{"id":30560,"date":"2020-07-11T13:00:54","date_gmt":"2020-07-11T11:00:54","guid":{"rendered":"https:\/\/www.lelo.com\/blog\/?p=30560"},"modified":"2026-02-18T06:04:59","modified_gmt":"2026-02-18T05:04:59","slug":"painful-penetration-dyspareunia","status":"publish","type":"post","link":"https:\/\/www.lelo.com\/blog\/painful-penetration-dyspareunia\/","title":{"rendered":"Painful Penetration &#8211; What You Need To Know"},"content":{"rendered":"<p><a href=\"https:\/\/www.lelo.com\/blog\/author\/lauriemintz\/\"><img decoding=\"async\" class=\"doctor-banner alignnone wp-image-47728 size-full\" src=\"https:\/\/www.lelo.com\/blog\/wp-content\/uploads\/2026\/02\/laurie-mintz-doctor-review-banner-white.jpg\" alt=\"lelo laurie mintz doctor review\" width=\"270\" height=\"90\" \/><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Surrendering to the call of our innermost desires is the collective pulse of our humanity. Those moments when we lose ourselves in time with our partner\u2019s tempo transports us beyond ourselves.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But when penetration hurts, the transcendent potential of a sexual encounter with your partner can elude you. When attempting penetration, one may feel that their body is betraying them. You may be thinking that everyone else seems to lap it up and relish the moment. For your friends, sex comes easy. They dish about <a href=\"https:\/\/www.lelo.com\/blog\/self-isolation-sex-toys\/\">new sex toys<\/a> or their partner\u2019s <a href=\"https:\/\/www.lelo.com\/blog\/strap-on-dildo-beginners-guide\/\">strap-on<\/a>, while you sit on the sidelines, unsure of how to join in on the sex talk without being a killjoy. When penetration hurts, even hearing about acts that didn\u2019t interest you before (like <a href=\"https:\/\/www.lelo.com\/blog\/give-a-hand-for-international-fisting-day\/\">fisting<\/a>) might lead to FOMO.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Painful penetration, formally known as dyspareunia, can put your sex life in the garrote. When everyone else is sailing on the bliss of getting railed, it\u2019s easy to feel like you\u2019re alone. Very few women feel comfortable talking about their painful sex life over cocktails with friends. But the truth is, more people understand your pain than you think. It\u2019s tough to wrangle down the exact number, but as anywhere from 3 &#8211; 18% of women worldwide suffer from this, and studies in the U.S. find anywhere from 7 &#8211; 46% suffering from painful penetration.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It may feel like a death knell to intimacy, but you have options. Through both expanding your relationship to sexuality and seeking professional help, there is much you can do to reclaim your sex life.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What Does Painful Penetration Feel Like?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Although dyspareunia goes by one name, the pain itself takes on many different shades. Every single body is unique, and one person\u2019s experience will look nothing like another\u2019s. Some folks with dyspareunia may even experience this pain in new ways throughout their life.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That being said, there are a few common <\/span><span style=\"font-weight: 400;\">breeds of pain<\/span><span style=\"font-weight: 400;\"> people report feeling, including:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pain at the opening, caused only at entry or at certain angles<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Intense pain during penetration of all kinds, including a finger or tampon<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Sharp, stabbing pains during thrusting<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Burning or aching, either during thrusting or when a particular spot inside is hit<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">A throbbing ache, often dragging on for hours after penetration<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Within these different iterations of discomfort, there are also individual quirks that vary from body to body: some folks may hurt only during positions like <a href=\"https:\/\/www.lelo.com\/blog\/4-ways-to-have-better-doggy-style-sex\/\">doggy style<\/a> that press on the front of the vagina. Others may have pain during thrusting only part of the time, trapping them in limbo, wondering when sex will be painful, and when it\u2019ll come easy. Still others may feel pain only during certain times of the month.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The combination of shame and an unpredictable relationship to pain makes many folks hesitate far too long before seeking help \u2013 starting with identifying the root of their discomfort.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What Causes It?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">While it would be easier if we could point to one cause, the truth is that painful intercourse can be caused by a variety of diseases and issues including but not limited to:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Endometriosis<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pelvic inflammatory disease<\/span><\/li>\n<li>Pelvic adhesions<\/li>\n<li>Skin disorders in the genitals<\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Fibroids or other growths<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Uterine fibroids<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Vaginal dryness<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Menopause<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Yeast infections<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Scarring from hysterectomies or other pelvic surgeries<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Accidents and other traumatic injuries<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">With all these different potential diagnoses, identifying the root of your pain can be a lengthy, exasperating process. But there is hope for change \u2013 and it starts by taking action.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What Can I Do About It?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">It would be an understatement of the decade to say that painful penetration is frustrating. What is supposed to lead you to the land of milk and honey is instead a battlefield. Nervous before penetration even begins, your tense muscles might also exacerbate the problem at hand.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Thankfully, those of us who struggle with dyspareunia aren\u2019t without options. We have the agency of the modern era on our side. And this quest for pleasure begins with finding a doctor who <\/span><span style=\"font-weight: 400;\">takes you seriously<\/span><span style=\"font-weight: 400;\">. Many healthcare professionals are unaware of the diverse causes of dyspareunia, and thus it is essential to seek a physician well versed with sexual pain and especially one who won\u2019t tell you to just relax, have a glass of wine, or that it is all in your head. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Don\u2019t settle for a life without answers. <\/span><span style=\"font-weight: 400;\">To find a qualified sexual medicine physician, go to the website of the International Society for the Study of Women\u2019s Sexual Health (<\/span><a href=\"https:\/\/www.isswsh.org\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">https:\/\/www.isswsh.org\/<\/span><\/a><span style=\"font-weight: 400;\">). A knowledgeable MD can help find the underlying cause of your pain and suggest treatment, which will depend on the cause of the pain.\u00a0 <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Medical treatment options can include oral tricyclic antidepressants, oral or topical hormonal replacement, oral NSAIDs, botox injections, and treatments of any underlying infections. <\/span><span style=\"font-weight: 400;\">Pelvic floor physical therapy is highly recommended along with the medical treatment, as it relaxes the pelvic floor muscles and re-educates the pain receptors. <\/span><span style=\"font-weight: 400;\">Cognitive-behavioral therapy is also often recommended to assist with reducing anxiety and fear related to painful penetration. Surgical treatment is often used as a last resort when all other medical and behavioral treatment options have failed. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Indeed, a team approach\u2013working with a physician, a psychologist and pelvic floor physical therapists is often the treatment of choice.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Take Matters into Your Own Hands<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Needing professional help doesn\u2019t mean that there is nothing you can do to help yourself, and specialists are often scheduled out for months in advance. You don\u2019t have to wait. Start by <a href=\"https:\/\/www.lelo.com\/blog\/take-pleasure-into-your-own-hands\/\">investigating your own pleasure<\/a>, focusing on your external body. While penetration may be off-limits, satisfying sex does exist that is penetration-free.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As you rediscover your body, turn the evening into a sensual event by <a href=\"https:\/\/www.lelo.com\/blog\/underwater-clit-stimulation\/\">taking a bath<\/a>, <a href=\"https:\/\/www.lelo.com\/blog\/flickering-touch-massage-candle-review\/\">lighting some candles<\/a>, and then gently probing your body. Find whatever feels good, and lean into it. By exploring your <\/span><a href=\"https:\/\/www.lelo.com\/blog\/nipple-orgasms\/\"><span style=\"font-weight: 400;\">nipples<\/span><\/a><span style=\"font-weight: 400;\">, <a href=\"https:\/\/www.lelo.com\/blog\/good-in-hood-things-you-didnt-know-about-the-clitoris\/\">clitoris<\/a>, and other external <a href=\"https:\/\/www.lelo.com\/blog\/hot-spots-erogenous-zones-women\/\">erogenous zones<\/a>, you can learn about your pleasure and reclaim agency over orgasms. And if you do find yourself ready to take steps towards penetration, don&#8217;t forget to have plenty of lube on hand.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Use Penetrative Aids<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">For better or worse, everyone\u2019s experience with painful penetration is unique. As you rediscover your own sexuality,\u00a0 you may be curious about controlled penetration. Solo play is an excellent, safe way to see what feels comfortable for you. Opting for a vibrator (like <\/span><a href=\"https:\/\/www.lelo.com\/blog\/review-round-lelo-liv-2\/\"><span style=\"font-weight: 400;\">the LIV 2<\/span><\/a><span style=\"font-weight: 400;\">) may be a crucial piece of the puzzle, putting you in control of the depth and intensity of your experience. You may discover that certain angles or shallower depths feel wonderful. That knowledge will be a wellspring of relief.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sometimes though, penetrative acts need a helping hand. If you\u2019re struggling with penetration, but want to explore making it work for you again, a sexual aid like <a href=\"https:\/\/www.lelo.com\/blog\/review-roundup-tor-2-couples-ring\/\">wearable rings<\/a> are<\/span><span style=\"font-weight: 400;\">\u00a0a must. These stackable rings fit perfectly around the base of any shaft (from your vibrator to your beau\u2019s own member) and act as a buffer that keeps them from going too deep. Perfect for partnered play and solo play alike, these rings are a great way to rediscover pleasure.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When inserting a single finger or tampon hurts, your pelvic floor specialist may recommend investing in a dilator set. Used for reintroducing penetration for those of us with pelvic pain as well as those of us who have had vaginoplasty, a dilator set has insertables with increasing thickness. The main purpose? Getting folks accustomed to penetrative experiences. But go slower than you think in introducing the next size up; talk to your pelvic therapist about using dilators, or join a <\/span><a href=\"https:\/\/www.reddit.com\/r\/PelvicFloor\/\" target=\"_blank\" rel=\"noopener noreferrer\"><span style=\"font-weight: 400;\">subreddit<\/span><\/a><span style=\"font-weight: 400;\"> to engage in a virtual community of folks who share your experience.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Experiment with Different Positions<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Partnered play doesn\u2019t have to be over when penetration hurts. Any lover worth having will be down to experiment to find what works best for you. Although some penetrative acts may be uncomfortable for you, there\u2019s a possibility that others feel good. The only way to find out is through careful trial and error.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For some people, certain angles hurt less (or don\u2019t hurt at all). To see which ones feel best for you, start out in a position that you can control, like <a href=\"https:\/\/www.lelo.com\/blog\/giddy-up-cowgirl-tips-for-riding\/\">being on top<\/a>. That way, you\u2019re in charge of how deep their dildo or penis goes, and you can lean forward or back to find the right angle for your deepest pleasure. If and when being on top tires you out, explore <a href=\"https:\/\/www.lelo.com\/blog\/6-ways-get-missionary-position\/\">missionary poses<\/a> and sideways poses, both facing your partner and with your back to them. These positions don\u2019t invite as much depth and are usually slower-paced \u2013 great for tentative exploration.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Talk to Your Partners<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Contrary to what outsiders may think, painful penetration doesn\u2019t have to mean your <a href=\"https:\/\/www.lelo.com\/blog\/sex-drive-slowed-to-a-crawl\/\">sex drive disappears<\/a>. The existence of pain doesn\u2019t have to negate a libido. A fulfilling sex life <\/span><i><span style=\"font-weight: 400;\">and <\/span><\/i><span style=\"font-weight: 400;\">painful penetration can go hand in hand. It starts with a conversation.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">With a new partner, cushion this chat somewhere between the STD talk (when your clothes are still on), and the part where you\u2019re both panting and naked. As you make out or head to the bedroom, bring up this reality of yours. Your best bet is to share with confidence. Instead of worrying about it being unsexy, be frank, and say it in a way that makes it clear you\u2019re not looking for a pity party. Tell your partner about your pain, and what you need for a pain-free but satisfying encounter for both of you.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This conversation is also the right time to bring up anything that will help your satisfaction, including rings, lubrication, or vibrators. Don&#8217;t hesitate to share exactly what it is that drives you wild in the sack. Clitoral stimulation, <a href=\"https:\/\/www.lelo.com\/blog\/so-you-want-to-try-anal-heres-how-its-done\/\">anal<\/a>, breath play, some lengthy sixty-nine, shallow penetration, impact play&#8230; the list of pleasure available without any penetration or without deep penetration go on and on. Through this litany of things that work well for you, the folks you\u2019re getting down with will start salivating at the endless opportunities for pleasure that the night has in store.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Painful Penetration Doesn\u2019t Have To Be the End<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">It may feel like a death knell to your sexuality, but think of painful penetration as just a hurdle \u2013 not an unscalable wall. Through slow practice, conscious discussions, and the gumption to find healthcare that actually serves you, the road to a vibrant sex life is waiting for you.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Have you experienced dyspareunia? I\u2019d love to hear what has helped you reclaim your pleasure in the comments below!<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Surrendering to the call of our innermost desires is the collective pulse of our humanity. Those moments when we lose ourselves in time with our partner\u2019s tempo transports us beyond ourselves.\u00a0 But when penetration hurts, the transcendent potential of a sexual encounter with your partner can elude you. When attempting penetration, one may feel that their body is betraying them. You may be thinking that everyone else seems to lap it up and relish the moment. For your friends, sex [&hellip;]<\/p>\n","protected":false},"author":154,"featured_media":30614,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[17],"tags":[525,909,189,669],"coauthors":[955,943],"class_list":["post-30560","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sexual-health","tag-better-sex","tag-fact-checked-by-doctor","tag-healthy-relationship","tag-sexual-health"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.8.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>How to Navigate Dyspareunia and Painful Sexual Penetration<\/title>\n<meta name=\"description\" content=\"It may feel like death to intimacy, but you have options. Painful penetration is a hurdle, not an unscalable wall. Take matters into your own hands!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.lelo.com\/blog\/painful-penetration-dyspareunia\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How to Navigate Dyspareunia and Painful Sexual Penetration\" \/>\n<meta property=\"og:description\" content=\"It may feel like death to intimacy, but you have options. Painful penetration is a hurdle, not an unscalable wall. 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