1. You experience pain during intercourse
“Pain during sex may occur initially with first sexual experiences, but should not persist over subsequent contacts,” says Dr. Wendy Wolfman, director of the menopause unit at Mt. Sinai Hospital, and professor of obstetrics and gynecology at the University of Toronto. On going pain during intercourse should be investigated. “Sometimes people have pain during sex because they have an infection, or something wrong internally, so a gynecologist should assess the problem,” she says.
Other causes of pain during sexual activity include vaginismus (a muscular issue that causes a woman’s pelvic muscles to tighten), and menopausal dryness and shrinkage of the vaginal opening. A talk with your doctor can help you find a solution. “There are many things we can offer women who have discomfort during intercourse,” says Dr. Wolfman. Pelvic physiotherapy can treat vaginismus, while local estrogen therapies, lubricants and dilators can aid menopausal sexual discomfort.