Pain during intercourse

Pain during intercourse

Pain during intercourse is a common problem that can have a profound impact on women’s sexual well-being. However, intercourse should not be painful. There are a lot of explanations for pain that can be treated so that you can enjoy sexual intercourse again.

Causes

Pain during sex can have various causes and may present in different ways. Common symptoms include skin irritation, a feeling of obstruction, urinary incontinence, recurrent bladder infections, and pelvic or lower abdominal pain. This condition can often be addressed through a multidisciplinary approach. Possible causes of pain during sex include, but are not limited to:

• Not (yet) aroused enough: Insufficient arousal can lead to insufficient moisture in the vagina and tension in the pelvic floor muscles.
• Fear of pain: Fear of pain can make love making difficult and cause tension.
• Pelvic floor problems: Tense pelvic floor muscles are often a problem in women with pain during intercourse.
• Skin problems or inflammation: Eczema, fungal infections, lichen sclerosus, cystitis or thin, dry skin can all cause pain during intercourse.
• Menopause: During and after menopause, arousal and wetness may occur, but this may last longer than before.

Burning pain at vaginal inlet

Many women experience burning or distressing pain at the entrance to the vagina before, during and after intercourse. This pain may also persist when urinating after intercourse. One possible cause is the unconscious tightening of the pelvic floor muscles, which narrows the entrance to the vagina. This can lead to a vicious cycle where pain is both cause and effect, making intercourse increasingly uncomfortable.

Deep pain

Some women experience deep pain in the abdomen or pelvic floor during intercourse, especially in certain positions. This can be caused by the penis bumping against the cervix. Conditions such as a spastic colon, constipation or gynaecological problems such as endometriosis can also cause deep pain. After intercourse, women may also experience abdominal or pelvic floor pain, similar to muscle pain caused by excessive tension during intercourse.

Relation to gynaecological complaints

Pain during intercourse can be associated with various gynaecological complaints, such as prolonged or excessive bleeding, discharge symptoms, blood loss after intercourse, involuntary urine loss, prolapse symptoms or endometriosis. These complaints can be both causes and consequences of sexual problems.

Treatment at MC Wetering

Are you suffering from pain during intercourse? The gynaecologist at MC Wetering will be happy to help you prevent this, because making love doesn’t have to hurt. Make an appointment at our gynaecology department.

Frequently Asked Questions about Pain During Sex

What causes pain during sex?

Pain during sex can have many different causes, including vaginal dryness, pelvic floor problems, skin conditions, hormonal changes, or underlying gynaecological conditions. An examination can help determine the cause of your symptoms.

Is pain during sex normal?

No. Sexual intercourse should not be painful. Although pain during sex is a common complaint, persistent symptoms should always be evaluated to identify the underlying cause and determine the most appropriate treatment.

Can menopause cause pain during sex?

Yes. During menopause, lower oestrogen levels can cause vaginal dryness and thinning of the vaginal tissues. This can make sexual intercourse uncomfortable or painful.

How is pain during sex diagnosed?

Your gynaecologist will discuss your symptoms and medical history and, if necessary, perform a gynaecological examination. Additional tests may be recommended depending on the suspected cause.

What treatments are available for pain during sex?

Treatment depends on the underlying cause. Options may include pelvic floor therapy, treatment of an underlying gynaecological condition, hormonal therapy, or other medications where appropriate.

When should I see a gynaecologist about pain during sex?

You should make an appointment if pain during sex occurs repeatedly, worsens over time, or affects your quality of life or relationship. Early diagnosis can help ensure appropriate treatment.