I'm 50, and became pre-menopausal aged 45. I started transdermal HRT 3 years ago which worked well for the hot flushes, brain fog and irritability. About 6 months ago I forgot to take a patch on holiday and felt fine without it - so I just stopped using it, figuring I must have been lucky enough to get through it all swiftly. I've been OK since, although sporadic hot flushes have returned.
I have noticed, however, over the last couple of years, intercourse was becoming painful - I have no problems with libido, so it started with just getting a bit sore after more than a few minutes, but recently any penetration is just too painful. It doesn't seem to be a matter of dryness necessarily - just "lack of padding" is the best way to describe it! We've tried the silicone based lubricants which were effective at first, but now even that isn't helping.
The GP has prescribed Ovestin cream, so I wondered if anyone has used it for a pain issue in particular? I don't really have any dryness or itching, not that I've noticed. But even using the Ovestin applicator is uncomfortable.