Sexual intimacy is meant to be a positive and fulfilling part of life. However, for many women, pain during sexual intercourse—also known as dyspareunia—becomes a source of distress and discomfort. This condition is far more common than most people realise, yet it often goes unspoken due to embarrassment or lack of awareness. At Sanjivani Hospital, we believe that no woman should suffer in silence. With the right diagnosis and treatment, painful intercourse can be effectively managed, helping women regain comfort, confidence, and intimacy.

What Is Painful Intercourse (Dyspareunia)?

Dyspareunia is defined as persistent or recurrent pain in the genital area before, during, or after sexual intercourse. The pain may be sharp, burning, throbbing, or a deep ache, and can occur at different points:

• Entry pain – pain at the vaginal opening when penetration begins.
• Deep pain – pain felt deeper in the pelvis with deeper penetration.

The experience varies from woman to woman, and the underlying causes can differ greatly, which is why a medical consultation is essential.

Common Causes of Painful Intercourse

1. Vaginal Dryness

One of the most common reasons for discomfort, especially after childbirth or during menopause, is insufficient lubrication. Vaginal dryness may result from hormonal changes, breastfeeding, certain medications, or lack of arousal.

2. Infections

Urinary tract infections (UTIs), yeast infections, or sexually transmitted infections (STIs) can cause irritation, burning, and pain during sex.

3. Hormonal Changes

• Menopause: Low oestrogen levels cause thinning and drying of vaginal tissues.
• Postpartum phase: After childbirth, especially during breastfeeding, hormone shifts can cause temporary vaginal dryness.

4. Pelvic Floor Disorders

Conditions like pelvic floor muscle spasms or tightness can cause pain, particularly at the vaginal opening.

5. Endometriosis and Pelvic Disorders

Women with endometriosis, pelvic inflammatory disease, ovarian cysts, or fibroids may experience deep pelvic pain during intercourse.

6. Vaginal or Vulvar Disorders

Skin conditions, scars from childbirth or surgery, or congenital abnormalities can also make intercourse painful.

7. Psychological and Emotional Factors

Stress, anxiety, relationship issues, or past traumatic experiences can contribute to discomfort, sometimes creating a cycle of pain and fear.

Symptoms to Watch For

Pain during sex may vary in severity and presentation. Some of the common symptoms include:

• Sharp or burning pain at the vaginal entrance.
• Deep pelvic pain during penetration.
• Burning, itching, or irritation before or after intercourse.
• Persistent discomfort lasting even after sex.
• Fear or anxiety associated with intimacy due to anticipated pain.

If you experience these symptoms consistently, it’s important to seek medical advice.

Diagnosis: How Doctors Identify the Cause

At Sanjivani Hospital, diagnosis starts with a detailed consultation. The doctor will discuss your medical history, symptoms, and emotional health. A physical examination, including a pelvic exam, may be performed to check for infections, tissue changes, or pelvic abnormalities. In some cases, additional tests like ultrasound or blood work may be suggested to rule out underlying conditions.

Lifestyle Modifications

• Engaging in more foreplay to allow natural arousal.
• Avoiding irritants such as perfumed soaps or douches.
• Adopting stress management techniques like yoga, meditation, or relaxation therapies.

Why You Shouldn’t Ignore Pain During Sex

Many women dismiss pain during sex as “normal” or something they must tolerate. However, ongoing discomfort can affect not just physical health but also emotional wellbeing, confidence, and relationships. The good news is that most causes are treatable, and timely medical attention can restore comfort and intimacy.

How Sanjivani Hospital Can Help

At Sanjivani Hospital, we take a compassionate and confidential approach to women’s health. Our gynaecology team is experienced in diagnosing and treating all causes of painful intercourse. From advanced diagnostic facilities to personalised treatment plans, we ensure every woman receives the care she needs.

We believe in breaking the stigma around discussing sexual health. By seeking help, you are taking an important step towards improving not only your physical health but also your overall quality of life.

Take the First Step Towards Pain-Free Intimacy

If you are struggling with pain during sexual intercourse, don’t suffer in silence. At Sanjivani Hospital, our expert gynaecologist is here to help you find relief with safe, effective, and personalised care.

Book your consultation today at Sanjivani Hospital and reclaim comfort, health, and confidence in your intimate life.