The Bespoke Experts
Painful Intercourse: Causes, Symptoms, and Relief OptionsPainful Intercourse: Causes, Symptoms, and Relief Options

Painful Intercourse: Causes, Symptoms, and Relief Options

June 12, 2025
by
Bespoke Rx
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For something so common, painful sex is rarely discussed. Many women suffer in silence, feeling confused, ashamed, or dismissed by providers. If intercourse has become uncomfortable, you’re not alone—and you don’t have to accept it as normal.

What Is Painful Intercourse?

Pain during sex—also called dyspareunia—can feel like burning, stinging, tightness, or deep internal pain. It might be occasional or persistent, mild or severe. Either way, it disrupts intimacy and often causes emotional distress.

Common Causes

Painful sex can have multiple root causes, including:

  • Vaginal dryness: Common in menopause, postpartum, or while breastfeeding
  • Hormonal changes: Estrogen loss thins and dries vaginal tissue
  • Scar tissue: From childbirth, episiotomy, or surgery
  • Pelvic floor dysfunction: Overactive or tense muscles can cause sharp or stabbing sensations
  • Infections: Recurrent yeast, BV, or UTIs
  • Vulvodynia or vestibulitis: Chronic nerve pain near the vaginal opening
  • Psychological trauma: Emotional stress can manifest as physical tension

These issues often overlap, and pain can persist even after an initial injury has healed.

How It Affects You

Beyond the physical, painful sex impacts:

  • Self-esteem and body image
  • Emotional closeness with a partner
  • Desire for intimacy
  • Trust in your own body

Many women begin to avoid sex, fearing the next encounter will hurt—or disappoint. That fear is real. And it deserves compassionate, professional attention.

What Women Typically Try

You may have tried:

  • Over-the-counter lubricants
  • Switching positions
  • Avoiding certain times of the month
  • “Powering through” the pain

These tactics may offer temporary relief but don’t address underlying issues. Real healing often requires deeper evaluation and personalized care.

Effective Treatment Options

The path to relief starts with identifying the true cause. An experienced pelvic health provider can:

  • Examine tissue health
  • Assess muscle tone and nerve sensitivity
  • Rule out infections or inflammatory conditions

Based on what they find, a tailored plan may include:

  • Pelvic floor therapy: Gentle techniques to release tension, retrain muscles, and reduce nerve sensitivity
  • Topical or vaginal estrogen: Restores moisture and resilience in atrophic tissue
  • Trauma-informed therapy: For those whose pain has psychological roots
  • EmpowerRF: A non-surgical treatment that improves blood flow, collagen production, and tissue elasticity. It also helps retrain muscle response and enhance comfort over time.

What to Expect from EmpowerRF

EmpowerRF combines gentle radiofrequency energy with electrical stimulation. It helps:

  • Rehydrate and plump vaginal tissue
  • Decrease sensitivity to pain triggers
  • Normalize muscle tone

Most women describe treatments as painless and even relaxing. Sessions are brief and have little to no downtime.

You Don’t Have to Live With Pain

Sex should be connective, not contractive. If you flinch, brace, or avoid intimacy because of discomfort, something deeper is asking for your attention. Pain is not weakness. It’s information. And with the right care, it can lead you back to relief, pleasure, and confidence.

Final Thoughts

If painful sex is part of your story right now, know this: you’re not broken, frigid, or alone. There is a path to comfort—and joy. It starts with asking the right questions and finding a provider who sees the whole you.

Your body has changed. That’s not the end. It’s the invitation to reconnect.

*Photos copyright 2020 by Bespoke Rx. All rights reserved. Videos used only with patient permission. Individual results may vary.
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