What should you know about painless sex?

Comfort during sex can vary with arousal, lubrication, position, pelvic floor tension, hormonal changes, medicines, emotional wellbeing and relationship circumstances. Painless sex does not rule out an infection or another health issue, particularly when there is unusual discharge, sores, bleeding, a new change in sexual function or concern after a new sexual contact.

Sexual health questions are common and can be discussed privately. A clinician may ask about the type of sex, contraception, pregnancy possibility, periods, symptoms and exposure concerns so that advice and testing are appropriate.

Communicate about comfort, consent and pace, and stop if either person wants to stop. Allow enough arousal and consider a suitable lubricant; use condoms or other barrier protection according to your preferences and sexual health needs. Avoid products that sting or irritate sensitive skin. If there has been a possible exposure, do not self-treat with leftover medicines; arrange confidential advice.

Seek prompt medical advice for unusual bleeding, genital sores, new discharge, fever, pelvic or testicular pain, urinary burning, or a sudden change in sexual function. Urgent help is needed for severe pain, heavy bleeding, fainting or symptoms after sexual assault. A GP Consultation can provide a private starting point, and you can request a clinician of a preferred gender where available.

Do I need sexual health tests or an examination? Could contraception, medicines, hormones or pelvic floor tension affect my symptoms? How can I protect my partner while I wait for advice, and when should I return?