What causes painful sex and pain after sex? Livi UK When @togetherishmom asked Olivia Eisner of Nuvance Health what her patients most often share about sex during perimenopause and menopause, her answer was clear. Vaginal dryness Increasing pain with sex How to make sex less painful: Talk to your doctor (theyve seen it all). Track your cyclepain might be worsening at certain points in the cycle. Lube + foreplay = better sex. What helped So remember: relaxation, lubricant, and foreplay equals pain free sex. And hey, if youre still experiencing pain, dont hesitate to reach out to a pelvic health physio were here to help., Dont