I hope someone can give me some good advice. I have had painful sex for years. It is so severe now that it is impossible. I have gotten 2 paps in the last few years at my regular doctor. When I told him about the pain, he said I wasn't dry and I should either "Use it or Lose It" ( I'd like to see a guy" use it" with that much pain) So I kept trying to use it, but it was so painful, I would sob afterwards and eventually during. When I bled after sex, I finally went to a gyn. who told me I have vaginal atrophy. It is pretty severe. He couldn't believe my doc couldn't tell I had this problem. What to do? He said he didn't know if the therapy would help or not now. I start taking Vagifem semi weekly. ( 2 or 3 x) I'm pretty upset. I have been avoiding sex like crazy in the past until our sex life is nonexistant. My husband has been pretty good about it, but I am somewhat relieved that their is a medical reason, I was afraid he was thinking I just didn't want to have sex anymore. My question is....Is there any hope for me? The gyn said that this has been going on at least 10 years. Has anyone ever had it this bad?