Foreplay Radio – Couples and Sex Therapy

486: Fixing Sexual Pain with Dr. Polly Watson

Apr 4, 2025
Dr. Polly Watson, a menopause expert and founder of Hormone Wellness MD, dives deep into the often-taboo topic of sexual pain during menopause. She highlights that 75% of women face discomfort due to hormonal shifts and shares practical solutions involving hormone replacement and pelvic floor therapy. Dr. Watson emphasizes the importance of support from partners and the role of healthcare providers in addressing these concerns. With empowering insights, she reminds listeners that they are not alone and that enjoyable intimacy is achievable.
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INSIGHT

Sexual Pain Is Common and Treatable

  • Sexual pain in menopausal women is very common and often easily treated.
  • About 75% of women experience discomfort during menopause transition due to hormonal changes.
ADVICE

Pelvic Floor Relaxation Techniques

  • Relax your pelvic floor with diaphragmatic breathing and specialized pelvic floor physical therapy.
  • Use gentle vibrating wands like the Intimate Rose to help muscles relax and reduce pain.
ADVICE

Hormonal Treatments for Sexual Pain

  • Address sexual pain by identifying if hormonal, musculoskeletal, or both causes.
  • Use vaginal estradiol, DHEA, or compounded hormones and lidocaine for localized pain relief.
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