Of course sex after menopause is still important. If you’re experiencing moderate to severe painful sex, take action. Set up an appointment. Be ready to talk about it. You deserve to be heard.

Are you experiencing this?

Could you be experiencing moderate to severe painful sex related to menopause? Answer a few questions and find out. Then, get the most out of the visit with your healthcare provider by printing a customized doctor discussion guide to use at your next appointment.

Share a little about yourself

Rate any vaginal changes you may have felt since menopause.

Since menopause, my vagina hurts during and/or after sex.

Since menopause, I think about vaginal pain I have during sex.

Since menopause, when it comes to the pain I feel during sex, I think if I just ignore it, the pain will eventually go away.

Since menopause, I feel too embarrassed to ask my doctor about the vaginal pain I feel during sex.

Since menopause, I’m concerned that I won’t be able to have sex with my partner without vaginal pain.

Questions to ask your doctor

Select the questions below that you’d like to ask your healthcare provider. These will appear on your customized doctor discussion guide. You can also jot down some of your own questions after printing.

Thank You! Here are your results:

Your Result:

If you answered Never to most of the questions, remember that vaginal health is important. Start the conversation with your doctor now to learn what to expect after menopause.

If you answered Sometimes or Always on any of the questions, you should talk to your doctor to see if you may be living with moderate to severe painful intercourse due to menopause, a common and treatable condition called dyspareunia (dis-puh-ROO-nee-uh). Unlike hot flashes that may go away in time, pain during intercourse due to menopause may get worse if left untreated. Why wait? There’s nothing to be embarrassed about. Remember: You’re not alone.

Ask your doctor about FDA-approved Osphena® (ospemifene). Osphena is the only non-estrogen oral pill used to treat moderate to severe painful intercourse, a symptom of changes in and around your vagina, due to menopause.

Osphena may increase the risk for cancer of the lining of the uterus, stroke, and blood clots. Side effects may include hot flashes, muscle spasms, vaginal discharge, and increased sweating. Treatment should be prescribed for the shortest duration given the individual patient goals and risks. Read the detailed Important Safety Information for Osphena on this Web page below.

A doctor discussion guide with your questions can be found in a new window. If it doesn't show automatically - click here to view it.

Make an appointment. Be the one to bring it up.

Don’t be ashamed to bring it up — sex is natural and important. Often, healthcare professionals don’t bring it up. They may figure, if you had symptoms, you would say something. So, speak up and talk to your healthcare provider about it.

In a survey of postmenopausal women, results showed that


of healthcare providers don't
proactively ask about sexual health.

Source: Kingsberg SA, et al. Vulvar and vaginal atrophy in postmenopausal women: findings from the REVIVE (Real Women's Views of Treatment Options for Menopausal Vaginal Changes) survey. J Sex Med. 2013;10(7):1790-9.

Don't Forget your next Doctor's Appointment.

We'll remind you three days before you are due to visit your doctor.

Ask about Osphena®.

If Osphena is right for you, your healthcare provider may have free samples available.

Osphena Bottle

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Have Questions? Call Us 1.855.OSPHENA. M-F 8 AM - 8 PM EST

Indication and Important Safety Information

Important Safety Information and Indication

What is Osphena® (ospemifene) tablets?

Osphena is a prescription oral pill that treats moderate to severe painful intercourse, a symptom of changes in and around your vagina, due to menopause.

Important Safety Information for Osphena

Most Important Information you should know about Osphena®

Osphena works like estrogen in the lining of the uterus, but can work differently in other parts of the body. Taking estrogen alone or Osphena may increase your chance for getting cancer of the lining of the uterus. Vaginal bleeding after menopause may be a warning sign of cancer of the lining of the uterus. Your healthcare provider should check any unusual vaginal bleeding to find out the cause; so tell them right away if this happens while you are using Osphena.

Osphena may increase your chance of getting strokes and blood clots.

You and your healthcare provider should talk regularly about whether you still need treatment with Osphena.

Call your healthcare provider right away if you get changes in vision or speech, sudden new severe headaches, and severe pains in your chest or legs with or without shortness of breath, weakness and fatigue. Osphena should not be used if you have unusual vaginal bleeding; have or have had certain types of cancers (including cancer of the breast or uterus); have or had blood clots; had a stroke or heart attack; have severe liver problems; are allergic to Osphena or any of its ingredients; or think you may be pregnant. Tell your healthcare provider if you are going to have surgery or will be on bed rest.

Possible side effects of Osphena

Serious but less common side effects can include stroke, blood clots, and cancer of the lining of the uterus.

Common side effects can include hot flashes, vaginal discharge, muscle spasms and increased sweating.

Tell your healthcare provider about all of the medicines and supplements you take as some medicines may affect how Osphena works. Osphena may also affect how other medicines work.

What is Osphena® (ospemifene) tablets?

Osphena is a prescription oral pill that treats moderate to severe painful intercourse, a symptom of changes in and around your vagina, due to menopause.

Please read accompanying Patient Information for Osphena® (ospemifene) tablets, including Boxed WARNING in the U.S. Full Prescribing Information.