It does hurt some women, of all ages. Often virgins will hurt for a while for the first few weeks or so, as well as those women who don’t produce enough natural arousal fluid. This latter can often occur after menopause or a hysterectomy. Often an over the counter lubricant solves this problem just fine. Medical treatments are also allowed by the church to help minimize this pain if lubricants don’t do the job. So most of the time the pain is lessened or mitigated and relations can continue. Those who have medical conditions, such as Endometriosis can have moderate to severe pain with intercourse. They will have to postpone relations from time to time when the pain is severe, the husband will do this out of concern and respect for his wife, but with medical help it’s usually not necessary to have permanent abstinence.