Hot flashes, weight gain, and difficulty sleeping – these are all commonly discussed issues that women encounter during perimenopause and menopause. Painful intercourse is something women may be a bit more hesitant to discuss, but it shouldn’t be because it’s a problem that many women experience during this transitional time in their life. The fact is, as we age, our skin collagen decreases and this can lead to less cushioning between the skin and our pelvic bones as well as a decrease in lubrication.