Addressing Painful Intercourse: Understanding Causes and Finding Solutions

Hi, I’m Dr. Gandhi or Cherokee Women’s Health. I believe many women feel ashamed to talk about painful intercourse but I want you to feel comfortable discussing it with your doctor.

Watch Dr. Gandhi’s accompanying video.

When women come in and describe pain during intercourse, they may not be sure if it’s related to their external genitalia or internal organs. They just know that it hurts, it’s uncomfortable, and it affects their pleasure during intercourse.

Is Your Anatomy Causing Painful Intercourse?

We see women who experience this pain for various reasons, such as trying to conceive, going through menopause, or after giving birth. It’s essential to understand the anatomy and identify the origin of the pain to determine the appropriate treatment plan.

The external genitalia includes the mons pubis, labia majora, labia minora, urethra (opening into the bladder), vagina, and rectum. During a gynecologic exam, I examine these external parts for symmetry, lesions, or trauma. Pain in these areas can result from nerve issues, and thorough examination helps in diagnosis.

Conditions That May Play a Role

Moving on to the internal organs, it’s not just about the ovaries and uterus. The cervix, fallopian tubes, and other pelvic organs can also be affected by conditions like fibroids, polyps, infections, or endometriosis. We also consider the bladder and bowel as they can be related to pain during intercourse or fertility issues.

When you come in for evaluation, we not only look for the location of the pain but also its characteristics, such as sharp, gnawing, or deep pain. After identifying potential causes through physical exams and ultrasounds, we create a personalized treatment plan to address the pain and prevent it from recurring.

I Want You to Feel Comfortable Discussing Painful Intercourse

Please remember, sexual health is an important aspect of gynecology, and discussing these concerns with your doctor is nothing to be ashamed of. We are here to help and listen to your concerns, so don’t hesitate to reach out if you have any questions or need assistance in achieving optimal health and a healthy intimate life with your partner.

Make an Appointment Today

Call us today at 770.720.7733 or simply request an appointment online at either our Canton or Woodstock location.