Why does vulvodynia cause pain during sex?

Pain During Sex is a common presentation of Vulvodynia. The discomfort may feel burning, stinging, raw, aching or sharp, and it can occur at the vaginal opening or deeper with pressure. Anticipating pain may make the pelvic-floor muscles tighten without conscious control, creating a cycle in which contact feels harder and more painful. Symptoms can vary from one day to the next and may also be triggered by clothing, sitting, wiping or inserting a tampon.

Vulvodynia is a pain condition, but similar symptoms can also occur with infection, skin irritation, hormonal changes or another pelvic problem. A clinician can examine the area and consider these possibilities.

Pause penetration when pain begins rather than pushing through it. Use a plain, fragrance-free lubricant if sexual activity feels comfortable, and choose positions where you control depth and pace. Loose cotton underwear and avoiding scented washes may reduce irritation. Keep a brief record of triggers, the location of pain and whether it continues after contact; this gives a clinician useful detail. Treatment may involve pelvic-floor physiotherapy, support for pain sensitivity, or care for an identified skin or vaginal condition.

Arrange an assessment if pain during sex is new, persistent, worsening, or stopping you from intimacy or daily activities. Seek prompt medical help for severe pelvic pain, fever, unusual bleeding, sores, marked swelling, or foul-smelling discharge. Urgent assessment is also sensible if pain follows a possible injury or occurs with faintness.

Ask whether the pain is mainly at the entrance or deeper, whether an examination or swab is needed, and whether pelvic-floor physiotherapy could suit your symptoms. You can also ask how to protect comfort during intimacy while the cause is being assessed.