The following situations and conditions can contribute to or cause pain during intercourse or other forms of penetration. The first few times you have intercourse or experience vaginal penetration, you may feel a small to moderate amount of pain at the entrance to the vagina. There can be some bleeding or no bleeding at all—both are normal. The reasons for the pain are not always clear, but it is typically temporary.
Adhesions may trigger pain by causing organs to move away from their normal location or to become fixed stuck in an abnormal position. Inadequate vaginal lubrication causing dryness can contribute to sexual pain. Common reasons for vaginal dryness can include conditions contributing to low estrogen levels induced, surgical or natural menopause, after childbirth, or during the breastfeeding or medications that are associated with lack of sexual arousal antihypertensives, antidepressants, antihistamines, sedatives, and certain hormonal agents. Or you might have uterine fibroids or myomas, which are benign non-cancerous growths in the wall of your uterus. And you may even have an ovarian cyst , a fluid-filled sac that grows inside your ovary and that can cause pain. Depending on what is causing your pain, there are several treatments, ranging from prescribing medication to keep endometriosis from growing or to shrink a fibroid -- to laparoscopic minimally invasive surgery to remove scar tissue or cysts. A frank discussion with your medical provider will help to elucidate the causes and treatment options for dyspareunia.
Back to Sexual health. If you get pain during or after sex, your body may be trying to tell you something is wrong, so don't ignore it. Find a sexual health clinic near you.
Pain during intercourse is very common—nearly 3 out of 4 women have pain during intercourse at some time during their lives. For some women, the pain is only a temporary problem; for others, it is a long-term problem. The internal female reproductive organs and the external female genitals.