Sex should be fun. If it does not deliver, then something needs to be urgently taken.

Dyspareunia, pain during intercourse, manifests itself with different strengths, in different places and with different regularities. It signals a disease or problems in a pair. That is, if it hurts you because it is dry, then you need to discuss with your husband the nature and duration of the prelude. If it hurts, because you don’t look at the unloved spouse without a shudder, then the issue must be resolved radically. The gynecologist will tell about all other cases.

Endometriosis

Endometriosis

Actually, the main symptom of endometriosis is just chronic pelvic pain, aggravated during menstruation and during intercourse. The intensity and duration of the pain syndrome in this case depend on the location and size of the endometroid foci. In the presence of large endometroid cysts, especially in thin women, sexual intercourse is usually accompanied by severe pain. Adenomyosis (endometrosis of the uterus) can also poison the joy of love. What to do in a similar situation is described in detail here.   

Estrogen reduction

Estrogen reduction

In pre- and postmenopausal women, vaginal dryness often occurs, which can subsequently lead to atrophic changes in the cervix, vaginal mucosa and urethra. As a result, any touch causes irritation and pain up to bleeding. And no high-quality prelude can save the situation: own lubrication is simply not produced.

In this case, the possibility of hormone replacement therapy should be discussed with the gynecologist, and lubricants should be used during sex . 

Adnexitis

Adnexitis

Salpingoophoritis, or adnexitis, is an inflammation of the uterine appendages: ovaries and tubes, a disease that poisons the joy of sex. The intensity of pain depends on the stage of exacerbation: in acute adnexitis, pain occurs with every sexual contact, while in chronic pain, it is less pronounced.  

But even slight pain should not be. If it is, then there is a reason to contact a gynecologist.

STI

STI

Coital pain is often associated with sexually transmitted infections (STIs). If untreated, the ascending infection reaches the pelvic organs, causing inflammatory processes directly in the lower floor of the abdominal cavity. This is very dangerous, since it can lead to the development of purulent-septic complications and even to peritonitis. Therefore, at the first manifestations of pain during sex, you should immediately consult a gynecologist. In STIs, screening and treatment, as a rule, take place with a sexual partner. 

Irritable bowel syndrome

If your stomach hurts, it’s better not to press on it

If the stomach is swollen, then, of course, it is better not to press on it. On no side. With any sudden movements, including during intercourse, the already irritated intestines begin to hurt expressively. 

The gynecologist here, of course, will not help. He will only be able to distinguish this diagnosis from specific female problems, so that you, at least, know who is to be treated further.

Uterine fibroids

Uterine fibroids

But it, contrary to popular belief, proceeds without pain and is not associated with dyspareunia.