This is a lack of natural vaginal lubrication during sexual activity, which can cause discomfort, pain, or difficulty during penetration. Vaginal lubrication is essential for comfortable and enjoyable sexual activity because it reduces friction, enhances sensation, and helps prevent injury or damage to the delicate tissues of the vaginal area. Causes of poor lubrication can include hormonal changes, medication side effects, certain medical conditions, stress, anxiety, and insufficient foreplay or arousal. Women experiencing poor lubrication may benefit from using additional lubricants, hormone replacement therapy, or other treatments to improve their sexual health and enjoyment.

Painful intercourse, also known as dyspareunia, is a condition in which women experience discomfort or pain during sexual activity. This pain may occur during penetration, or it may be present throughout sexual activity. Dyspareunia can be caused by a variety of factors, including vaginal infections or inflammation, vaginal dryness or insufficient lubrication, pelvic inflammatory disease, endometriosis, vulvodynia, and certain medical treatments. Psychological factors, such as anxiety or past trauma, can also contribute to painful intercourse. Treatment for dyspareunia may include medication to treat underlying conditions, lubricants or moisturizers to improve vaginal lubrication, physical therapy to address muscle tension or weakness, or counseling to address psychological factors.

Loss of vaginal tone in women's sexual health refers to a decrease in the elasticity and tightness of the vaginal walls, which can lead to decreased sexual sensation and satisfaction. This condition is also known as vaginal laxity or vaginal looseness. Loss of vaginal tone can occur naturally as women age, due to hormonal changes, childbirth, or other factors that affect the strength and flexibility of the pelvic floor muscles that support the vaginal walls. In some cases, vaginal tone can also be affected by medical conditions, such as prolapse or certain types of surgery. Women experiencing loss of vaginal tone may notice decreased sensation during sexual activity, difficulty achieving orgasm, or a feeling of looseness or sagging in the vaginal area. Treatment options may include pelvic floor exercises to strengthen the muscles supporting the vaginal walls, vaginal rejuvenation procedures to tighten the vaginal tissues, or the use of devices such as vaginal weights or cones to improve pelvic floor strength.

Low libido, also known as hypoactive sexual desire disorder (HSDD), refers to a lack of sexual desire or interest in sexual activity. Symptoms of low libido may include a decreased interest in sex, a lack of sexual thoughts or fantasies, difficulty becoming aroused, and reduced pleasure during sexual activity. Women with low libido may also experience changes in their menstrual cycle or vaginal dryness.

Low libido can be caused by a variety of factors, including hormonal imbalances, certain medications, stress, anxiety, relationship issues, and certain medical conditions such as depression or chronic pain. In some cases, low libido can be a normal part of aging or a result of lifestyle factors such as poor diet or lack of exercise.