SAVAGE LOVE: Off the Table
Briefly

The letter explores the marital struggles of a couple facing decreased sexual intimacy due to pain during intercourse, particularly after menopause. The husband, feeling frustrated by the situation, seeks advice on alternatives to sustain intimacy. Despite proposing various solutions, including opening their relationship, his wife is resistant, fearing repercussions. The response emphasizes the importance of addressing her discomfort and suggests medical consultations for possible treatments. It highlights the potential disconnect regarding sexual pleasure between partners, indicating that addressing mutual desires is essential for resolution.
If your wife isn't open to talking about this treatment with her doctor, NRTGW, this may not be a problem she's interested in solving.
If PIV sex was never about your wife's pleasure, she might not feel motivated to seek out a treatment that might make vaginal intercourse more comfortable.
Read at Portland Mercury
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