Endometriosis affects many aspects of a woman’s life, including intimacy. Painful sex, known as dyspareunia, is one of the most common and distressing symptoms women with endometriosis experience. At Cherokee Women’s Health Specialists, we understand how deeply this can impact both physical and emotional well-being. If sex has become painful for you, know that you’re not alone and that help is available.
Why Does Endometriosis Cause Painful Sex?
Endometriosis occurs when tissue similar to the lining of the uterus grows outside the uterus, causing inflammation, scar tissue, and sometimes cysts. Several factors can contribute to pain during intercourse:
Deep Implants and Inflammation – Endometriosis lesions often grow behind the uterus, on ligaments, or near pelvic organs. During intercourse, pressure or movement in these areas can cause sharp or deep pain.
Scar Tissue and Adhesions – Scar tissue, known as adhesions, can form between organs. This may limit mobility of pelvic structures, making sexual activity uncomfortable or painful.
Ovarian Endometriomas – Cysts filled with endometrial tissue can form on the ovaries. These cysts can cause tenderness and pain, especially with penetration.
Pelvic Floor Muscle Tension – Chronic pain from endometriosis may cause pelvic floor muscles to tighten reflexively, leading to further discomfort during sex.
Emotional and Psychological Impact – Painful sex can lead to fear, anxiety, and stress about intimacy. This emotional distress may, in turn, heighten physical pain.
How Does Pain Feel During Sex?
Pain from endometriosis can vary. Some women describe:
- Sharp or stabbing pain deep in the pelvis
- Aching or burning sensations
- Pain during penetration
- Pain lasting for hours or days after sex
The pain might be constant or occur only in certain sexual positions.
Finding Relief: Treatment Options
The good news is that help is available. Treatment for painful sex due to endometriosis is personalized and may include:
Medical Treatments
- Hormonal Therapies – Birth control pills, hormonal IUDs, or medications can reduce endometrial growths and inflammation.
- Pain Medications – NSAIDs may help manage pain before and after sexual activity.
Surgical Treatment
- Laparoscopic Surgery – Removing endometrial implants, cysts, and adhesions may significantly reduce pain for many women.
Pelvic Floor Physical Therapy
A specialized physical therapist can help relax pelvic floor muscles, reduce pain, and improve comfort during sex.
Lifestyle and Self-Care
- Using lubrication to reduce friction
- Exploring sexual positions that cause less pressure
- Engaging in relaxation techniques to manage anxiety
- Having open communication with your partner about comfort and boundaries
Emotional Support
Chronic pain and painful sex can take a toll on mental health. Counseling or sex therapy can be valuable in addressing emotional impacts and restoring intimacy.
You Deserve Relief
Painful sex is not something you have to “just live with.” If you’re experiencing discomfort during intercourse, we encourage you to talk openly with your doctor. Early diagnosis and treatment of endometriosis can help you reclaim comfort and intimacy.
At Cherokee Women’s Health Specialists, we’re here to listen without judgment and offer compassionate, expert care to help you feel your best, both physically and emotionally.
Contact us today at 770.720.7733 or schedule an appointment online to take the first step toward relief from painful sex and endometriosis.
