Pain During Sex: What You Should Know

Sex is meant to be a pleasurable and intimate experience, but for many women, it can come with unexpected pain. If you’ve experienced discomfort or pain during sex, you’re not alone—and more importantly, you don’t have to suffer in silence.

Pain during intercourse, medically known as dyspareunia, is a common concern that affects women of all ages. It can be caused by a variety of physical and emotional factors and, in many cases, is treatable with the right diagnosis and care.

What Causes Pain During Sex?

There’s no single answer. The causes can range from temporary issues to underlying medical conditions. Some of the most common include:

1. Vaginal Dryness

A lack of natural lubrication can make penetration painful. This is often due to hormonal changes, such as those during menopause, breastfeeding, or certain birth control methods.

2. Infections or Inflammation

Urinary tract infections (UTIs), yeast infections, or sexually transmitted infections (STIs) can cause irritation and discomfort.

3. Pelvic Floor Disorders

Tight or weakened pelvic muscles can contribute to pain. Conditions like vaginismus (involuntary muscle contractions) are more common than many realize.

4. Medical Conditions

Endometriosis, fibroids, ovarian cysts, and other gynecologic conditions can cause deep pelvic pain during intercourse.

5. Emotional and Psychological Factors

Stress, anxiety, and past trauma can influence physical responses during intimacy. Mental health is deeply connected to physical wellness, and it’s important to consider the full picture.

When to See a Doctor

If you’re experiencing persistent pain during or after sex, don’t ignore it. This isn’t something you have to “just live with.” Pain is your body’s way of signaling that something isn’t right.

Make an appointment with your OBGYN if you notice:

• Pain that’s consistent or worsening over time

• Bleeding after intercourse

• A burning sensation or unusual discharge

• Emotional distress related to sexual activity

As an OBGYN, my priority is helping you feel comfortable, healthy, and empowered. Every patient is different, and a personalized evaluation can help identify the root cause and the most effective treatment.

What Can Be Done?

Treatment depends on the cause but may include:

• Lubricants or vaginal moisturizers for dryness

• Physical therapy to strengthen or relax pelvic muscles

• Medications to treat infections or manage hormonal levels

• Counseling or sex therapy when emotional factors are involved

• Minimally invasive procedures if structural issues like endometriosis are present

Often, a combination of approaches works best.

Pain during sex is a real and valid health issue, not just a “bedroom problem.” If you’re experiencing discomfort, it’s okay to speak up. Your health and well-being matter, and you deserve to feel safe and supported in every part of your life, including your intimate relationships.

If you have concerns, I encourage you to book a consultation. Together, we can find the answers and help you rediscover comfort and confidence.