Why Does Sex Hurt? What to Tell Dr. Leveno
Pain during sex is common enough that many women quietly normalize it, but persistent or recurring pain deserves a conversation. You do not need to know the medical term or the cause before bringing it up to Dr. Leveno.
A simple sentence such as “sex has become painful” gives Dr. Leveno a place to begin.
What can contribute to pain during sex?
There is no single explanation. Vaginal dryness, hormonal changes, pelvic-floor problems, infection, endometriosis, vulvar conditions, and other gynecologic concerns can contribute. Because the causes differ, treatment should be based on an individualized evaluation rather than a generic solution.
According to the American College of Obstetricians and Gynecologists, nearly 3 out of 4 women have pain during intercourse at some point, and frequent or severe pain is a reason to see an OBGYN.
Dr. Joseph Leveno's OBGYN specialties in Plano include sexual dysfunction, vaginal and vulvar concerns, menopause, endometriosis, and other women's health needs.
What should you tell Dr. Leveno?
The location, timing, and pattern of the discomfort can be useful. Before your appointment, consider whether the pain occurs at the beginning of intimacy or feels deeper, when it started, and whether it happens every time.
- Where is the pain?
- When did it begin?
- Is it occasional or consistent?
- Are dryness, burning, bleeding, or pelvic pain also present?
- Did it begin after childbirth, during a hormonal transition, or after a medication change?
Is painful sex only a menopause issue?
No. Perimenopause and menopause can contribute to vaginal dryness and tissue changes, but sexual-health concerns can occur throughout adult life. Postpartum changes, breastfeeding, medications, pelvic-floor conditions, and gynecologic disorders may also play a role.
What might an evaluation include?
The first step is usually a detailed conversation. Depending on the symptoms and medical history, an evaluation may include an exam, testing, medication review, or discussion of hormonal and non-hormonal treatment options. When appropriate, another specialist or pelvic-floor therapy may be part of the plan.
Sexual health belongs in women's health care
If the topic feels awkward, write the concern in your phone before your visit. Dr. Leveno provides individualized women's wellness care at Medical City Plano, including female sexual health and pelvic health concerns.
Has intimacy become uncomfortable or painful? Schedule a private women's health appointment with Dr. Joseph Leveno.
This article offers general education and is not a diagnosis or a substitute for personalized medical care.