text: need a cure for painful penetration during intercourse.? have tried,estrogen cream,litacaine,lubricant. no help.penetration unbearable.feel like a burning knife at opening of vagina.had total hysterectomy in 2000.have never experienced pleasurable sex since then.have a low libido,but do desire sex occasionally and have a wonderful partner. ovaries are in great demand these days!  get an ultasound done to check if ovaries exist at the place.  have you tried premarin? though controversial it may help! else a safe way is to use shatawari ghrut, an ayurvedic paste, if available close by.  your hysterectomy suggests you had hormone imbalance (estrogen dominance causing heavy frequent cycles or similar problem, so ovaries missing is a close possibility). if that is case, local application of shatawari ghrutam for 3 months is a good remedy.