I have Small Fiber Peripheral Polyneuropathy (since age 46) and my research indicates yes, peripheral neuropathy causes sexual dysfunction for both men and women. I have been hurting in various ways for several years. Internally, intercourse feels like knives at times. Externally, there is burning, stinging, and discomfort, the feeling of being torn. I also am prone to yeast infections so that is a mitigating circumstance. Then of course there is menopause which, I am not in however, is another mitigating factor. All of this is confusing to me and ladies…we know a woman's body is complicated but, then throw neuropathy our way and complete chaos occurs! Feel free to weigh in as I am attempting to determine my course of action. Do I see a Urologist that is also familiar with SFPN? I have also had bouts of pelvic pain. Do I go with the flow and continue to have no sex life because of the pain? I'm only 50, is this healthy for my marriage? Chronic pain exists throughout my body on top of my private parts being dysfunctional. What to do?