DEAR DOCTOR K: I'm in my late 50s. Lately, I have vaginal pain every time my husband and I have intercourse. I mentioned this to some friends, and it turns out a few of them also experienced vaginal pain, starting around menopause. What is causing this problem? And what can I do?
DEAR READER: If you're in your late 50s, you probably have gone through menopause. At menopause, levels of the hormone estrogen plummet. This causes the vaginal lining to become thin and produce fewer lubricating secretions, resulting in dryness and irritation. The vagina becomes shorter and less elastic, and the vaginal opening narrows. All of these changes can make intercourse uncomfortable, painful or impossible.