Menopause (usually between the ages of 45-55) is characterized by a sharp drop in estrogen levels — this change directly affects intimate comfort, although it is a manageable and normal natural process.
Vaginal atrophy Decreased estrogen levels cause the vaginal walls to thin, lose elasticity, and decrease natural lubrication—a condition known in the medical literature as genitourinary syndrome of menopause (GSM). This can make sex painful (dyspareunia).
Why it's not worth ignoring The condition doesn't improve on its own over time, but it responds very well to treatment — if left untreated, it can even lead to complete avoidance of intimacy for fear of pain.
Non-hormonal solutions: Vaginal lubricants (water- or silicone-based) provide immediate relief for every intimate moment, while regular, long-lasting vaginal moisturizers (used independently of sex) improve overall tissue hydration.
Hormonal Options Low-dose vaginal estrogen (in the form of a cream, ring, or tablet) acts locally, with minimal systemic absorption—according to ACOG (American College of Obstetricians and Gynecologists), it is a safe and effective method for most women, with fewer risks than systemic hormone therapy.
The protective role of sexual activity Studies show that regular sexual activity (with a partner or through masturbation) itself helps maintain the elasticity of vaginal tissue by stimulating blood circulation — the “if you don’t use it, you lose it” principle applies here too.
When to see a gynecologist If lubricants are not enough or the pain persists, consulting a gynecologist allows for personalized treatment — no woman is obligated to “just put up with” this discomfort.