Who feels more pain during sex?

People with Endometriosis may experience deep pain during sex, particularly when pelvic tissues are sensitive. Vulvodynia, Lichen Sclerosus, or other vulval irritation can make touch or entry painful. During and after menopause, Genitourinary Syndrome of Menopause can cause dryness and fragile, sensitive vaginal tissue. Pelvic-floor muscles may also tighten protectively after pain, injury, childbirth, or anxiety, which can intensify discomfort.

A history of Pelvic Inflammatory Disease or an Ovarian Endometrioma can be relevant when pain is deep. These associations do not identify a diagnosis in an individual. Pain can be physical, emotional, or a mixture, and every person deserves an assessment without blame.

Talk with your partner, slow down, and stop when pain appears. Longer arousal, lubricant, and positions that control depth may reduce friction or pressure. Avoid scented products and do not force penetration. A clinician may recommend treatment for a skin condition, infection, hormonal tissue change, or pelvic-floor dysfunction. Record whether pain is at entry or deep, and whether it occurs with bleeding, discharge, itching, or period pain. If endometriosis is diagnosed, treatment options can include medicines or specialist procedures such as Laparoscopic Excision of Endometriosis.

Seek a routine assessment if pain is new, persistent, recurrent, or affecting your relationship or wellbeing. Get urgent help for severe sudden pelvic pain, heavy bleeding, fever, fainting, or pain with possible pregnancy. New sores, marked swelling, or inability to pass urine also need prompt review.

Does my pain pattern suggest an entry problem or deeper pelvic pain? Could medicines, hormones, skin changes, or pelvic muscles be contributing? What treatment can we try first, and when should I return?