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Sexual Health and Painful Intercourse

March 25, 2026
Health Topics

Sexual Health and Painful Intercourse

“Painful intercourse can happen for reasons that range
from structural problems to psychological concerns.
Many people have painful intercourse at some point…”.1

Umbrella

What may the Sexual Health and Painful Intercourse Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Dyspareunia
  • Pain With Intercourse
  • Painful Intercourse
  • Painful Sex
  • Painful Vaginal Intercourse

Dyspareunia

What is dyspareunia?

DotS the definition of dyspareunia may vary. The (Australian) Jean Hailes for Women’s Health’s (JH) definition is:

“‘Dyspareunia’ is pain felt before, during or after sex”.2

Symptoms

What may be symptoms of painful intercourse?

In Painful Intercourse (Dyspareunia): Symptoms & Causes – Symptoms the Mayo Clinic note:

“If you have painful intercourse, you might feel:

  • Pain only at sexual entry, called penetration
  • Pain with every penetration, including putting in a tampon
  • Deep pain during thrusting
  • Burning pain or aching pain
  • Throbbing pain, lasting hours after intercourse”.3

Cause

What may cause painful intercourse?

The Mayo Clinic explain:

“Painful intercourse can happen for reasons that range from structural problems to psychological concerns. Many people have painful intercourse at some point in their lives”.4

In Painful Intercourse (Dyspareunia): Symptoms & Causes – Causes the Mayo Clinic also elaborate on:

“Physical causes of painful intercourse differ, depending on whether the pain happens at entry or with deep thrusting. Emotional factors can be linked to many types of painful intercourse.

  • Entry Pain…
  • Deep Pain…
  • Emotional Factors…”.5

In Painful Sex (Dyspareunia): What Causes Painful Sex? (+ Image) the JH elaborate on some physical and emotional factors which can cause painful sex.

Menopause

Is there an association between regular intercourse and menopause?

In Sexual Health: Frequently Asked Questions – What Changes Should I Expect After Menopause? the (United States) Menopause Society (formerly the North American Menopause Society) elaborate on:

Sexual Health and Painful Intercourse“Regular vaginal sexual activity is important for vaginal health after menopause because it stimulates blood flow, helps keep your vaginal muscles toned, and maintains your vagina’s length and stretchiness”.6

Improving Sexual Experience

What are some practical things to do to improve your sexual experience?

In Painful Sex (Dyspareunia): What You Can Do To Improve Your sexual Experience the JH explain:

“If you want to improve your sexual experience, you can try these practical ideas:

  • Tell your partner what you like or don’t like – and stop sex if you feel pain
  • Change sexual positions or techniques. If you experience pain during thrusting, sit on top of your partner so you can control the depth of penetration. You can also try different or longer foreplay to increase your arousal
  • Use lubricants to increase arousal and comfort during sex
  • Focus on yourself. Try to switch off any worries, tune in to your body and enjoy the moment
  • Be intimate in different ways. If you have a partner, try kissing, cuddling, massage, mutual masturbation and oral sex. This may enhance your sex drive
  • Try a vaginal dilator (a tube-shaped device to stretch your vagina) or a small vibrator. These may help you to relax your pelvic floor muscles”.7

Treatment

What are some treatment options for painful intercourse?

In Painful Intercourse (Dyspareunia): Diagnosis & Treatment – Treatment the Mayo Clinic elaborate on:

Sexual Health and Painful Intercourse

“Treatment options vary, depending on the cause of the pain”.

  • Medications…
  • Other treatments…
    • Desensitization therapy…
    • Counseling or sex therapy”.8

Health Care Provider

What if I have painful intercourse?

The JH explain:

“If you are experiencing painful sex, see your doctor. They will find and treat the cause or refer you to a specialist”.9

The Mayo Clinic explain:

“If you have recurrent pain during sex, talk to your health care provider. Treating the problem can help your sex life, your emotional intimacy and your self-image”.10

Health Topics A-Z

Where may I find Health Topics A-Z related to Sexual Health and Painful Intercourse?

In Health Topics A-Z you may find:

Health Topics A-Z

  • Hormone Therapy and Vaginal Estrogen
  • Sex
  • Sexual Health
  • Sexual Health Help
  • Sexual Health and Female Sexual Dysfunction
  • Sexual Health and Libido
  • Sexual Health and Menopause
  • Vaginal Atrophy
  • Vaginal Dryness
  • Vaginal and Vulval Treatment Options

Links

Where may I find Links related to Sexual Health and Painful Intercourse?

Your Country may have Links similar to:

Links

This Links List to third party websites is neither comprehensive nor exhaustive. Inclusion on this Links List does not imply endorsement or recommendation. Non-inclusion on this Links List does not imply non-endorsement or non-recommendation. Third party websites are not under the control of Meno Martha International Menopause Directory. Third party websites may contain explicit medical images and/or sexual references. Please read Meno Martha International Menopause Directory’s Links Policy before proceeding to a Link. Please contact Webmaster if you experience a problem with a Link.

New or Updated
  • A Man’s Guide To Menopause [18 March 2026]
  • Anatomy of the Vagina [12 December 2025]
  • Dyspareunia – Vaginal Atrophy and Beyond [Webinar] [ Sign In To Confirm Your Age] [06 May 2026]
  • How Vaginal Hormones Can Transform the Health of Women [24 November 2025]
  • What Is Vaginismus and How To Manage It [10 December 2025]
  • Why Men Need To Understand The Menopause & Women’s Hormones | Dr Louise Newson [09 December 2025]

  1. A Man’s Guide To Menopause
  2. Anatomy of the Vagina
  3. Consumer Video and Podcast Series: 2024 Consumer Videos and Podcasts – Preparing for Your Menopause Health Care Visit
  4. Deciding About Hormone Therapy Use
  5. Diagnosis [Vaginismus]
  6. Douching
  7. Dyspareunia (Female Pain During Sex)
  8. Dyspareunia – Vaginal Atrophy and Beyond [Webinar] [ Sign In To Confirm Your Age]
  9. Endometriosis Symptoms: Painful Sex (Dyspareunia)
  10. Enjoying Your Sex Life
  11. FAQs: Disorders of the Vulva: Common Causes of Vulvar Pain, Burning, and Itching
  12. FAQs: Vulvovaginal Health
  13. FAQs: When Sex Is Painful
  14. FAQs: Your Sexual Health
  15. FDA Direct: Removing Black Box Warnings for HRT (Part 1/2)
  16. FDA Direct: Removing Black Box Warnings for HRT (Part 2/2)
  17. Female Genital Mutilation
  18. Female Genital Mutilation (FGM)
  19. Female Genital Mutilation (FGM): Overview – Treatment for FGM (Deinfibulation) [+ Video: Female Genital Mutilation (FGM)]
  20. Find A Menopause Practitioner [United States and Other]
  21. Find A Practitioner [Australasian Menopause Society i.e. Australia and New Zealand]
  22. Find Your Nearest BMS Menopause Specialist [British Menopause Society]
  23. Genitourinary Syndrome of Menopause
  24. Genitourinary Syndrome of Menopause
  25. Healthy Relationships
  26. Hopeandher.com [Hope&Her – Vaginismus No More!]
  27. Hormone Therapy: Is It Right for You?
  28. How To Talk To Your Doctor About Painful Sex
    Sexual Health and Painful Sex
  29. How Vaginal Hormones Can Transform the Health of Women
  30. International Society for Sexual Medicine: Public
  31. International Society for Sexual Medicine: Sexual Health Topics
  32. International Society for the Study of Women’s Sexual Health: Find A Provider
  33. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Sexual Wellbeing, Intimacy and Menopause [+ Video: Menopause Is the End of Your Sex Life]
  34. Later Years (Around 50 Years and Over): Menopause and Post Menopause Health – Supporting Someone Through the Menopause [+ Video: Men Don’t Need To Know About Menopause]
  35. Let’s Talk Low Libido
  36. Low Sex Drive In Women
  37. Lubricant Alternatives: What To Use and What To Avoid
  38. Menopause
    Sexual Health and Painful Intercourse
  39. Menopause Checklist Podcast: Episode 6: Hello Lubricant!
    Sexual Health and Painful Intercourse
  40. Menopause Map: Downloadable Resources – My Personal Path Print Tools: Questions for Your Health Care Provider
  41. Navigating Menopause: Honest Answers To All Your Questions [+ Video: What To Expect in Menopause]
  42. Navigating Menopause Care Resource Guide
  43. Online Events [International Menopause Society]: Past Webinars – 2025: The Burn, the Itch, the Pain, the Urge: GSM In Women
  44. Pain Down There? 9 Reasons Your Vagina Hurts
  45. Painful Intercourse (Dyspareunia)
  46. Painful Intercourse (Dyspareunia): Diagnosis & Treatment
  47. Painful Sex
  48. Painful Sex (Dyspareunia)
  49. Painful Sex (Dyspareunia): How To Treat and Manage Painful Sex
  50. Painful Sex (Dyspareunia): What Causes Painful Sex
  51. Painful Sexual Intercourse (Dyspareunia)
  52. Perimenopause and Menopause Checklist: Translated Checklists
  53. Perimenopause and Menopause Symptom Checklist
    Sexual Health and Painful Intercourse
  54. Prosayla Supported By ISSWSH [International Society for the Study of Women’s Sexual Health]
  55. Rape, Abuse & Incest National Network [United States]
  56. Safer Sex and Sexually Transmitted Infections (STIs)
  57. Sex and Sexual Health
  58. Sexual Difficulties In the Menopause
  59. Sexual Health
  60. Sexual Health
  61. Sexual Health
  62. Sexual Health
  63. Sexual Health
  64. Sexual Health Issues [Topics]
  65. The Vulva & Vagina Explained: Sex Ed #2
  66. Top Menopause Questions Answered: Hormones, Bones, Sex & Sleep
  67. Vaginal Atrophy
  68. Vaginal Dryness
  69. Vaginal Dryness After Menopause: How To Treat It? I’m postmenopausal and often have vaginal dryness, which makes intercourse painful. Is there anything I can do about it?
  70. Vaginal Dryness Alternative Treatments
  71. Vaginismus
  72. Vulva and Vagina
  73. Vulva and Vagina [Multiply Languages]
  74. Vulval Irritation and Treatment
  75. Vulval and Vaginal Conditions
  76. Vulval and Vaginal Pain
  77. Vulvodynia
  78. What Happens To Your Vagina As You Age?
  79. What Is Normal Sex?
  80. What Is Vaginismus and How To Manage It
  81. What Is Vulvodynia?
  82. What Is the Difference Between Vagifem and Estring?
  83. What Types of Vaginal Oestrogens Are There?
  84. Which Vaginal Moisturiser Should You Use?
  85. Why Are You Bleeding After Sex?
  86. Why You Do Not Ever Need To Douche
  87. World GO Day [World Gynecologic Oncology Day, 20 September 2025]
  88. World Sexual Health Day [04 September 2025]

Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Painful Intercourse (Dyspareunia): Symptoms & Causes – Overview. 16 February 2024. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/painful-intercourse/symptoms-causes/syc-20375967 Accessed: 25 March 2026
  2. Painful Sex (Dyspareunia): Key Takeaways. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-topics/sex-and-sexual-health/painful-sex-dyspareunia/ Accessed: 25 March 2026
  3. Painful Intercourse (Dyspareunia): Symptoms & Causes – Symptoms. 16 February 2024. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/painful-intercourse/symptoms-causes/syc-20375967 Accessed: 25 March 2026
  4. Painful Intercourse (Dyspareunia): Symptoms & Causes – Overview. 16 February 2024. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/painful-intercourse/symptoms-causes/syc-20375967 Accessed: 25 March 2026
  5. Painful Intercourse (Dyspareunia): Symptoms & Causes – Causes. 16 February 2024. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/painful-intercourse/symptoms-causes/syc-20375967 Accessed: 25 March 2026
  6. Sexual Health: Frequently Asked Questions – What Changes Should I Expect After Menopause? The Menopause Society https://menopause.org/patient-education/menopause-topics/sexual-health Accessed: 25 March 2026
  7. Painful Sex (Dyspareunia): What You Can Do To Improve Your Sexual Experience. Jean Hailes for Women’s Health https://www.jeanhailes.org.au/health-topics/sex-and-sexual-health/painful-sex-dyspareunia/#section-what-you-can-do-to-improve-your-sexual-experience Accessed: 25 March 2026
  8. Painful Intercourse (Dyspareunia): Diagnosis & Treatment – Treatment. 16 February 2024. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/painful-intercourse/diagnosis-treatment/drc-20375973 Accessed: 25 March 2026
  9. Painful Sex (Dyspareunia): When To See Your Doctor. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/sex-sexual-health/painful-sex-dyspareunia/ Accessed: 25 March 2026
  10. Painful Intercourse (Dyspareunia): Symptoms & Causes – Symptoms: When to See A Doctor. 16 February 2024. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/painful-intercourse/symptoms-causes/syc-20375967 Accessed: 25 March 2026
Topic Last Updated: 08 May 2026 – Topic Last Reviewed: 25 March 2026

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March 25, 2026/by MWD
Tags: Sexual Health, Sexual Health and Libido, Sexual Health and Menopause, Sexual Health Help, Vaginal Dryness
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20 May 2057204809334161818

Fact: Aging does not mean the end of sexuality.

Female sexual function is changed by a variety of factors, including GSM, sexual pain, stress, medications, relationships & mental health. Timely treatment can improve quality of life.

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ClevelandClinic avatar Cleveland Clinic @ClevelandClinic ·
21 May 2057605113049735434

It's most common to start having symptoms of perimenopause in your 40s. Those symptoms include irregular periods, vaginal dryness and, yes, hot flashes. As many as 3 in 4 people will have hot flashes in the years leading up to menopause.

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