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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.
Women who are in the throes of early menopause may begin to notice cramping in their pelvic floor around ovulation or right before or after their menstrual periods. Women who already have endometriosis or IBS, may experience more pain from inflammation and built-up scar tissue once the hormones begin to decline.