Endometriosis Pain During Sex Is Not A Death Sentence: There is Hope and Pain Relief

Written by: Quanna Experts



Time to read 4 min

Endometriosis is a medical condition that affects approximately 10% of women worldwide. It's an often misunderstood and misdiagnosed condition, adding to the suffering of those who live with it. One of the most challenging aspects of endometriosis is the discomfort it can cause during sexual intercourse, often referred to as dyspareunia. This article aims to provide a comprehensive understanding of endometriosis pain during sex and offer effective strategies for managing it.

Understanding Endometriosis

Endometriosis is a condition where tissue similar to the uterine lining, known as endometrium, grows outside the uterus. This misplaced tissue responds to hormonal changes in the body, much like the endometrium does during a menstrual cycle. As hormones fluctuate, the tissue thickens, breaks down, and bleeds. However, unlike the endometrial lining that leaves the body during menstruation, the endometriosis tissue has no escape route, leading to inflammation, scar tissue, and pain.

Endometriosis and Sex: An Uncomfortable Connection

The connection between endometriosis and sex is a topic that many find difficult to discuss, but it's a crucial conversation. Research suggests that more than two-thirds of women with endometriosis experience some form of sexual dysfunction, including pain during intercourse.

The nature of endometriosis pain during sex varies greatly among women. The discomfort is mild for some, while others describe it as sharp, stabbing, or a deep abdominal ache. The pain can be acute during penetration or present as a deep ache that lasts for hours after intercourse. The intensity and duration of the pain often depend on the location and extent of the endometrial lesions.

Why Does Endometriosis Cause Painful Intercourse?

The main reason why many women with endometriosis experience painful sex is due to the adhesions or scar tissue formed by the endometrial lesions. When these lesions are located behind the vagina or around the lower part of the uterus, they can be stretched and pulled during penetration, causing pain. Also, some endometriosis treatments, like hormonal therapies, can decrease natural vaginal lubrication, leading to increased friction, which may cause additional discomfort.

What Does Endometriosis Sex Pain Feel Like?

Endometriosis sex pain can be described in various ways. Some women may experience it as sudden stabbing, or deep abdominal pain that ranges from mild to severe. Others might feel it as a sharp jabbing or a deep, widespread aching. The pain can occur at any point during the menstrual cycle but is often more intense around ovulation or prior to menstruation.

The Emotional Impact of Endometriosis Pain After Sex

Endometriosis not only interferes with physical intimacy; it can also significantly affect emotional well-being and relationships. The anticipation of pain can create anxiety, which may lead to tension during sex, thereby exacerbating the pain. Women may find their libido diminished due to the association of sex with discomfort. Such situations can cause strain in relationships, with both partners feeling frustrated and helpless.

Addressing Endometriosis Pain During Sex: Communication is Key

One crucial step in managing endometriosis pain during sex is open communication. Discussing fears, anxieties, and physical discomfort with your partner can help both partners understand the situation better and work towards solutions together. Communication can also help reduce anxiety and tension, potentially reducing pain during intercourse.

Effective Strategies to Relieve Endometriosis Pain During Sex

There are several strategies women with endometriosis can employ to manage pain during intercourse. These include:

1. Mind the Timing

Timing intercourse according to your menstrual cycle can help. Intercourse may be less painful during certain times of the month, such as mid-cycle. Tracking your cycle can help you identify the periods when you're likely to experience less discomfort.

2. Experiment with Various Sex Positions

Experimenting with different sex positions can help identify those that don't cause pain. Positions that allow for control over the depth and speed of penetration, such as the woman on top, can be particularly helpful.

Recommended Reading: Top Sex Positions for Period Cramps

3. Explore Non-Penetrative Intimacy

There are many ways to be intimate without penetration. Exploring these options can provide sexual satisfaction without the associated pain. These may include oral stimulation, massage, and non-penetrative foreplay.

4. Use CBD Lubricants

Lubricants can help reduce friction and discomfort during intercourse. A suitable lube for women with endometriosis is CBD lube. CBD lubes help relax the pelvic floor muscles and provide lubrication, making sex more comfortable. CBD also has the potential to relieve pain during Endometriosis sex.

5. Seek Medical Help

Speaking openly about your pain during sex with your healthcare provider can help them diagnose and treat the condition effectively. Treatment options include hormone therapy, pain management, surgical excision, and working with a pelvic floor physical therapist.


Living with endometriosis pain during sex can be challenging, but it's crucial to remember that you're not alone. With open communication, exploration of different strategies, and appropriate medical intervention, it's possible to manage the pain and enjoy a fulfilling sex life. If you're struggling with endometriosis and its impact on your sex life, don't hesitate to seek help. You deserve a life free from pain, and the journey starts with taking the first step.