Painful intercourse after menopause can be improved with estrogen-based medication. As the ovarian function decreases after menopause, the estrogen in women’s bodies decreases, and vaginal secretions decrease. This can lead to vaginal dryness and pain during intercourse. Local estrogen ointment can be used to replenish estrogen and improve the local symptoms of the vagina on the one hand, and on the other hand, local medication has less side effects on the whole body of women. It is best to go to the hospital to check for vaginal inflammation when there is pain during intercourse, because this symptom can also occur if there is inflammation.