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Pain during intercourse

Last updated: July 27, 2026

Pain during intercourse is a common but often taboo problem. At Lægerne Danmark, we offer gynecological examinations with a focus on finding the cause of the pain and helping you move forward with the right treatment or advice.

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Jakob Fraes
Specialist in General Medicine, Ph.D.
Read more about Pain during intercourse. Everything you need to know.

When intercourse hurts

Pain during intercourse can occur for many different reasons and can affect quality of life, relationships, and well-being. It is important to take the symptoms seriously, as there is often an explanation and, in many cases, a solution.

What does pain during intercourse mean?

Pain during intercourse is known in medical terms as dyspareunia and is a widespread problem that can be experienced as discomfort or pain during or after sex. It is important to know that pain during intercourse is not "normal," even though many people experience it, and that there is often an explanation and a solution.

A distinction is typically made between:

  • Superficial pain: Pain during penetration, often near the vaginal opening. May be caused by dryness, tension in the pelvic floor, or irritation.
  • Deep pain: Pain during deep penetration, often associated with conditions such as endometriosis, cysts, fibroids, or inflammation in the lower abdomen.

Understanding the difference between superficial and deep pain helps to target examination and treatment. At Lægerne Danmark, our gynecologists can help clarify the cause and find the right solution so that you can feel secure and find relief.

What can cause pain during intercourse?

Pain during intercourse can have both physical and hormonal causes and may be due to, among other things:

  • Vaginal dryness, e.g. during menopause or breastfeeding
  • Infections or inflammatory conditions
  • Endometriosis
  • Cysts or fibroids
  • Tension in the pelvic floor muscles
  • Scar tissue after surgery or childbirth
  • Vulvodynia – chronic pain in the external genitalia
  • Sexually transmitted infections
  • Psychological factors.

When should you see a gynecologist?

It is recommended to seek gynecological evaluation if:

  • The pain is persistent or recurrent
  • Sexual intercourse is experienced as uncomfortable or painful
  • The pain affects your sex life or quality of life
  • You experience accompanying symptoms such as bleeding, burning, or pain in the lower abdomen.

Pain during intercourse during menopause

Many women experience pain during intercourse during menopause, often due to declining estrogen levels. Lower estrogen can cause the vaginal mucosa to become thinner and drier, which can cause irritation and pain during sex.

Dryness and discomfort are therefore common causes of pain during this stage of life. Fortunately, local hormone treatments, such as estrogen cream or suppositories, can help restore moisture and elasticity to the mucous membranes and make sexual intercourse more comfortable.

At Lægerne Danmark, our gynecologists can assess your symptoms, advise you on treatment, and ensure that you receive the right solution tailored to your needs.

Pain during intercourse after childbirth

It is common to experience pain during intercourse after childbirth, especially if there have been tears, a C-section, or other procedures. Scar tissue can cause tenderness, and hormonal changes during breastfeeding can cause dry mucous membranes, which make intercourse uncomfortable.

Pelvic floor tension is also a common cause of pain after childbirth, as the muscles are often sore or tight after pregnancy and delivery.

It is a good idea to seek gynecological evaluation if the pain is persistent, worsens over time, or causes you to avoid sexual intercourse.

How the investigation is conducted

The examination begins with a thorough discussion of your symptoms, medical history, and any changes in your health. This is followed by a gentle gynecological examination, which may be supplemented by an ultrasound scan or other relevant tests.

Security and respect

We know that pain during intercourse can be a sensitive topic. That is why the examination is always conducted with respect, discretion, and at a pace that takes you into consideration. You will be kept informed and involved throughout the process.

Treatment and counseling

Treatment depends on the cause of the pain and is always tailored to the individual patient. It may include medication, local hormone treatment to relieve dryness or irritation, advice on aids and lifestyle changes that can make sexual intercourse more comfortable, and referral for further treatment if deemed necessary.

At Lægerne Danmark, we place great importance on combining professionalism with reassurance, so that you have a clear plan for how your symptoms can be alleviated and how we will support you throughout the entire process.

How can our gynecologists help?

At Lægerne Danmark, our gynecologists will help you move forward with confidence if you experience pain during intercourse. We will thoroughly review your symptoms, explain possible causes, and develop an individual plan for follow-up or treatment, if necessary.

You will receive a clear explanation of what the symptoms may mean, professional and discreet treatment, and ample time for questions and understanding of the entire process. In this way, we ensure clarity, understanding, and peace of mind throughout the entire process.

Book now

If you experience pain during intercourse, you are not alone, and you do not have to live with it. At Lægerne Danmark, our experienced gynecologists are ready to help you in a safe environment.

Frequently Asked Questions

Can pain during intercourse be caused by stress or psychological factors?

Yes. Anxiety, stress, and past experiences can lead to muscle tension in the pelvic floor, which can make sexual intercourse painful. Often, a combination of counseling and physical therapy targeting the pelvic floor can help.

Is pain during intercourse normal after childbirth?

Many women experience tenderness, dryness, or scar tissue after giving birth. This is common, but persistent pain should be evaluated by a gynecologist so that any underlying causes can be treated.

Can medication affect pain during intercourse?

Yes. Hormone therapy, contraceptives, or certain medical treatments can affect vaginal moisture and elasticity, which can cause discomfort or pain.

Can pain be a sign of serious illness?

In some cases, pain during intercourse can be caused by infections, endometriosis, cysts, or other gynecological conditions. Therefore, it is important to have the symptoms evaluated, especially if they are persistent, worsening, or accompanied by bleeding or burning.

Can a hormonal IUD cause pain during intercourse?

In some women, hormonal IUDs can affect the mucous membranes and cause mild irritation or dryness, which can lead to discomfort during intercourse. If the pain is significant, a gynecologist should assess the situation and advise on alternative solutions.