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  • Writer's pictureBosque Women's Care

What can I do if sex hurts?



Sex is meant to be a pleasurable and intimate experience, but for some people, it can be accompanied by pain or discomfort. Painful intercourse, also known as dyspareunia, is a common issue that affects both men and women.


There are multiple potential reasons why sex might hurt and usually it is a combination of different causes.

  • Vaginal health changes with age and may result in decreased lubrication and elasticity, causing pain with penetration.

  • Pelvic floor spasm can result from injuries, past pelvic or sexual trauma, or even anxiety or fear about sex.

  • Vaginal infections like bacterial vaginosis (BV), yeast infections, or sexually transmitted infections (STIs) like chlamydia, gonorrhea, and herpes can cause pain with sex.

  • Endometriosis can cause pain with intercourse, more commonly “deep” inside. Women with endometriosis may also experience pain with their periods or even in between their periods.

Identifying potential problems can target treatments. For instance, infections can be treated with antibiotics and menopause-related vaginal changes can be treated with hormones or vaginal moisturizers.


In addition, open and honest communication with your partner about the issue is crucial. Discussing your concerns, fears, and seeking emotional support can help alleviate anxiety and create a supportive environment.


Using lubricants during intercourse can reduce friction and ease discomfort caused by inadequate lubrication. Experimenting with different types of lubricants can help find the most suitable one for you. Only water based lubricants should be used with latex condoms. People who are not using condoms can also look into silicone based lubricants.


Pelvic floor spasm or injury can often be helped with pelvic floor physical therapy. There are specialized therapists who have received extra training in helping women overcome injury or normal changes with time and age. Therapy will help relax and strengthen the pelvic muscles, allowing for more comfortable intercourse.


Bosque Women’s Care’s providers are all highly trained experts in painful sex and sexual dysfunction. They can help discuss options for achieving your best health.

Call 505-847-4100 to schedule an appointment or visit the website www.bosquewomenscare.com for more information or to schedule online

(c) 2023 Bosque Women's Care

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