Pain during intercourse, called dyspareunia, affects many women after menopause. It is not something you simply have to accept.
Quick Answer
The most common cause is thinning and dryness of vaginal tissue from lower estrogen. Pelvic floor muscle tension, loss of desire, medical conditions and anxiety about pain can add to it. Treatments include lubricants, moisturisers, local estrogen, pelvic floor therapy and, in some cases, other medicines.
Common Causes
- Vaginal dryness and thinning
- Reduced blood flow and elasticity
- Pelvic floor muscle tightness
- Skin conditions of the vulva
- Infections
- Fear and tension that tighten muscles
Symptoms to Note
- Burning or tearing at entry
- Deep pain with thrusting
- Spotting after sex
- Soreness for hours afterwards
Solutions to Discuss
- Regular vaginal moisturisers and lubricants
- Local estrogen therapy where suitable
- Non-hormonal prescription options
- Pelvic floor physiotherapy
- Longer foreplay and communication with your partner
- Counselling when anxiety is a factor
Practical Tips
- Go slowly and use plenty of lubricant
- Try positions that give you control
- Intimacy does not have to mean penetration
When to See a Doctor
- Pain that persists or worsens
- Bleeding after intercourse
- Pain with urination
Key Takeaways
- Pain after menopause is common and treatable.
- Low estrogen is a leading cause.
- Pelvic floor tension may play a role.
- Several treatment options exist.
- Seek help for bleeding or persistent pain.
Final Thoughts
You do not need to stay silent about pain. For an assessment in a private, respectful setting, you can consult Dr. Hiba Gul at MyLadyDoc in Bangalore.