Does dyspareunia worsen with aging?
Dyspareunia may worsen with age, particularly after menopause, due to hormonal changes, tissue thinning, reduced lubrication, and pelvic floor weakening.
Detailed Medical Explanation
With age, oestrogen levels fall, resulting in vulvovaginal atrophy, dryness, and higher risk of injury or infection during sex. Pelvic floor tone can also decline, contributing to discomfort. Effective treatments are available, so symptoms should be discussed with a healthcare professional. NHS: Vaginal Dryness.
Clinical Context
Routine gynaecological care and treatment for menopausal symptoms can help manage or prevent worsening pain with age.
Evidence-Based Approaches
NHS and BMS recommend a proactive approach to managing vaginal and sexual health at all stages of life. BMS: Consensus Statements.