Pain during and after sex is common and can affect both women and men. This can make your sexual experience less pleasurable and can put you off sex altogether. Here are some possible causes.

Sexually transmitted infections (STIs)

Many sexually transmitted infections can cause pain during sexual intercourse. This is why it’s advisable for you and your partner to go for regular STI screening. Pay attention to your body, Choma, and know when something feels uncomfortable, painful or different to how you normally feel.

Sex position

Some sexual positions allow for deeper penetration during vaginal sex, which could cause pain for some. The best remedy for this is to always make sure you’re in a comfortable position. Positions where you have control over the depth of penetration can also help.

Endometriosis

The overgrowth of endometrial tissue can cause pain in your stomach, pelvis, and back during sex. A healthcare provider can diagnose endometriosis.

Ovarian cysts

These are fluid-filled pockets that develop inside or on the surface of your ovaries. They’re usually painless, but larger cysts can cause lower abdominal pain. The pain may feel worse during or after sex.

Interstitial cystitis/bladder pain syndrome

It’s advisable to empty your bladder (urinate) before and after sexual intercourse, as this can cause pain in the pelvis and lower abdomen during sex.

Fibroid

Fibroids are non-cancerous growths that develop in or on your uterus. One of the symptoms includes pain during or after sex. 

Vaginismus

Vaginismus happens when the vaginal muscles squeeze or spasm when something is entering it, such as a tampon or a penis. This can feel uncomfortable and even painful during sex. There are many reasons why it can happen, but a common cause is anxiety or fear of having sex. It’s important to always feel comfortable, and not force yourself to have sex if you don’t want to as this can cause physical (and emotional) pain.

Dryness

Vaginal dryness occurs when the tissues of the vagina aren’t lubricated well. This can occur at any age. Warning signs include pain or discomfort during penetrative sexual intercourse, light bleeding after intercourse, soreness/itching, or burning of the vagina, and mild vaginal discharge.

There are many causes for experiencing pain during sexual intercourse, and this shouldn’t be ignored. If sex hurts, and especially if it hurts to the point that you’re avoiding it or want to stop, it’s time to see a healthcare provider.

Remember, if you or a friend need advice or help, you can contact me here on Ask Choma, send a Facebook message or a Twitter DM, or a WhatsApp Message (071 172 3657).