Why has intercourse started causing pain for me recently?

Question

Hello doctor,

I am a 27-year-old woman, and I am having pains during sex with my husband. It happens near my stomach when my husband's penis is a bit deep. This area hurts more depending on the position, when it is angled towards the outside. Sometimes the pain stays after sex, even if a bit lower. It never happened before with other men, only recently with my current husband. I am a bit concerned for my health and for my sex life.

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

Pain during deep penetration that varies with position and lingers afterward can be due to several possible causes, some related to your reproductive organs, others to pelvic muscles or inflammation. Common possibilities include:

Cervical contact pain (penis reaching the cervix) sometimes happens with deeper thrusting or certain positions.
Pelvic inflammatory disease (PID) or infections (including STIs, also known as sexually transmitted infections), which can inflame the uterus, ovaries, or fallopian tubes.
Endometriosis (a condition in which cells similar to the lining of the uterus, or endometrium, grow outside the uterus) or ovarian cysts (fluid-filled sacs or pockets that develop on or inside an ovary, typically during a woman's menstrual cycle), tissues, or growths can cause pain during deep penetration.
Fibroids (non-cancerous muscular tumors that grow in or on the walls of the uterus) or uterine positioning changes.
Pelvic floor muscle tension (can be stress-related or post-infection).

What you should do now:

Avoid positions that cause pain until you know the cause.
Book a gynecological check-up, request a pelvic exam, transvaginal ultrasound, and infection screening (including STIs).
Keep track of when the pain occurs (cycle phase, positions, duration after sex).
If pain is accompanied by fever, unusual discharge, bleeding, or severe cramps, see a doctor urgently.

Since you mentioned your height/weight but did not provide them yet, could you share them?

That can help assess if BMI (body mass index) or hormonal factors might play a role in your symptoms.

I hope this answers your query.

Please let me know if I can assist you further.

Thank you.