HealthRX.com · Printable question sheet
Painful sex after menopause: questions for your prescriber
Use this sheet before a visit about painful intercourse after menopause. Fill in your symptoms, bring your medicine list, ask about treatment options such as vaginal estrogen, prasterone or ospemifene, and track symptoms between visits.
About your symptoms
Write what you notice. Skip anything you are unsure about.
Pain or discomfort with sexWhere it hurts, when it started and how often
Dryness, burning or irritationDescribe any burning or itching and when it happens
Urinary symptomsUrgency, painful urination or repeated urinary infections
Any bleeding noticedWhen it happened and how much
Over-the-counter products triedLubricants, moisturizers or dilators and whether they helped
Before the visit
Gather these so the visit can cover them.
- Write the date your periods stopped, if you know it
- List every prescription medicine you take now
- List supplements and over-the-counter products you use
- Note any past breast cancer, blood clots or liver problems
- Bring your family history of cancer or heart disease
- Note any skin conditions in the genital area and where they are
- Bring this sheet and your symptom tracker
Questions to ask your prescriber
- Could my painful sex be from genitourinary syndrome of menopause?
- Could the pain be from another cause, such as a skin condition?
- Would a low-dose vaginal estrogen be an option for me?
- How do the vaginal estrogen forms compare for my situation?
- Are prasterone or ospemifene options for me, and what are their warnings?
- Would oral Premarin be considered, and why or why not?
- Which of my health conditions would change which treatment is safe?
- How will we know whether treatment is working, and when should we check back?
Symptom tracker between visits
Record each time you have sex or notice a symptom.
| Date | Pain level | Dryness or burning | Urinary symptoms | Any bleeding |
|---|---|---|---|---|
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.