Painful Intercourse

What is painful intercourse?

Painful intercourse refers to any discomfort or pain during sex. About 75% of women experience this problem at some point in their lifetime. In many cases, painful intercourse only occurs once in a while, or it may happen a few times and then resolve itself. 

But, for some women, sex is always painful, a problem that can seriously affect your happiness, relationship, and overall quality of life. Fortunately, The Women’s Health Group, P.A. team can diagnose the issue and help you reclaim an enjoyable and pain-free sex life.

What causes painful intercourse?

There are many causes of painful intercourse, ranging from physical to psychological, including:

• Ovarian cysts
• Endometriosis
• Vaginismus
• Vaginitis
• Vulvodynia
• Hormone changes during menopause
• Sexually transmitted infections
• Pelvic inflammatory disease
• Uterine prolapse
• Infection
• Internal scarring from surgery
• Sex too soon following childbirth or gynecologic surgery
• Lack of arousal
• Lack of lubrication
• Anxiety
• Depression
• Stress

For some women, several of these causes may come together at once. For example, up to 86% of women with endometriosis struggle with depression, and 87% have anxiety. Both problems can lead to pain during intercourse. 

How is painful intercourse diagnosed?

If you’re having painful intercourse, the first step is a comprehensive diagnostic evaluation at The Women’s Health Group, P.A., including:

• Medical history
• Discussion of your symptoms, habits, and lifestyle
• Pelvic exam
• Pelvic ultrasound 
• Diagnostic procedures like laparoscopy

Once the team determines the factors that lead to painful intercourse, they can recommend treatments that will work for your particular needs. 

How is painful intercourse treated?

Treatment of painful intercourse depends on the underlying issues. The team may prescribe medication to address issues, for example, hormone replacement therapy (HRT) for hormone imbalance during menopause. 

Many women find that using a water-soluble lubricant is helpful for painful intercourse. Taking a warm bath and urinating before sex can also help. Of course, working with your partner to make sex more comfortable is also important in successfully dealing with this frustrating issue.

If you have an issue that doesn’t respond to nonsurgical treatment, the team may recommend a minimally invasive surgical procedure to remove the tissue that’s causing your pain.  

The Women’s Health Group, P.A. understands that painful intercourse is a delicate personal topic, and they’re here to compassionately listen and support you. Book your appointment online or call the office nearest to you to schedule your evaluation now.