Millions of women experience painful sex after 50, yet many never discover the real reason behind it.

The answer may have less to do with aging and more to do with powerful hormone changes happening inside the body. In this episode, learn how menopause affects vaginal lubrication, sexual comfort, libido, and overall health in ways that often go unnoticed. Discover the treatment options that may help restore intimacy, confidence, and quality of life.

If you want to better understand painful sex after 50 and the solutions available, tune in to this episode.

--------------

Key Takeaways

• Painful sex after 50 is often hormone-related.
• Estrogen decline can cause vaginal dryness.
• Low testosterone may reduce libido and arousal.
• Menopause affects vaginal tissue and blood flow.
• Longer foreplay can improve natural lubrication.
• Topical estrogen may relieve vaginal discomfort.
• Hormone replacement therapy may support overall health.
• Vaginal dryness should not be ignored.
• Pain during intercourse is often treatable.
• Medical evaluation can rule out other conditions.
• Menopause symptoms can affect relationships.
• Early treatment can improve quality of life.

--------------

Resources mentioned:

• Modern Man Crib
• Mediterranean Diet
• Good Morning Wood Smoothie
• Renew with Dr. Anne

--------------

Curious about how you can boost your bedroom game and build lasting confidence? Check out the course at getwoodnow.com and start your journey to feeling like yourself again!

--------------

If you enjoyed this episode and want to learn more and get more tips, subscribe to The Modern Man newsletter for exclusive content delivered straight to your inbox! https://dranne.co/themodernman

--------------

Follow Me On:

• Instagram
• Twitter
• Facebook
• TikTok
• YouTube

--------------

For all links and resources mentioned on the show and where to subscribe to the podcast, please visit https://truongrehab.com/painful-sex-after-menopause-treatment

--------------

Want to regain control of your sex life? It’s time to reverse the effects of ED on your life. Join the Modern Man Club and embark on your journey to complete recovery and community.

--------------

Reveal the FREE treatment most men ignore that solves thousands of erectile dysfunction cases every year, plus the 5 biggest mistakes you must avoid if you want to say goodbye to your ED. Uncover it all in my free eBook, available to download now.

https://dranne.co/ebook

Painful sex after 50 usually comes down to a massive drop in

three specific hormones. I'm Dr. Anne Truong, and here is how to

get your lubrication, comfort, and health back on track.

This podcast is for you, the Modern Man. I'm Dr Anne Truong,

your host. I'm an intimate health medical doctor and best

selling author of the book, Erectile Dysfunction Fix. I'll

do a deep dive into sexual health and performance and how

it affects men of all ages and backgrounds. So let's get

started, and be sure to visit my website at

sexualhealthformenpodcast.com for more information and

resources from the show. See you on the inside.

"Ma'am, why don't women want to have sex after the age of 50

years? My woman also complained that having sex, she feels pain

as she has wound. Please explain the reason." So women have ED

like men, but it shows in very different ways. We don't have a

penis, so there's no erection, you may say. A woman's penis is

the clitoris, right? The clitoris, is her penis, it's a

miniature penis. So for women, even in the 40s, mid 40s, start

to undergo perimenopause, or the beginning of menopause. So, what

happens with perimenopause, and even in women after 50, like

your woman, is that hormone changes in her the same way

hormone changes in you. So, in women, they have three hormones

to deal with: estrogen, testosterone, and progesterone,

and its balancing. Balancing of those three hormones. Believe it

or not, the testosterone hormone is the most in her, followed by

estrogen, and then progesterone. So, men have 100 times more

testosterone than women, but women have 100 times more

estrogen than men, and so that will give women and men the

sexual characteristics. When women after 50, the first thing

that drop is their testosterone, and then the testosterone will

be responsible for her libido and her sexual arousal. And the

second one that drop is progesterone, so that affects

her mood and her sleep. Third one that dropped is her

estrogen, which is involved with blood flow.

So, what I'm trying to say is that for your woman, after 50,

her hormone drop. So when her hormone drops, it affects the

lubrication down there. So it affect the lubrication around

the opening of her vagina, and also the lubrication around her

clitoris, so it doesn't lubricate as well. And for a

woman's vagina, if it doesn't lubricate well, it's not

moisturized, the opening of the vagina actually comes sensitive,

but sometimes will even tear. So sometimes it will tear, like at

6o'clock. So the opening, because it's not lubricated,

feels raw. It feels like sandpaper for her when she has

sexual activity, especially during penetration. It feels

like sandpaper. It feels raw, and sometimes it may even bleed

around the opening of the vagina with penetration. So knowing

that for women, women need longer foreplay, they need

longer foreplay, they still need blood flow down there to

increase arousal, to increase the nerve in order for her to

get aroused and get an orgasm. But she only needs four times

more blood flow. Versus the man, he needs 40 times, four zero,

more blood flow down in the penis to get an erection. But

women still need blood flow too. So, what the blood flow does is

that it brings in more sensation, but it also will help

with the lubrication as well. So, women need more time for

foreplay, for more blood flow, even probably around 15 minutes

or so. Okay? Some women are even longer. And when she did

menopause, all her hormone drops, and that's why she's not

in the mood most of the time. And sometimes when her hormone

drops, her vagina changes, it sags a little bit more, the

bladder sometimes will be irritated, sometimes she'll have

urinary tract infection, or UTI, and the vagina tissue is not as

moist, it's not as flexible, so intercourse become more

uncomfortable.

But that can be easily corrected with topical estrogen. So she

can get some estrogen or estradiol from her doctor. It

can even be a primary care doctor or her gynecologist.

Estradiol, she can get estradiol cream that she can just put

around her vagina, spotting on the opening of her vagina. And

also around her lips area. That will help with the lubrication

and that will help with healing of the vagina and it will help

her tolerate intercourse. But she also needs to be on hormone

replacement therapy. She needs to get her estrogen, she needs

to get her testosterone, she needs to get her progesterone.

So she can see a hormone specialist doctor, she can see

her gynecologist. However, not all gynecologists know how to do

hormones, or not as welcoming to hormone replacement therapy.

However, that's changing, but again, that depends on the

doctor and the willingness and comfort level to do hormone

replacement therapy. Urologists do hormone replacement therapy

as well, too, or you can just go to a hormone specialist doctor.

Well, she's going to need some topical estrogen down there to

lubricate. She needs to put it around her vaginal opening to

lubricate, so that way she doesn't hurt. And literally,

within like a week will be changed significantly within a

week, and that intercourse will be a lot more comfortable for

her. It's actually can be easily corrected, and for women, for

them to be able to enjoy intercourse and have orgasm

again, it's really about hormone, but also have a

gynecologist look down there as well to see if there's any other

thing going on, any other medical condition going on down

there. There's some cases she may have lichen sclerosus. If

she does have a uterus, make sure she gets pap smear every

year, or every three to five years, depending on her risk

factors. And so the main thing is, go see a doctor, ask for

some topical estrogen. But there's also some over the

counter lube as well, too, that she can use. There is one that

is in our store called Bliss, and it lubricates well. There

you go, it's called Bliss oil for men and women. It is

cannabis infused oil, and it actually lubricate very well in

the vaginal opening, and she should also put this on her

clitoris as well, too. But I recommend this Bliss, and you

can get this at ED No More.com Try it out, let me know, but if

you get that Bliss oil, it will help her lubricate that quite a

bit. Okay?

I hope that helped, but let her know it can be correctable, it

can be treated. She doesn't have to live with it, and in fact,

for her it can be easily treated within a week, unlike ED. So for

women it is particularly simple to reverse. It's just getting

the word out there. So thank you for asking that question, and

for me to answer that, because it may help more people than you

think. Because a lot of women suffer silently. And this

sometimes will actually affect your relationship too, because

she's uncomfortable, she doesn't want to do it, and then you

don't want to push her, but you didn't know that this is due to

hormone, and then you don't want to push her, and then you avoid

sex, she avoids sex, no one talking to each other, and if

you're not getting an erection, if you're not debating, again,

you may even put yourself at risk for atrophy of that penis,

and even put yourself at risk to even get ED. Unless you use a

penis pump, then it can really affect your relationship as

well. I know relationship is more than just physical, but the

physical part is also an important part of the whole

relationship as well. So, just know for her it can be treated,

she just need to know and go ask her doctor. Okay? And we're just

not talking about sex, we're really talking about her health

too. Because if she gets hormone replacement therapy with her

estrogen, her testosterone, her progesterone, it will also

protect her against Alzheimer's in the future, heart disease in

the future, and also bladder issue down there in the future,

as well. So it's not just getting hormone for sexual

activity, it's really her getting hormone for her health

and her quality of life.

Okay, Modern Man, you are not alone and you don't have to

suffer anymore. ED can feel isolating, frustrating, and even

defeating. The endless guessing, the quiet shame, the weight of

not feeling like yourself is exhausting. But here's the

truth, you are not broken. You are not alone. You don't have to

figure this out alone anymore. The Get Wood Now Boost Program

is your step by step, path to sexual confidence and

restoration. No more suffering in silence, no more trial and

error, just real solution, real result and the confidence you

deserve. It's time to take back your power on your term. Let's

get this journey started together. Check out the course

at getwoodnow.com. I'll see you there.

Thanks for listening to the Sexual Health for Men Podcast.

If you love this episode, then please take a screenshot on your

phone and post it on Facebook, Instagram, or wherever you post,

and be sure to tag me and let me know why you like this episode

and what you like to hear in the future. That will help me know

what's great for you and I would love to give you the most

incredible free gift designed to help you improve performance

quickly. Go to my website at sexualhealthformenpodcast.com to

get the book, The Five Common Costly Mistakes Men Make When

Facing ED. I would appreciate if you subscribe, leave a review on

Apple podcasts or wherever you listen. And just know that you

can have sexual vitality for life. I appreciate you. Until

next time.