A sore vagina — persistent tenderness, dryness, or fragility of the vaginal tissue — is most often caused by a drop in estrogen, especially around menopause. At FemRenew in Toronto, Dr. Fay Weisberg assesses the cause and discusses sore vagina treatment options, including MonaLisa Touch laser, that aim to restore thicker, healthier, better-lubricated tissue.
Overview & Causes
Menopause is the stage — usually between ages 45 and 55 — when a woman stops having menstrual periods and her ovaries stop releasing eggs. It brings a significant hormonal shift, and one of the changes that can follow is a sore, tender vagina.
The main driver of vaginal soreness is declining estrogen. That can happen with menopause, but also at other times: after chemotherapy or hormonal therapy for cancer, after the ovaries are removed, and in other situations that lower estrogen. Without enough estrogen, the vaginal tissue gradually thins — sometimes described as becoming like parchment paper — and dries out. It loses elasticity, becomes more fragile, and is injured more easily, which is why everyday friction and intercourse can become painful. Because soreness can also point to irritation, infection, pelvic floor tension, or a skin condition, an exam is the reliable way to know what’s behind it rather than assuming.
Symptoms
- A thin, dry, or fragile feeling in the vaginal tissue
- Soreness, tenderness, or rawness, even outside of intercourse
- Pain during sex
- Light bleeding during or after intercourse
- Loss of elasticity or a sensation of tightness
- Irritation that doesn’t settle with lubricants alone
How FemRenew Approaches a Sore Vagina
Once we’ve confirmed that thinning, low-estrogen tissue is the cause, the goal is to rebuild healthier tissue rather than just mask the discomfort. Dr. Weisberg will often discuss MonaLisa Touch — a CO2 laser that aims to thicken the vaginal tissue and restore good blood flow and collagen. For many women, the goal is to bring the vagina closer to its pre-menopausal state so soreness and dryness ease. As one of Canada’s first practices to offer laser treatment that renews vaginal tissue, FemRenew can explain how MonaLisa Touch works, what a treatment course involves, and whether you’re a candidate. Hormonal and over-the-counter options may also be part of the discussion, depending on your history and preferences — the plan is always matched to you.
What to Expect — Your OHIP Consultation
Care begins with an OHIP Consultation. You request it on our site, and we’ll contact you within 24–48 hours to arrange your appointment. During the visit, Dr. Weisberg reviews your symptoms and history and performs a pelvic exam to confirm the cause of the soreness. From there you’ll get a clear explanation of your options — whether that’s MonaLisa Touch, a hormonal approach, or a combination — and a plan built around your goals for relief. To get started, call (416) 924-4666 or book your OHIP Consultation online.