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Avoiding Sexual Pain After Menopause

November 10, 2023

Sexual intimacy is a vital component of a holistic human experience. However, for many women undergoing menopause, sexual activities can become a source of discomfort rather than pleasure. Menopausal and postmenopausal women often experience pain during intercourse, a condition medically termed dyspareunia. This article sheds light on the causes of sexual pain post-menopause and offers potential treatments to address this concern, ensuring that sexual health doesn't wane with age.

 Causes of post-menopausal sexual pain

The primary culprit behind painful intercourse after menopause is hormonal change. The body's production of estrogen, a hormone responsible for maintaining the elasticity and moisture of the vaginal lining, decreases significantly during and after menopause. This reduction leads to:

Hormonal Changes

  • Vaginal Atrophy: The vaginal walls become thinner, less elastic, and more fragile.
  • Vaginal Dryness: Reduced estrogen levels also mean less vaginal lubrication, making sexual activity uncomfortable.

 Physical Changes and Health Conditions

Apart from hormonal shifts, other health-related factors can contribute to painful sex:

  • Pelvic Inflammatory Disease (PID): An infection of the female reproductive organs can lead to pain.
  • Urinary Tract Infections (UTIs): They can cause discomfort during and after intercourse.
  • Interstitial Cystitis: A chronic condition characterized by bladder pressure and pain can lead to painful intercourse.

 Psychological Factors

Emotional and psychological factors can exacerbate the experience of pain:

  • Anxiety and Stress: Can affect the body's ability to relax, making sexual activity less comfortable.
  • History of Trauma: Past traumatic sexual experiences can lead to fear or anxiety around intercourse.
  •  Treating and Preventing Painful Sex Post-Menopause

It's crucial to understand that painful intercourse is not an inevitable part of aging. There are several treatments available that address both the root causes and symptoms of pain.

Pelvic Floor Exercises

Pelvic floor pain, often manifesting as a deep discomfort or tension in the pelvic region, can be a significant barrier to a fulfilling sexual life. This discomfort can arise from various causes, including muscle imbalances, trauma, or underlying medical conditions. Fortunately, pelvic floor exercises, commonly known as Kegels, have been proven to strengthen and tone the pelvic muscles, promoting flexibility and reducing muscle tension. By consistently practicing these exercises, many individuals find relief from the discomfort and pain, leading to more pleasurable and comfortable sexual experiences. Innovative devices like the vFit Gold Device from further enhance the effectiveness of these exercises, using light and thermal energy to stimulate the pelvic muscles and improve blood circulation, thus offering a holistic approach to alleviating pelvic floor pain during intimacy.

Topical Estrogen Therapy

One of the most common treatments for dyspareunia resulting from vaginal atrophy is the application of topical estrogen. Available in various forms, like creams, tablets, and rings, they help restore the vaginal tissues by supplying direct estrogen to the affected area.

Vaginal Moisturizers and Lubricants

For women who experience vaginal dryness, over-the-counter vaginal moisturizers can be applied regularly to maintain moisture. Moreover, water or silicone-based lubricants can be used during intercourse to reduce friction and discomfort.

Pelvic Floor Therapy

Pelvic floor physical therapy involves exercises and techniques that strengthen the pelvic muscles. It can particularly benefit women experiencing pain due to muscle tension or spasms.


  • Ospemifene: This oral medication is designed to treat pain resulting from vaginal atrophy. It works by mimicking estrogen's effects on vaginal tissues.
  • Local Anesthetics: Temporary solutions, like lidocaine gel, can numb the vaginal area, reducing pain during intercourse.

 Counseling and Therapy

For women whose pain has psychological roots, counseling or sex therapy can be beneficial. A professional can offer techniques and strategies to cope, communicate with partners, and rebuild a healthy sexual relationship.

Sexual Health After Menopause

Sexual health doesn't have to decline with menopause. By addressing the root causes of post-menopausal sexual pain and seeking the right treatments, women can continue to enjoy a fulfilling sexual life. Open communication with partners and healthcare providers, along with self-education, can significantly enhance post-menopausal sexual health.

Menopause is a natural phase of a woman's life, and the challenges it brings, like painful sex, can be addressed. With the right knowledge and treatment, women can navigate this phase with confidence, maintaining a vibrant and satisfying sexual life.

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