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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 have an oophorectomy, or surgery to remove the ovaries, with their hysterectomy will also experience menopause if they have not already. Some women find that after a week or two of recovery, the menopause symptoms are a bigger problem than the surgery.