Painful Sex After Menopause: All About Causes And Relief

Painful Sex After Menopause: All About Causes And Relief |

Menopause can cause physiological and emotional side effects that disrupt a healthy sex life. Perimenopause comes a few years before a woman completely stops menstruating and is characterized by hot flashes, night sweats, and other unpleasant symptoms. The climacteric technically occurs when menstruation is not observed throughout the year. Despite the fact that every woman can experience menopausal changes differently, from 17 to 45% of women passing through this period report that sexual activity gives them painful sensations. Fortunately, there are options that help cope with the painful intercourse after menopause.

Why Is Sex Painful After Menopause?

The painful sex after menopause happens due to two different reasons. Here, they are:

Physiological changes 

The climacteric, first of all, manifests itself in certain physiological processes which can vary from a woman to woman. They are interconnected with emotional problems in menopause. During the initial stage of the climax, the level of hormones (estrogen and progesterone, namely) decreases. This provokes the blood vessels to change, as well as tissues of the vagina and vulva. The process results in increased sensitiveness of these parts of the female body. To make the situation even worse, there is less lubrication than before (it improves friction during intercourse). It makes the risk of damage during sexual activity even greater.

However, not all women experience severe physiological changes in the menopausal period, more than that, the degree of manifestation of such symptoms varies. However, if they interfere with a woman’s normal activities, she should seek medical help.

Emotional changes

The physiological symptoms of the climax can also provoke emotional side effects. A change in hormonal levels can disturb sleep or worsen mood, leading to fatigue, irritability, anxiety, and depression. The processes that occur in menopause sometimes cause serious emotional problems that can play no less significance than the physiological aspects, especially when an intimate life is affected. That is when treatment for painful sex after menopause required.

The most typical emotional side effects of the climacteric that can interfere with sexual life may include:

  • depression and despondency;
  • an unreasonable feeling of loss and regret;
  • decreased sexual desire;
  • anxiety, nervousness, uncertainty;
  • irritability;
  • a lack of concentration and motivation;
  • constant fatigue;
  • decreased self-confidence;
  • a feeling of helplessness.

Simple Ways to Get Rid Of Painful Sex After Menopause

Many women after the climacteric complain about the difficulty of getting an orgasm. Representatives of the fair sex have a sexual desire, a psycho-emotional mood, too, but the climax of sexual intercourse does not happen because of the pain.

The root cause is the lack of stimulation of the nerve endings of the walls of the vagina and clitoris due to contractile weakness of the uterus and a decrease in the elasticity of the soft tissues of the latter. Also, the lessened quantity of lubrication plays its role. However, the partner’s skillful actions, regular exercise therapy exercises to strengthen the tone of the muscles of the genitals, can help a woman achieve a peak of pleasure.

Painful Sex After Menopause Treatment

The main recommendations on the treatment for painful sex after menopause of modern medical specialists include the following points:

  • Hormone replacement therapy. The simultaneous administration of estrogen and progesterone medication is prescribed;
  • Prescription of symptomatic drugs to eliminate the unpleasant manifestations of the climacteric. It can be painkillers (for migraines), antidepressants (in case of stress and depression), sleeping pills (for sleep disorders), etc.;
  • The use of vitamin-mineral complexes for additional support of the body;
  • Physiotherapy exercises aimed at improving the tone of the smooth muscles of the genitals, as well as the prevention of possible problems with the musculoskeletal system;
  • Normalization of circadian rhythms. A woman during menopause is recommended to sleep at least 8 hours a day, go to bed and get up at the same time, periodically rest during wakefulness;
  • Daily meals scheme correction. Nutritionists prescribe a rational diet with a decrease in the intake of simple carbohydrates, trans fats, highly fried and smoked foods, marinades. On the contrary, they insist on the introduction of more healthy vegetables, fruits, greens as the painful sex after menopause treatment.
  • Cardio load. In addition to exercise therapy, it is advisable for a woman to engage in cardio training of mild or moderate intensity;
  • Preparing for intimacy. Creating an optimal atmosphere for future sex, aromatherapy, availability of pre-prepared lubricants, if necessary – the use of natural stimulants;
  • Rejection of bad habits. 

Natural Remedies For Painful Sex After Menopause

Despite the fact that much painful sex after menopause natural remedies are considered effective in combating the symptoms of the climax, their benefits have been studied quite superficially. Some supplements are even considered harmful if taken continuously.

Among the most popular supplements, the benefits of which are not scientifically proven, they distinguish the following.

  • black cohosh;
  • biennial donkey;
  • fluffy Dioscorea creams (wild yams);
  • intoxicating pepper;
  • red clover;
  • angelica Chinese.

Plant estrogen or phytoestrogen is also found in some legumes, such as soybeans. In addition, this substance is found in selected cereals, seeds, and fruits.


Official state bodies do not control the content and quality of natural remedies for painful sex after menopause, which is why women are forced to use them at their own peril and risk. In this regard, it is better to buy such products from trusted manufacturers.

It should also take into account the fact that many of the above plants interact with traditional medicines. This means that before using them to combat painful tight sex after menopause, a woman should consult with a doctor.

In addition, today, bioidentical hormones are available on the market, many of which are officially approved products supplied by major pharmaceutical companies. Manufacturers began to release such preparations after it became known that traditional synthetic hormones increase the risk of cancer and diseases of the cardiovascular system.

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Painful Sex After Menopause: All About Causes And Relief
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Emma J. Johnson

Menopause consultant and sex therapist, media personality, author, woman health expert.

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