It’s a common scenario. A woman is given a prescription for a local vaginal estrogen, or DHEA, and uses it faithfully but continues to have painful intercourse. In most cases, the product is working just fine and there is another reason for the pain.  
In this segment Dr. Streicher discusses:

The TOP 3 REASONS women have pain despite using estrogen
Why a WRONG DIAGNOSIS might be the problem
The importance of treating the VESTIBULE (the opening) of the vagina
Why a painful, tight PELVIC FLOOR might be the problem
The role of PELVIC FLOOR PHYSICAL THERAPY 

VAGINAL DILATORS- What they are, how they help, when and how to use them. 

Other Inside Information podcasts about painful sex post menopause :

Episode 3: What's Up Down There? Genital Dryness & Misbehaving Bladders


Episode 4: Is Your Lubricant Helping or Hurting Your Vagina?


Episode 5: Vaginal Estrogen- Rings, Creams, and Other Things 


Episode 11: Vaginal Estrogen is Not Poison



Soul Source Dilators
https://www.soulsource.com/


How to Find a Pelvic Floor Physical Therapist
Pelvic Floor Physical therapists trained by Herman & Wallace Pelvic Rehabilitation Institute www.pelvicrehab.com 



American Physical Therapy Association (APTA) Section on Women’s Health www.aptapelvichealth.org/ptlocator 




Lauren Streicher, MD is a clinical professor of obstetrics and gynecology at Northwestern University’s Feinberg School of Medicine and the medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause. She is a certified menopause practitioner of the North American Menopause Society. 



Dr. Streicher is the medical correspondent for Chicago’s top-rated news program, the WGNMorningNews, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr.Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS ThisMorning, ABCNewsNow, NBCNightlyNews,20/20, and WorldNewsTonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.

Books by Lauren Streicher, MD



 Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist’s guide to eliminating post-menopause dryness and pain


Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat


Sex Rx- Hormones, Health, and Your Best Sex Ever


The Essential Guide to Hysterectomy





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