Many women continue to be sexually active after menopause. However, there are hormonal changes that may change a woman’s body in such a way that the experience of sex becomes different or even painful. This is a normal transition after menopause. I would encourage women to bring up any issue they are experiencing with their doctor. There are options to treat symptoms such as loss of lubrication or tissue elasticity that may cause pain or bleeding. Treatments are safe and effective and can allow a woman to have the sexual function she desires.