Pain during sex

Pain during sex – also called dyspareunia can occur for a number of reasons:


Women suffering from endometriosis may also experience pain during sex. Please see the endometriosis blog for more information on this condition.

Vaginal Dryness

Vaginal dryness is more common as we get older and can be managed with moisturisers and/or topical vaginal oestrogen.


Vaginismus is when muscles in or around the vagina go into spasm, making sex painful or impossible. It can be very upsetting and distressing. It can happen if sex is associated with pain or shame, or when a woman has had vaginal trauma, such as an episiotomy during childbirth. It can also be caused by relationship problems and fear of pregnancy. Depending on the cause, it may be treated by focusing on sex education, counselling, and using vaginal trainers, also known as vaginal dilators. Vaginal trainers are cylindrical shapes that are inserted into the vagina. A woman will gradually use larger sizes until the largest size can be inserted comfortably. Some women may wish to try using their fingers instead.


This is a condition characterised by a painful area in the vagina which is often quite localised. It can be treated using a variety of topical creams and most importantly with a referral to an experienced women’s health physio and psychologist.

Please read Blog - Endometriosis, Vaginismus, Vulva & Vaginal irritation

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