Pain at Intimacy: A Couple’s Struggle with Vaginal Dryness

Slate’s sex-advice column addresses a reader’s question about his wife’s pain during intercourse after brief natural lubrication. The answer suggests perimenopause-related vaginal dryness or atrophy as a possible cause, which can be helped with medical treatment (topical and/or systemic hormones prescribed by a gynecologist). In the meantime, practical steps include switching to longer-lasting lubricants (silicone-based) and exploring hydration or hyaluronic acid suppositories; it also notes other potential issues (yeast infections, infections, pelvic-floor concerns) and advises sensitivity around weight while prioritizing mutual pleasure and medical consultation for a proper diagnosis.