Loss of vaginal lubrication may occur, resulting in soreness during and after sexual intercourse. Uncomfortable coitus may be one of the reasons why some women become less interested in sexual intercourse.

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Vaginal dryness and thinning may continue after menopause. Some doctors estimate that at least half of all women over 60 have some degree of vaginal dryness.

Vaginal changes may also increase the risk of infections due to reduced local protection against micro-organisms which may enter the vagina due to self-contamination or sexual intercourse.

Risk factors
The following factors place women at greater risk:

• Lack of regular sexual stimulation of the vagina
• Premature menopause
• History of temporary amenorrhoea (missed periods)

What to do

• Short-acting, water-based vaginal lubricants, such as K-Y Jelly, can be used immediately before sexual intercourse to supply moisture (petroleum-based products such as Vaseline should be avoided).
• It may also help to take a warm bath before intercourse.
• Regular sexual activity can help to improve natural lubrication, and keep the vagina moist and toned.

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