The Midlife
Foundation
Health topics · Vaginal, bladder, pelvic and sexual health

Painful sex

Pain is a sign something needs attention.

Education only. This page gives general information. It does not replace advice from your doctor. If you are worried about a symptom, see your general practitioner or call healthdirect on 1800 022 222. In an emergency, call 000.

Common causes in midlife

  • Vaginal dryness and thinning tissue
  • Tight or tender pelvic floor muscles
  • Skin conditions such as lichen sclerosus
  • Infections
  • Anxiety about pain, which can make muscles tighten

What helps

Most causes can be treated. Options include lubricants and moisturisers, vaginal oestrogen, pelvic health physiotherapy, treatment for skin conditions, and support from a psychologist or sex therapist. Stop if sex hurts, and talk to your doctor.

Talk to us

Our free workshops cover this and more, in plain language, with time for questions. See our programmes or get support.

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