• If the cause is not enough lubrication, natural lubrication such as saliva or products such as water-soluble
lubricants can reduce friction. Artificial lubricants such as K-Y jelly, Jergen's Lotion and other creams may
make coitus possible where the lack of circulating estrogens has caused dryness. A new way to get adequate
lubrication for sexual arousal and intercourse is Replens, a vaginal gel applied three times a week. In some cases,
small amounts (one-third to one-half a tube) of a poorly absorbed estrogen like Dienestrol may help restore
lubrication and atrophy of the vagina. But if breast cancer has been diagnosed, use of estrogens may be unwise.
• Surgery or radiation therapy can cause shortening of the vagina or make the vagina less elastic. Either situation
may make intercourse difficult. Your doctor may recommend dilators to exercise and stretch the vagina. Getting
back to intercourse soon after treatment can also help prevent these problems. Different positions during
intercourse, especially sitting or lying on top of your partner, may let you move in pleasurable ways.
Communication Again, the most important thing to remember is to stop when you first feel pain. And tell your partner ahead of time that you will let him know immediately about any pain. Stopping to rest, slowing your movements, breathing deeply and sharing your feelings will help you relax. By exploring together, you and your partner will eventually discover the kinds of sexual activity that suit you best.
If You Have Trouble Reaching Orgasm The natural interruption in the ability to experience sexual pleasure after an illness may make having orgasms more difficult for some women. If this is a problem for you, learning to re-explore pleasurable body sensations may be helpful.
