Ospemifene
dyspareunia
"This medication started working immediately.  Within three days--more moisture. Within the next week, my interest in sex returned and I felt a major decrease in pain.  I have been using this medication for 5 months now.  Am I completely discomfort free?  No.  However, with use of a lubricant like coconut oil (best I've used) or olive oil (second best), both of which are the most like the body's natural moisture and some modifications in position or speed, this medicine has been a miracle for us.  Unlike when we were young, it takes more preparation to be physically ready for intercourse, but we've adapted to those changes.  I was/am frightened by the potential side effects.  The only drawback for me at this point is an increase night sweats"