Dyspareunia (pain with intercourse) greatly affects the quality of life, libido, relationships, and self-image of the estimated 15% of women who have this condition.1 This prevalence increases in postmenopausal women with vulvovaginal atrophy.2 Dyspareunia prevalence, based on diagnostic coding, is likely underestimated because patients are often hesitant to discuss sexual pain with their clinician. Despite the preference of many patients to discuss these issues, clinicians may not initiate sexual health discussions because of a lack of time, lack of understanding about dyspareunia, or a perceived lack of importance.3 Clinicians can create a safe, confidential, professional encounter and initiate sexual health discussions with ubiquity statements such as “Many women may experience discomfort with sexual intimacy. Are there any sexual concerns you’d like to discuss?”