years. We thought with time it would be OK, but it is getting worse. I am taking Lantus insulin, Glipizide, Metformin, Cozaar, metoprolol and Wellbutrin SR. Thank you in advance for any assistance you can give us.

Dear Reader: I cannot diagnose the cause of your sexual problem, but I can offer several guesses. First, there may be a physical cause, such as vaginal atrophy (shrinkage), chronic infection or a major hormone deficiency. Obviously, treatment will depend on the cause. Second, perhaps one or more of your medications is the cause. Wellbutrin is notorious for causing sexual difficulties, and one of the side effects is painful intercourse. Speak with your gynecologist about options, such as vaginal hormones or changing some of your medications (namely the Wellbutrin). You are not alone in your suffering. Perhaps the new treatment Estring will help you.

To give you related information, I am sending you a copy of my updated Health Report “Vaginal Infections and Disorders.” Other readers who would like a copy should send a long, self-addressed, stamped envelope and $2 to Newsletter, P.O. Box 167, Wickliffe, OH 44092. Be sure to mention the title.