Does Vaginal Pain Increase With Age? Experts Explain

Vaginal pain or discomfort can affect women at different stages of life, but it is often dismissed as a normal part of ageing. Experts say that while age and hormonal changes can contribute to vaginal discomfort, pain should not simply be accepted as something women have to live with.

Speaking to Hindustan Times Lifestyle, Dr Alka Dahiya, a gynaecologic oncologist and robotic gynaecologic surgeon, explained that declining oestrogen levels are one of the important factors, particularly after menopause.

When oestrogen levels fall, the vaginal walls can become thinner, drier and less elastic. This condition, commonly known as vaginal atrophy, may lead to burning, irritation and discomfort. Some women may experience pain during sexual intercourse, while others can feel discomfort even while sitting.

The problem is relatively common among postmenopausal women. However, many women do not discuss these symptoms with their doctors because they assume that nothing can be done. Experts say this is not necessarily the case. Depending on the cause, treatments such as vaginal moisturisers, local oestrogen therapy and other medical options may help provide relief under appropriate medical guidance.

However, ageing is not the only reason for vaginal pain. Younger women can also experience persistent vaginal or vulvar discomfort. One example is vulvodynia, a condition involving ongoing pain or discomfort without an obvious identifiable cause. It can affect women across different age groups, including those in their 20s and 30s.

Other possible causes include infections, skin conditions, problems involving the pelvic floor and psychological stress. This makes it important to identify the underlying reason rather than assuming that the pain is simply related to age.

Doctors recommend that women pay attention to when the pain occurs and how it feels. Describing whether the sensation is burning, sharp, dull or otherwise uncomfortable can help during a medical assessment. It can also be useful to note whether the pain is associated with activities such as sexual intercourse or urination.

Experts emphasise that persistent vaginal discomfort should not be ignored or self-diagnosed using information found online. Women of any age experiencing unexplained or ongoing pain should consult a qualified healthcare professional.

Vaginal discomfort may be common, but that does not mean women should consider persistent pain normal. Proper evaluation can help identify the cause and determine an appropriate treatment, potentially improving comfort and overall quality of life.