Hello and thanks for your query. I shall make an effort to provide you with good professional recommendations specific to your questions. Most commonly, this is seen early in ones sexual lives and around the menopause. There are many causes of dyspareunia, most of which are not serious or damaging in nature, but all can be detrimental to your sex life and ultimately may lead to relationship difficulties. Pain leading to nervousness about sex (intercourse), and nervousness leading to dryness and further pain. As you are in perimenopausal age group, dryness may be the cause. If vaginal dryness is due to menopause, ask a health care professional about estrogen creams or other prescription medications. For cases of sexual pain in which there is no underlying medical cause, sexual therapy might be helpful. So I advice you to consult a doctor to find the cause and treatment. Yet again, I duly appreciate your query to me, I do hope that have found something useful to help you and I shall be glad to answer any further apprehensions. Sincerely,