Have you experienced pain in the labia, vaginal or pelvic areas during or immediately following sex? You may be experiencing a common condition known as, dyspareunia. Dyspareunia is apparent when sex becomes too difficult or painful to enjoy. The root cause of dyspareunia can be unique to your situation. Below is a list of the most common symptoms and causes. 


Symptoms of dyspareunia can cause you to withdraw from your partner or completely avoid sexual activities. If you have experienced any of the following, it could be a sign you are suffering from dyspareunia.

  • Throbbing pain hours after sex
  • Burning sensation
  • Intense discomfort at penetration
  • Deep pain during thrusting motions
  • Pain when using a tampon
  • Aching sensation


The cause of painful intercourse can depend on when you are experiencing pain. If you have experienced dyspareunia during entry, deep penetration or after sex it could be caused by the following:

Pain During Entry

Pain during entry may be attributed to a number of causes, including:

  • Lack of lubrication. A decrease in estrogen levels after giving birth, menopause, antidepressants, breastfeeding, high blood pressure, birth control and lack of foreplay can cause painful intercourse.
  • Trauma or prior injuries. Previous injuries from pelvic surgery or episiotomy can become irritated and cause aching during penetration.
  • Inflammation and disorders. An infection or Eczema on your genitals, cervix, or urinary tract can cause a painful encounter.
  • Involuntary vaginal wall muscles spasms can make penetration difficult or unpleasurable.
  • Inherited irregularities. Women born with vaginal agenesis or imperforate hymen could cause dyspareunia.

Pain During Deep Penetration

The following produces pain during thrusting or deep penetration and worsens in certain positions.

  • Inflamed pelvic, endometriosis, uterus complication, fibroids, cystitis, irritable bowel syndrome, hemorrhoids, and Polycystic ovarian syndrome are all common factors.
  • Prior surgeries or medical issues. Scarring caused by hysterectomies and other surgical procedures can increase painful intercourse. Radiation and chemotherapy also initiate changes that increase the chances of painful sex.

Psychological Influences 

Emotions and sexual intercourse go hand and hand. It is not uncommon for emotional pain to conflict with sexual intercourse. Emotional indicators can include:

  • Psychological disorders. Anxiety, depression, low self-esteem, and a fear of intimacy can suppress stimulation; which can result in distressed and uncomfortable intercourse.
  • Stress levels. Unchecked stress can have a harmful effect on your body. Pelvic muscles often tighten when stress is prolonged, contributing to painful intercourse.
  • History of sexual abuse. If you have encountered sexual trauma in your past, dyspareunia has a chance of occurring later in life.

When to See a Doctor

Suffering from vaginal pain can severely impact your ability to experience pleasure. If you are combating the symptoms of dyspareunia, schedule an appointment with one of our practitioners at North Florida OBGYN of Jacksonville. We are committed to helping you find the cause of your pain and which treatment option is right for you.

By | 2019-02-28T15:29:10+00:00 January 15th, 2019|Gynecologist|0 Comments