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Pain during sex (dyspareunia), taken seriously

Sex should not hurt. If it does, your body is telling you something important, and you deserve to be listened to. Painful intercourse is common, it is rarely “all in your head”, and it can almost always be improved.

Pain is information, not a flaw

Many women are told to “relax” or have a glass of wine. That advice ignores the fact that painful sex usually has physical and psychological parts that feed each other. Pain leads to fear, fear leads to muscle tension, and tension leads to more pain.

Common causes

  • Dryness from low arousal, breastfeeding, some contraceptives or menopause
  • Infections such as thrush or urinary infections
  • Skin conditions affecting the vulva
  • Pelvic-floor muscle tension or vaginismus
  • Endometriosis or other pelvic conditions (often felt as deep pain)
  • After childbirth, from healing tissue, stitches or hormonal changes
  • Anxiety, past trauma or relationship stress

How we help

We listen carefully, help you describe the pain clearly, and guide you to the right medical check. Alongside that, therapy addresses fear, muscle tension and the impact on your relationship. We often suggest pausing penetrative sex while you heal, and finding other ways to stay intimate so pressure drops for both partners.

How Better Intimate helps

Validate and map the pain

Where, when and how it hurts helps point to the likely cause and the right specialist.

Coordinate medical care

We guide you to a gynaecologist or pelvic-floor physiotherapist when a physical check is needed.

Break the fear–tension loop

Anticipating pain tightens muscles, which increases pain. Relaxation and gradual exposure help.

Keep intimacy alive

Ways to stay close and connected without pain while you heal.

Frequently asked questions

Some discomfort can happen, but significant or ongoing pain is not something you should push through. It is worth getting support.

Often yes, to rule out infection, skin conditions or endometriosis. Therapy works best alongside medical care, and we help you know what to ask.

Yes, dryness is a very common cause, especially after childbirth, while breastfeeding or around menopause. A good water- or silicone-based lubricant can make a real difference.

This page is for education and is not a medical diagnosis. Better Intimate provides psychosexual counselling and does not prescribe medicines; we will suggest a medical check whenever one is needed.

Learn more

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