The Harsh Realities of Intimacy in Middle Age Couples face complex challenges as they age, including the decline of estrogen levels that can lead to vaginal dryness.
This condition, known as vaginal atrophy, causes thinning and drying of the vaginal walls, making sex painful or impossible.
A recent letter to a popular advice column highlights the difficulties that come with perimenopause. The writer's wife experiences pain during sex due to vaginal dryness, but she refuses to see a doctor.