Center for Sexual Medicine Manila Sexual Medicine Blog

Why You’re Feeling Pain During Sex and What It’s Really Trying to Tell You

Sex is supposed to feel good, safe, and intimate. But for many women, it can feel very different. If you’ve ever felt pain during sex—whether it’s a sharp sting, burning sensation, or deep ache—you’re not alone. Pain during sex is more common than most women realize, and it’s your body’s way of asking for attention, care, and healing. This experience does not make you broken. It makes you human.

This article will help you understand why this happens, what your body might be trying to tell you, and how you can gently take back control of your pleasure and comfort.

Is Pain During Sex Normal—or Is It a Sign of Something More?

Some discomfort once in a while—like when you’re stressed, tired, or not aroused—can be normal. But regular or ongoing pain during sex (called dyspareunia) is not something you should ignore.

Pain can show up in different ways:

  • A burning or stinging sensation at the entrance of the vagina
  • Dryness or friction that makes penetration feel sharp or sore
  • Deep pain inside the pelvis during thrusting
  • Tightness or muscle spasms that make sex difficult or impossible

Pain is not just physical. It can affect your emotions, confidence, and even your relationship.

What Are the Common Causes of Pain During Sex?

Pain can come from physical, emotional, or hormonal reasons. Here are the most common causes:

Not Enough Natural Lubrication

When your body isn’t fully aroused, the vagina may not produce enough natural moisture. This can make intercourse feel dry, rough, or painful. Common causes include stress, anxiety, hormonal changes, or rushing into sex without enough foreplay.

Hormonal Imbalance (Low Estrogen)

Hormones like estrogen help keep the vaginal walls soft, elastic, and naturally lubricated. When estrogen levels drop—such as during birth control use, after childbirth, breastfeeding, or menopause—the vagina can become dry and sensitive.

Vaginismus and Pelvic Floor Tension

Some women experience involuntary tightening of the vaginal muscles that makes penetration painful or impossible. This condition is called vaginismus and may be caused by fear, past trauma, anxiety, or chronic stress.

Infections or Medical Conditions

Pain can also come from medical issues like:

  • Yeast infections or bacterial vaginosis
  • Urinary tract infections (UTI)
  • Endometriosis or ovarian cysts
  • Pelvic inflammatory disease (PID)
    These conditions need medical attention and should not be ignored.

Past Trauma or Emotional Stress

Your body remembers. Emotional trauma, past painful experiences, or performance anxiety can make the body tense and fearful during sex, causing pain even when there’s no physical problem.

What Is Your Body Trying to Tell You?

Pain is not your enemy—it is a message. It’s your body saying:

  • “I need more time to feel safe.”
  • “I’m not fully aroused yet.”
  • “Something inside needs healing.”
  • “I’m stressed or emotionally overwhelmed.”
  • “There might be a medical issue that needs care.”

Listening to your body is the first step toward healing.

How Can You Reduce Pain and Feel Safe in Your Body Again?

Slow Down and Prioritize Comfort

Don’t rush. Take time for foreplay. Allow your mind and body to relax before penetration. Use breathing techniques to calm tension.

Use Lubrication Freely

Water-based or silicone-based lubricants can reduce friction and make intimacy smoother and more comfortable.

Talk to Your Partner

Share how you feel. A loving partner will understand. Tell them what feels good, what doesn’t, and when you need to pause.

Visit a Doctor or OB-GYN

If pain continues, don’t keep it to yourself. A professional can check for infections, hormonal issues, or pelvic floor disorders and give proper treatment.

Try Pelvic Floor Therapy or Relaxation Exercises

Pelvic floor therapists can teach gentle exercises to relax tight muscles, reduce pain, and help you feel more in control of your body.

Heal Emotional Stress or Trauma

Counseling, therapy, or online platforms like MeHelp (if applicable) can help you process anxiety, trauma, or fear around intimacy.

When Should You Seek Medical Help?

You should see a healthcare provider if:

  • The pain happens often or gets worse over time
  • You feel burning, dryness, or soreness during or after sex
  • You have bleeding or unusual discharge
  • Sex causes emotional distress or fear
  • You avoid intimacy because of the pain

Takeaway

Pain during sex is not something you should ignore or be ashamed of. It is your body’s way of saying it needs care, healing, or a little more love. With awareness, support, and the right steps, you can experience intimacy that feels safe, comfortable, and deeply connected again.

You deserve to enjoy pleasure—not pain.

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