The pain you are experiencing during sex can happen due to vaginal dryness associated with declining estrogen levels during menopause. Talk to your doctor about possible causes of painful intercourse. There are special lubricants you can try to relieve the symptoms. Ask your doctor or pharmacist for a suggestion. There are also local estrogen treatments - cream, tablets, and an estrogen ring - that treat vaginal dryness. An oral drug taken once a day, Osphena, is also available. The drug makes vaginal tissue thicker and less fragile, resulting in less pain for women during sex.