Talk to Your Doctor About Painful Sex
Contrary to outdated stereotypes, many women in their 50s, 60s, and even 70s enjoy vibrant and fulfilling sex lives. Research suggests that sexual activity and satisfaction do not necessarily decline with age, with one study showing that nearly 60 percent of women over 60 in committed relationships reported being sexually active, with satisfaction levels similar to those of women in their 30s and 40s.
With that being said, hormonal changes in the menopausal and postmenopausal years can introduce physical issues that diminish the pleasure of intimacy. If you’re experiencing discomfort or pain during sex, it’s important to know that help is available. This common issue often stems from vaginal atrophy (VA), in which hormonal changes cause the vaginal tissues to thin, dry, and become inflamed. You’re not alone—over half of postmenopausal women experience these symptoms, but many don’t discuss them with their doctor due to embarrassment or misconceptions about aging.
Decreased estrogen and VA are primary culprits of postmenopausal painful sex. Other factors include changes in pelvic floor muscles, pelvic organ prolapse, and urinary tract infections (UTIs). It’s crucial to talk openly with your health–care provider about these symptoms to find the right solutions. There are several strategies to help ease painful sex. Water–based or silicone-based lubricants can alleviate dryness, while regular use of vaginal moisturizers can hydrate tissues. Non–systemic estrogen therapy, which is applied locally to the vagina, can also be beneficial and is safe for most women.
Painful sex can impact overall emotional well–being and quality of life. Addressing this issue with your doctor can lead to effective treatments and improved sexual health. Don’t hesitate to seek help and explore the many options available to regain comfort and pleasure in your intimate life.
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