Middle-aged dyspareunia can be treated with drugs such as sildenafil and tadalafil. The contraindications of the drugs should be noted when applying the drugs, and the drugs should be applied under the guidance of the doctor. In addition to taking medication for treatment, psychotherapy and surgery are also available. The doctor will determine which treatment to take according to the specific condition and physical condition. Sildenafil and tadalafil can make the blood vessels in the cavernous body of the penis dilate and fill with blood, thus making the penis erect. In addition to drugs, psychological and surgical treatments are also available. Psychological treatment means that psychological tension should be relieved and psychological emotions should be relaxed, and you can do more sports or go out to travel to release pressure and keep your mood happy to avoid failure of erection due to psychological reasons. Surgical treatment includes various types of vascular surgery and penile prosthesis surgery. It is recommended to consult the doctor in time, complete the examination, and carry out the treatment under the doctor’s guidance. The above drugs should be applied under the guidance of the doctor.