How to prevent endometriosis pain during sex

People with endometriosis may experience pain during sex, especially if intercourse stretches and pulls the endometrial growths. People can try different positions and non-penetrative actions to minimize pain.
Symptoms of endometriosis include heavy menstrual bleeding, painful periods, and sometimes, pain during sex.
endometriosis
Dyspareunia is the medical term for pain during sex.
Dyspareunia
In this article, we look at the ways that endometriosis can lead to painful sex. We also discuss tips for managing this pain, including positions, toys, timings, and how to talk with a partner about the condition.
Why could sex be painful with endometriosis?
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Pain during sex is a common symptom of endometriosis. Penetration and other movements related to intercourse can pull and stretch endometrial tissue, particularly if it has grown behind the vagina or lower uterus.
common
Vaginal dryness can also cause this pain. Some means of addressing endometriosis, such as hormonal treatments or a hysterectomy (surgical removal of the uterus), can cause dryness.
Vaginal dryness
hysterectomy
What does sex feel like with endometriosis?
Not every person with endometriosis experiences pain during sex.
Those who do may experience the following:
following
pain that is sudden or feels like stabbing
pain deep in the abdomen
pain ranging from mild to severe
This pain varies from person to person and may depend on the type of intercourse. Some experience pain only during deep penetration, for example, while others experience pain after sex rather than during it.
Best positions for endometriosis
Some positions put less pressure on areas of the pelvis that contain endometrial tissue. An individual should experiment with their partner to discover the positions that are best for them.
However, many people find that certain positions are better than others. For example, when the person with endometriosis is on top, they can control the depth and speed of penetration, allowing them to determine a comfortable pace.
Also, comfortable positions often involve shallow penetration. Some of these positions include:
spooning
raising the hips of the person with endometriosis
a modified doggy style
The missionary position could be painful for women with endometriosis.
Sometimes any form of penetrative sex is painful, and a person may prefer to engage in other types of sexual activity, including:
oral stimulation
massage
foreplay
using toys
Other tips for sex with endometriosis
Anyone experiencing pain during sex should talk with their doctor to determine a pain management plan.
Below are some additional steps a person with endometriosis can take to reduce pain during sex:
can take
having penetrative intercourse at certain times of the month. It may be less painful in the week after ovulation or in the 2 weeks following a period.
ovulation
extending foreplay to increase the amount of natural lubrication before penetration
practicing gentle and slow penetration
using plenty of lubricant during sex
communicating with a partner about what does and does not feel good
having a warm bath or taking a painkiller to ease symptoms before or after sex
trying different positions
practicing forms of sexual activity that do not involve penetration
attending counseling or sex therapy to deal with the consequences of endometriosis and improve communication
How to talk with a partner about endometriosis and sex
Communication is key for a healthy sex life.
Telling a partner when sex is painful and talking about what is and is not pleasurable can make sex more enjoyable for everyone involved and increase feelings of intimacy.
It is important to share feelings, needs, fears, and frustrations around sex. A partner may be experiencing similar feelings and worry about causing pain or discomfort.
It may be easier to start this conversation in a neutral place outside the bedroom.
The way a person approaches the subject matters. It is best to use sentences that invite dialogue rather than criticism. Sentences should begin with “I” rather than “you.” For example, a sentence beginning with “I really liked when you…” is better than, “You don’t touch me anymore.”
Partners should discuss preferred positions, those to avoid, and their favorite types of physical stimulation.
Overall, dealing with painful sex may be a difficult and emotional task. The goal is to foster genuine and open communication, to ensure that sex is pleasurable and free of pain for each partner.
Takeaway
Endometriosis can cause severe abdominal pain, which often occurs during or after sex.
Although treatment can help to relieve the symptoms of endometriosis, including pain during sex, it is a good idea for partners to foster an environment of understanding and communication about forms of sex that are pleasurable and free of pain.