10 Reasons Why Sex May Hurt

By Gwyneth MacLaine · April 05, 2010

Reasons Why Sex May Hurt
Are you saying “Ouch, stop!” instead of “Oh yes, baby, yes!”?

I’m not talking about a leg cramp, or a side stitch from strenuous and enthusiastic sex. If you’re sore and wincing in pain, and it’s not from overexertion, you may need to turn on the light, reach for the phone and make an appointment to get your “equipment” checked — and sooner, rather than later.

For women, erratic pain during intercourse may be as simple as a change in the position of the cervix that happens over the course of a month. But there are other possible causes, all which warrant a visit to the doctor, ASAP:

1. Vaginal Infection

Infections such as thrush or pelvic inflammatory disease can make intercourse painful all the way up the vagina.

2. Endometriosis

This can cause deep pelvic pain during intercourse as well as uncomfortable periods. Endometriosis is common in infertile women.

3. Episiotomy Scar

These scars after childbirth are always painful at first, but the pain should settle within a couple of months.

4. Dryness

This may be due to lack of arousal or lack of estrogen after menopause, or while you are breastfeeding. It can be more pronounced at certain times of your cycle, and it tends to make intercourse painful right from the start of penetration.

5. Vaginismus

This is a spasm of the muscles around the opening of the vagina that makes penetration almost impossible. It almost always has a psychological cause, and is more common if there has been major sexual trauma such as sexual abuse or rape.

For men, pain after ejaculation or sore testicles warrants visiting a doctor who can look for an adrenal or bladder problem. Or it could mean one of the following:

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