Sexual health is an important part of a woman’s overall well-being, but it’s not uncommon for women to experience changes in sexual function as they age. One concern we often hear at Cherokee Women’s Health Specialists is pain during sex, especially after age 40. Many women wonder: Is this normal, or could it be a sign of something more serious?
Why Sex May Become Painful After 40
Several factors can contribute to painful sex (called dyspareunia) as women approach midlife:
- Perimenopause and Menopause: As estrogen levels decline, vaginal tissues become thinner, less elastic, and drier. This can make intercourse uncomfortable or even painful.
- Hormonal Changes: Shifting hormone levels can affect libido, arousal, and natural lubrication.
- Pelvic Floor Disorders: Conditions such as pelvic organ prolapse or muscle tension can cause discomfort during intercourse.
- Medical Conditions: Endometriosis, fibroids, ovarian cysts, or infections can cause pain during sex.
- Emotional Health: Stress, anxiety, and past trauma can contribute to sexual pain.
When Painful Sex Is Not “Normal”
While occasional discomfort may simply be related to hormonal changes or temporary dryness, pain that is persistent, severe, or worsening is not normal and should be evaluated. Seek medical care if:
- Pain happens every time you have sex
- You experience bleeding, unusual discharge, or other symptoms
- Pain lingers after intercourse
- Your sex drive has decreased due to fear of pain
- You feel a mass, pressure, or bulging in the vagina
- Sex was previously comfortable but is now painful
These could be signs of underlying conditions that need medical attention—and the good news is, many are treatable.
Solutions Are Available
At Cherokee Women’s Health Specialists, we understand how painful sex can affect your physical health, emotional well-being, and relationships. Our board-certified OB/GYNs and double board-certified urogynecologists offer comprehensive evaluation and treatment options, including:
- Hormone therapy or vaginal estrogen
- Medications for infections or inflammation
- Pelvic floor physical therapy
- Minimally invasive surgery for certain conditions
- Vaginal rejuvenation treatments for dryness and tissue health
- Counseling or sex therapy referrals for emotional support
Don’t Suffer in Silence
Painful sex after 40 doesn’t have to be your new normal. If you’re experiencing discomfort, talk with one of our caring providers. Together, we’ll determine the cause and find solutions so you can enjoy a healthy, comfortable, and fulfilling sex life at every age.
Call us today at 770.720.7733 or schedule an appointment online today at either our Woodstock or Canton location.
