I'm an overall healthy 40-year-old woman, with no history of sexual or other trauma. I suffer from occasional bouts of anxiety and depression but I'm OK now and currently not taking any medication. I have a genuinely wonderful, incredibly patient DH and I absolutely fancy him. But for some reason when we attempt to have sex it hurts SO F'ING BAD. It's like a knife is ripping me open. This has happened on and off for years, and I have no idea why it starts and why it stops. It was always bad after childbirth and while BFing, but my youngest DC is almost 5 and it's been 3+ years since I BFed. I can insert a tampon or my finger, or have a vaginal exam, but when it comes to sex I just can't do it.
My periods are regular and no sign of peri-menopause, plus this has been happening for years. I have virtually NO natural moisture in my vagina, even when I am turned on. I can't imagine TTC right now because I absolutely don't get the clear stretchy discharge that signals ovulation. We use tons of lube but it doesn't make a difference. I've tried Replens as well as a topical oestrogen cream (on prescription), and nothing has helped. The pain feels worst right at the entrance to my vagina, almost on the outside.
Is this vaginismus? Would dilators help? I feel like it isn't vaginismus because I can put things in, just not my husband :(. Plus I really have no psychological issues/hang-ups/bad past experiences when it comes to sex.
I'm at a total loss. Any thoughts/ clues/suggestions? I just want a normal sex life!