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Women's Health

Pain with Intercourse

NetWellness receives many questions about pain with intercourse. Also called dyspareunia, pain with intercourse is a common problem for women of all ages. At some point in life most women have experienced some form of pain during intercourse ranging from mild to severe and occurring once, occasionally, or for long stretches of time.

If you are experiencing pain and are concerned about the cause of it or seeking a resolution to the problem it will be helpful for you to determine where exactly the pain is originating from. This can assist you and your healthcare provider in determining what may be causing the pain and deciding how best to treat it. Here is a list of common causes of specific kinds of pain with intercourse:

Vulvar Pain (felt on the surface/outside of the vagina)

Vaginal Pain (at the opening of the vagina)

Deep Pain (can occur in the lower back, pelvic region, uterus and bladder)

Pain that starts deep inside may be a sign of an internal problem. Pain that happens when the penis pushes and moves the pelvic organs can have many causes:

It is very possible that the cause of your pain is physical but for many women there is an emotional component that is either contributing to pain during intercourse or amplifying pain from another source. Many women suffer from mood disorders or have been victims of sexual or emotional abuse. This needs to be treated at the same time other physical causes are investigated. If this is the case, your healthcare provider can refer you to different specialists who can help you.

Because this condition is so common there is no reason not to consult your healthcare provider if you suspect something is wrong. You may find treatment for the physical cause of your pain, you may discover the early stages of a more serious condition and get a chance to start treatment early, and you may be able to improve the quality of your sex life. All of these large benefits make it worth the effort of a visit to your healthcare provider.

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Last Reviewed: Apr 21, 2009

Formerly Associate Professor of Clinical Obstetrics and Gynecology
Director, Medical Student Education
No longer associated