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I've been post-menopause for about three years. I experienced the symptoms of vaginal atrophy almost immediately after menopause. Intercourse HURT LIKE HELL no matter how aroused I was or how much lubrication was produced naturally. It generally resulted in some minor tearing and bleeding no matter how careful my husband and I used to be.
If your uterus and both your ovaries are removed, you will never again menstruate; and because of the abrupt loss of ovarian hormones, you will undergo menopause-related changes almost immediately. This result is referred to as sudden menopause or surgically induced menopause.