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Ask Dr. Norm S. Your Own Question
Dr. Norm S.
Dr. Norm S., Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 11297
Experience:  Over 30 years of experience in OB/GYN practice, including teaching students. Fellow of American Board of Obstetrics and Gynecology.
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I have not had sex since my husband died 2 years ago. I am

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I have not had sex since my husband died 2 years ago. I am 66 very fit and have recently met a much younger man with whom I have started a sexual relationship. After our first encounter which to say the least for me was a bit vigorous I bled a bit after words. Is this common in a women my age. The sex itself was not painful but I was a bit tight. Should I be using a lubricant? the bleeding did not last long.
Hello and welcome.
I am Dr. Norm, and I look forward to helping you today.
A lubricant would be a good first step. Most likely you are not nearly as wet as you were when younger. Most couples can benefit from using a lubricant.
Assuming that you don't use hormone replacement, your vaginal tissues are much thinner and dryer than they were before menopause. The thinness and fragility can often lead to some bleeding with intercourse. It can be easily reversed by using vaginal estrogen. The estrogen will also make the tissues more elastic and less tight.
It usually takes about 2 weeks of using vaginal estrogen cream before your vaginal tissues will be more like they were before menopause. Then the estrogen cream can just be used as needed, perhaps twice weekly.
I would recommend seeing your doctor and asking about a prescription for vaginal estrogen cream. An exam at the same time will help to rule out any more serious cause of the bleeding. Best wishes.
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