What should you know about mild pain during sex?

Pain at the vaginal entrance may be linked to dryness, skin irritation, involuntary pelvic-floor tightening or conditions such as vulvodynia or lichen sclerosus. Deeper pain can occur with endometriosis, an ovarian endometrioma or pelvic inflammatory disease. Genitourinary Syndrome of Menopause can cause dryness and tissue sensitivity around and after menopause.

The pattern matters: note whether pain is at entry or deep inside, whether it follows a particular position, and whether there is itching, discharge, bleeding, urinary discomfort or pelvic pain. A symptom does not identify one diagnosis by itself, and several factors can coexist.

Pause or change sexual activity when pain starts rather than pushing through it. More time for arousal, a suitable lubricant and gentler positions may reduce friction or pressure. Avoid scented washes and products that irritate the vulval skin. Arrange a gynaecology assessment if pain keeps returning, affects intimacy, or occurs with other symptoms.

A clinician may ask about periods, contraception, menopause, infections, childbirth, medicines and pelvic pain, then examine the vulval and vaginal tissues if appropriate. Treatment depends on the cause; some people benefit from pelvic-floor therapy, treatment for inflammation, or management of an underlying condition.

Seek urgent medical advice for severe or rapidly worsening pelvic pain, heavy bleeding, fever, fainting, vomiting, or feeling acutely unwell. Arrange prompt assessment for pain with unusual discharge, bleeding after sex, new sores, or possible pregnancy. These warning signs need evaluation rather than self-treatment.

Tell your clinician where the pain is, when it began, and whether it occurs with penetration or deeper movement. Ask whether examination or infection testing is needed, whether dryness or pelvic-floor tension could contribute, and what treatment is suitable for your symptoms. If endometriosis is suspected, ask whether Laparoscopic Excision of Endometriosis is relevant.