Is vaginal atrophy painful during intercourse?
Yes, vaginal atrophy often causes pain or discomfort during intercourse, known as dyspareunia, due to dryness, thinning, and inflammation of the vaginal tissues.
Detailed Medical Explanation
With atrophy, the vaginal lining becomes fragile and produces less natural lubrication, making penetration uncomfortable or even painful. Women may also experience burning, stinging, or bleeding after sex. Using moisturisers, lubricants, or local oestrogen can significantly relieve symptoms and improve sexual comfort. NHS: Painful Sex & Atrophy.
Clinical Context
We see many women who avoid intimacy due to pain from atrophy. Most can return to comfortable sex with the right treatment and support.
Evidence-Based Approaches
Guidelines highlight the effectiveness of topical oestrogen and non-hormonal therapies for sexual comfort. RCOG: Managing Dyspareunia.