Call us at 416-221-7545 / 416-924-4666 Or email us using our contact form.

Why is intercourse so painful now?

by Dr. Fay Weisberg, Village Living, January 31, 2018

The answer in two words is Urogenital Atrophy. Urogenital atrophy is a condition that affects most women as they go through menopause, and can result in lack of blood flow and secondary dryness in the vagina. If the vagina dries and is unable to produce moisture during intercourse, it can lead to painful intercourse, which down the road can lead to an avoidance of intercourse, then to a decrease of intimacy and finally to a relationship that is completely void of intimacy.

Vaginal dryness is a direct result of the body’s lack of estrogen as it approaches menopause. The vagina needs estrogen for its blood flow, for its thickness, for its suppleness, and for its ability to respond to intercourse by producing moisture. When women go through menopause this doesn’t happen. Not having moisture leads to painful intercourse. Many women have described it as knives coming through their vagina. Some women will continue painful intercourse to help with their relationship or because they don’t want to discuss it with their partner. Unfortunately, over time the frequency of intercourse starts to decrease, as does the intimacy, and then the relationship.

I find that women in 2018 don’t want this to happen. They have lovely relationships with their spouse or if single want to have relationships with partners. They remember having a good active sex life which they really enjoyed and they want it back. Certainly having atrophy will decrease this. As doctors, we need to be able to talk to our patients. I find that asking patients if they have any pain with intercourse or any trouble with intercourse, really helps them open up, so then we can have a conversation regarding what we can do about it. There are a number of solutions, both hormonal and non-hormonal which can really make a difference in your quality of life.

Fay Weisberg MD, FRCSC Gynaecology and Reproductive Medicine; Clinic Director First Steps Fertility; Clinic Director FemRenew; Assistant Professor, University of Toronto Department of Obstetrics and Gynaecology


Renew Your Vagina

As women age, the vagina is becomes a victim of time and trauma. It suffers with childbirth, from hormonal changes, and from some diseases. There are a number of conditions resulting from an ageing vagina and one very annoying side-effect. Your bladder is a secondary victim.


After childbirth, the elasticity of the muscles on the pelvic floor weaken the vagina and the bladder causing numerous uncomfortable conditions.


The whole crux behind FemRenew is to address the problems resulting from the trauma of life on the vagina and the bladder. We will also introduce state-of-the-art technological solutions that are non-threatening and non-surgical easy procedures that require no anesthesia and can be completed in the office during your lunch hour while still leaving you time for lunch.


Yes, it is possible to renew your vagina. Explore the website and see what you can do.

Treated Conditions

Vaginal Laxity

Vaginal laxity is one of the most common yet overlooked health concerns among women...

Vaginal Dryness

The laser will be able to increase lubrication and reverse changes in your vagina that will encourage blood flow and collagen to the vagina...

Painful Intercourse

The laser restores the normal bacteria and thickens tissue to eliminate pain and bleeding during intercourse with your partner...

Mild Incontinence

Many tissues in the body require estrogen to maintain their integrity. The vagina is no exception...