Is painful sex a sign of fertility issues?

Is painful sex a sign of fertility issues?

Are you experiencing pain during, before, or after sexual intercourse? Consulting a gynecologist should be on your priority list, says Dr. Hrishikesh Pai, a Gynaecologist and IVF specialist in Mumbai.

You need to speak to your gynecologist about this condition because your mental, physical and marital health will suffer if not treated. Several causes of this dilemma are associated with severe reproductive organ issues.

Getting these issues sorted will bring to light if being a parent is something that will be natural for you or will you need assistance in the form of IVF treatments or some other treatments that will suit your condition.

Babies and US is a renowned IVF center in Mumbai, founded by Dr. Hrishikesh Pai himself, one of the most successful IVF specialists in Mumbai and Delhi, and other places. 

Causes of painful sexual intercourse:

  1. First-time intercourse – When having intercourse for the first time, you may have painful intercourse with or without moderate vaginal bleeding. It is not always the case, and the first sexual contact can also be enjoyable.
  2. A long time has passed since the last intercourse – In couples with infrequent intercourse, having intercourse after a long time might be unpleasant.
  3. Direct cervix thrusting may make certain positions more uncomfortable. Changing your position will assist you.
  4. Inadequate foreplay before intercourse produces pain in the vaginal area due to insufficient lubrication. The cervix slides rearward and upwards when a woman is aroused, decreasing the discomfort caused by direct penis thrusting and making sex more pleasurable.

Dyspareunia is the term for pain experienced during intercourse.

The gynaecological disorders that cause discomfort during intercourse are:

  1. Infections – Infections of the lower or upper genital tract induce discomfort during sexual activity. These diseases can be adequately relieved with proper diagnosis and therapy. Pelvic inflammatory disease (PID) is an infection of the upper vaginal tract that causes painful intercourse and has a negative impact on fertility.
  2. Endometriosis – endometrial tissue outside the uterine cavity produces painful intercourse with deep penis thrusting. It is a disorder that affects the quality of oocytes, embryos, and fallopian tube patency, necessitating many procedures and limiting a woman’s ability to conceive.
  3. Rigid or tight hymen – The hymen is the vaginal gatekeeper. It usually has a hole in the middle that allows the penis to slip through easily. The insertion of the penis into the vagina becomes painful if it is too tight or unyielding. A simple Gynaecological treatment is required to correct it.
  4. Adhesions in the pelvis from a previous operation infection.
  5. Adenomyosis and large uterine fibroids
  6. Atrophic Vagina- Atrophic vagina is a disorder in which the vagina is not fully grown. It could also be linked to uterine non-development. Neovagina can be produced for the purpose of intercourse, and these women can use assisted reproductive procedures to have children.
  7. Vaginismus is a fascinating condition in which a woman develops a fear of putting her penis, tampon, or medical devices into her vaginal canal. The tensing of the pelvic floor muscles and the approximation of the thighs are connected with any penetration. In such women, sex becomes difficult, if not impossible. For such issues, it is necessary to seek the advice of a sexual health specialist or a gynecologist.

Treating Dyspareunia:

Treating dyspareunia largely depends on the cause of the pain.


If your pain is related to an infection or any other medical condition, treating the disease will rid you of your pain.

An FDA-approved ospemifene is used to treat moderate to severe dyspareunia. It acts like estrogen on the vaginal lining. If your pain is due to a lack of lubrication due to low estrogen levels, applying an estrogen lubricator to the vagina may be beneficial.

It does come with the side effects and risks of hot flashes, stroke, blood clots, and endometrial cancer.

Other treatments:

You may also find yourself an alternate therapy provider to help you learn ways of relaxing your vagina. Also, couples therapy with a counselor or a sex therapist may prove beneficial.

Conception plan:

While the underlying conditions can be treated, and you may be able to get over the pain, it would be wise to discuss your options of how you wish to conceive. Insemination and other procedures like IVF are a certain possibility.

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