Yes — pain during sex in menopause is common, but it’s not something you have to live with. Lower estrogen levels make vaginal tissue thinner and less lubricated, leading to dryness, irritation, and a burning sensation.

Local estrogen therapy should be offered for pain caused by vaginal dryness. For those who can’t or prefer not to use hormones, non-hormonal moisturizers and lubricants can help.

Sexuality can also shift emotionally. Some experience reduced desire when their body feels unfamiliar. Communication, gentleness, and patience are key — intimacy often changes form but doesn’t disappear.

Alma’s tips:

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  • Use lubricants and take your time — comfort supports desire.
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  • Local estrogen can heal dryness and restore ease.
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  • Talk openly with your partner — intimacy can take many shapes.