What causes new-onset dyspareunia in older women?
New-onset dyspareunia in older women is commonly caused by menopause-related vaginal dryness, atrophy, medical conditions, or medication side effects, but should always be checked by a healthcare professional.
Detailed Medical Explanation
After menopause, vaginal and vulval tissues become thinner, less elastic, and more prone to dryness and trauma. Other causes include infections, pelvic organ prolapse, skin conditions (lichen sclerosus), urinary problems, or new medications (such as antidepressants or blood pressure drugs). New sexual pain should always be medically assessed to exclude serious conditions. NHS: Vaginal Dryness.
Clinical Context
Any woman experiencing new or worsening pain during intercourse should book a medical review. Most causes are treatable once identified.
Evidence-Based Approaches
NHS and British Menopause Society recommend thorough evaluation of new-onset dyspareunia in older age. BMS: Consensus Statements.