All symptoms

Vaginal dryness and pain with sex

Learn about vaginal dryness, pain with sex, lubricants, moisturisers, and when to discuss vaginal oestrogen or other care.

What it can feel like

Dryness can feel like soreness, burning, itching, tightness, irritation, light bleeding after sex, or pain with penetration. It can affect comfort during exercise, sitting, wiping, sex, or everyday life. Many people delay mentioning it, but it is common and worth naming clearly.

What else can overlap

Vaginal infections, skin conditions, pelvic-floor tension, vulval pain conditions, medicines, breastfeeding, stress, and relationship context can overlap with menopause-related tissue changes. Pain with sex is not something you need to push through to prove anything.

What may help

Vaginal moisturisers are used regularly for day-to-day dryness. Lubricants are used during sex; water-based lubricants are sensible where condoms are used. Vaginal oestrogen is a local treatment clinicians often discuss for genitourinary symptoms associated with menopause.

When to seek care

Seek care if symptoms are persistent, painful, worsening, linked with bleeding, sores, unusual discharge, a new lump, or if sex is painful. Also seek help if dryness or pain is affecting relationships, confidence, or daily comfort.

Questions to bring to a visit

Is this dryness, pain, itching, burning, bleeding, or a mix? Does it happen during sex, after sex, or at other times too? Have you tried moisturisers or lubricants? Would local vaginal treatment be suitable for you?