“We are divorcing” – a simple phrase that shows the impact that pain with penetrative sex around menopause can have. Some 537 women responded to our survey, painting a picture vulnerability with fear that they will be a burden and their partners will leave them. They felt anxious, lonely and depressed. And, getting help was not easy with just 5% saying they had a positive experience with their healthcare professional. People from a non-White or lower socioeconomic background had worse access to treatment options and advice. The report highlights the need for greater education for healthcare providers on how to talk to women about sexual health, as well as the need for information for to be available for all those who go through menopause or support them – especially partners.