Writing Sexual Health

Why Does Sex Hurt Now?

Pain during sex in midlife usually traces to tissue or pelvic floor changes, and it can be mistaken for other conditions. It has real causes.

Gabriella Espinosa 5 min read

The quick answer

Pain during sex in midlife is common, physical, and real. It usually traces to changes in vaginal and vulvar tissue, and it can be mistaken for other conditions, including a recurring urinary tract infection. It is not something you imagined, exaggerated, or caused. It is a signal from your body, not a verdict on you.

Who’s answering

Gabriella, with Dr. Maria Uloko and 2 more

Where it comes from

4 episodes of Pleasure in the Pause

Time to read

5 minutes, 4 questions answered

That is the plain answer. Here is what matters more. Pain is not something to push through. It is not proof that something is wrong with you, or with wanting sex at all. When one part of your body goes quiet, it is easy to stop listening to the rest of it too. Wanting anything, sensation, closeness, pleasure, can start to feel far away. Reconnection starts with taking your pain seriously as information, not as an ending.

Why does sex suddenly hurt when it didn't before?

Your vaginal and vulvar tissue changes with time. So does skin. So do joints. Dr. Maria Uloko, a urologist who works with women in midlife, puts it in an image worth holding onto. Tissue that once needed no attention can start needing some. Pain during sex is often the first place that shows up.

Dryness, irritation, burning, and changes in how your tissue looks or feels tend to travel together. Pain during sex is not usually a separate mystery. It is part of the same picture.

“The vulva is a garden. If you do not water your garden, you cannot expect cucumbers this season, right?”

Dr. Maria UlokourologistEpisode 15, at 25:26 Hear this moment

Could this be a recurring UTI instead?

Sometimes, and that mix-up costs women real time. Burning, urgency, and infections that keep coming back sit on the same list of signals as dryness and pain during sex. They can come from the same source, tissue that needs support. Treating one condition when the other is actually driving it means the pain, or the infections, keep returning no matter how many rounds of treatment a woman goes through.

This is not a reason to self-diagnose. It is a reason to ask for a fuller picture instead of accepting the first explanation offered, especially if a UTI diagnosis keeps repeating without ever fully resolving.

“Unfortunately, patients with these conditions are already leading the charge in their health care. They just didn't have the right resources, because a lot of what you find on Google is wrong.”

Dr. Maria UlokourologistEpisode 15, at 1:02:41 Hear this moment

What does the pelvic floor have to do with it?

More than most women are told. The pelvic floor is a set of muscles working together, not a single switch, and pain during sex is often about tension rather than weakness. Kim Vopni, known to her audience as the Vagina Coach, describes layers of pelvic floor muscle, the uppermost of which is directly responsible for sexual response. A pelvic floor that is too tight causes pain the same way a pelvic floor that is too weak causes other problems, and the common idea that tighter is always better gets this backwards.

Getting a real answer here usually means an actual assessment, not a guess. Practitioners who specialize in pelvic health look at both ends of that range, tension and strength, rather than assuming one.

“Where does the pelvic floor sit at rest? How can it contract and relax? How can it do a fast contraction? How can it do a slow sustained contraction?”

Dee Hartmannpelvic floor physical therapistEpisode 18, at 9:40 Hear this moment

Is this something I just have to live with?

No. Pain during sex is common, and it is still worth taking to a doctor. It is not something to endure quietly for years.

Dee Hartmann has worked with women on this for decades. In her conversation with Gabriella, she is clear about one thing.

“It doesn't mean that the pain is all in your head.”

Dee Hartmannpelvic floor physical therapistEpisode 18, at 24:01 Hear this moment

Women often live with this for a long stretch before they ask anyone about it, and by the time they do, many have already decided, privately, that this is just what happens now. It is not. Getting an honest look at what is actually happening, tissue, pelvic floor, or something else entirely, changes what is possible.

None of this is about performing wellness or forcing yourself to feel something you do not feel. It is about no longer treating your own discomfort as the price of admission.

“We can all have it. It's not hard, and it doesn't have to do with sex. It's an everyday activity to make us feel better, to bring those endorphins up.”

Dee Hartmannpelvic floor physical therapistEpisode 18, at 50:23 Hear this moment

If something in you is whispering, I miss that part of myself, listen. You're allowed to want it back.

Common questions

Is pain during sex a normal part of getting older?

It is common, which is different from something you should just accept. It has real, identifiable causes in many cases, and it is worth understanding rather than working around indefinitely.

Could pain during sex actually be a recurring UTI?

Sometimes the two get confused. Burning and irritation can come from an infection, or from tissue that needs support for other reasons, and they do not respond to the same care. If a UTI diagnosis keeps repeating without resolving, that is worth a closer look.

Does the pelvic floor affect pain during sex?

Yes. Tight pelvic floor muscles are as likely to cause pain as weak ones, which surprises most women. A pelvic health specialist assesses both.

Is this medical advice?

No. Gabriella is a coach and an educator, not a therapist or a physician. The clinicians featured here carry their own words and their own credentials.

How this article was made

Every quote is word for word from the episode transcript, with the time it was said.
4 episodes5 quotes checked
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