Elderly people have sex vaginal pain may be related to physiological reasons such as insufficient secretion of vaginal secretion, but also may be related to reproductive tract infections, uterine fibroids, urinary infections and other diseases. 1. Physiological reasons. Elderly people, due to the decrease in hormone secretion, the general vaginal secretion will also be reduced, if the sexual life without the application of lubricants, may be due to vaginal dryness and vaginal pain during sex. 2. Pathological causes (1) Reproductive tract infection. When vulvovaginitis occurs, pain in the superficial part of the vagina mainly occurs during sex. (2) Uterine fibroids. It is a common disease among women, and when the fibroid is large or in a special location, the symptom of vaginal pain during sex may occur. (3) Urinary infection. When suffering from cystitis or urethritis, it may cause pain in the anterior wall of the vagina during penis pumping during sexual intercourse. In addition, if you suffer from dry syndrome, diabetes and other systemic diseases, it may lead to insufficient vaginal secretion, making the vagina dry and causing vaginal pain during sex. When older adults have vaginal pain during sexual intercourse, the cause can be clarified under the guidance of a doctor so that it can be treated aggressively.