Pain during sex that develops over time can be related to perimenopause and vaginal atrophy, where vaginal walls thin and dry due to lower estrogen. Topical and oral hormonal treatments can address this and require a prescription. A gynecologist should take concerns seriously, and pain is not something to endure. In the short term, switching lubricants can help: water-based products may become sticky, while silicone-based lubricants can stay slick longer, sometimes needing reapplication. Several silicone and water-based options are suggested. Vaginal suppositories containing ingredients like hyaluronic acid can provide longer-lasting hydration and lubrication with less frequent reapplication.
"given that she's in her 40s and this is something that wasn't always occurring, there is reason to suspect that perimenopause may have something to do with her vaginal dryness. A condition called vaginal atrophy, in which the walls of the vagina thin and dry, often as the result of lowering estrogen, may be affecting her. For this, there are both topical and oral hormonal treatments, which would certainly require a doctor's prescription. Any decent gynecologist would most certainly not dismiss her concerns. Pain during sex is not something she needs to endure."
"In the meantime, I would switch lubes. In my experience, water-based lube is prone to stickiness, whereas silicone can provide a thin layer of slickness for a good amount of time (reapplication is sometimes necessary). My favorite is Swiss Navy, but I've had luck with Gun Oil, Uberlube, and even Replens."
"She may also want to try suppositories like Foria's Intimacy Melts or Evvy's hyaluronic acid suppositories, which can provide extended hydration and lubrication without having to reapply as much."
Read at Slate Magazine
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