Hi, I Am 54 Years Old And Since January Of

Hi, I am 54 years old and since January of this year sex has been very painful. We use lubricants but it doesn't help. Is this normal or is there room for concern? I spoke to my gyno in January about it and she gave me a prescription for a lubricant that she recommends but that doesn't seem to help either. Therefore, my desire for sex is not where it once was. Thank you!