I am 39 years old. In the last two years I have experienced vaginal dryness to the point that my sexual desire is almost null and void. My doctor's state that I am not perimenopause becasue I still have a menustral cycle. However, during sexual intercourse, the outside of my vagina does not swell although my mind states that I am aroused. Penetration is painful and my vaginal skin seems so fragile that I think it will rip from the dryness.