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Q: I used to love sex. Now I find it really painful. How can I get my groove back?

A: Many women don't realize that there are changes to vaginal tissue that happen as a result of menopause and the loss of estrogen. If untreated, these changes—dryness, loss of elasticity, thinning tissue—often cause pain during sex. But take heart: We have treatments for that. Some women find that simply using lubricants during sex helps with dryness. But for many, these sex symptoms are best treated with prescription estrogen in the form of an insertable cream, pill or ring. They're easy to use and no more intrusive than a tampon. Don't give up—your groove awaits! — Sheryl Kingsberg, PhD, chief of ob-gyn behavioral medicine at University Hospitals Case Medical Center