Letters to the Editor

Lidocaine Is an Option for Treating Postmenopausal Dyspareunia


FREE PREVIEW. AAFP members and paid subscribers: Log in to get free access. All others: Purchase online access.

FREE PREVIEW. Purchase online access to read the full version of this article.

Am Fam Physician. 2015 Mar 1;91(5):279a.

Original article: Dyspareunia in Women

Issue date: October 1, 2014

Available online at: http://www.aafp.org/afp/2014/1001/p465.html

to the editor: I appreciated this article, which discussed several options for helping women deal with this difficult issue. However, I would suggest another treatment modality for postmenopausal dyspareunia, particularly if hormonal options and ospemifene (Osphena) are contraindicated. In one small study, 90% of patients with menopausal dyspareunia reported comfortable penetration when 4% aqueous lidocaine was applied to the vulvar vestibule for three minutes before intercourse.1 I have since recommended this to patients in my own practice with good results, because lubricants alone often are not enough. I would recommend this option in patients with vaginal atrophy who are unable or unwilling to use estrogen preparations or ospemifene.

Author disclosure: No relevant financial affiliations.


1. Goetsch MF, Lim JY, Caughey AB. A solution for dyspareunia in breast cancer survivors: a randomized controlled study. Obstet Gynecol. 2014;123(suppl 1):1S.

Send letters to afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680. Include your complete address, e-mail address, and telephone number. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors.

Letters submitted for publication in AFP must not be submitted to any other publication. Possible conflicts of interest must be disclosed at time of submission. Submission of a letter will be construed as granting the AAFP permission to publish the letter in any of its publications in any form. The editors may edit letters to meet style and space requirements.

This series is coordinated by Kenny Lin, MD, MPH, Associate Deputy Editor for AFP Online.


Copyright © 2015 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests.

Want to use this article elsewhere? Get Permissions


Oct 15, 2016

Access the latest issue of American Family Physician

Read the Issue

Email Alerts

Don't miss a single issue. Sign up for the free AFP email table of contents.

Sign Up Now

Navigate this Article