Health

When sex hurts: positions, lubrication and when to seek care

Pain is not something to endure for a partner. Note where and when it happens, understand lubricant labels and recognise symptoms that need prompt medical assessment.

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Pain is not something to endure for a partner. Note where and when it happens, understand lubricant labels and recognise symptoms that need prompt medical assessment.

Pause when pain appears

You do not need to continue painful sex to accommodate a partner. Say that it hurts and stop the activity. A change of position may help you assess comfort, but it cannot diagnose or treat the cause of pain. Recurrent or severe pain is a reason to speak to an appropriate healthcare professional, which may include a gynaecologist.

Describe the location and timing

Burning around the vaginal entrance, deep pelvic pain and pain that remains afterwards are different experiences. Dryness, infections, skin conditions, pelvic-floor problems and endometriosis are among the possible causes. Symptoms alone cannot establish a diagnosis, and pain should not simply be dismissed as tension. Pelvic pain can affect anyone. Assessment and any tests depend on the individual history and examination.

Read lubricant labels for their intended use

Lubricants can reduce friction during sex. With latex condoms, check for a compatible water-based or silicone-based product. Petroleum jelly, baby oil and other oil-based products can damage latex. Stop using a product if it causes irritation or burning. Vaginal moisturisers serve a different purpose from lubricants; ordinary body lotion or strongly fragranced washes are not substitutes.

Make a short, specific appointment note

Record when the pain started, its location, the activity involved and how long it lasts afterwards. Note bleeding, discharge, urinary discomfort, any menstrual pattern and recent childbirth, surgery or medication changes. Seek care for dryness that persists for weeks or affects daily life, unusual discharge or bleeding after sex. Do not stop or change prescribed medicines without speaking to your clinician.

Recognise urgent pelvic-pain symptoms

Seek emergency medical help for severe or worsening pelvic pain with faintness, breathing difficulty or heavy vaginal bleeding. Pelvic pain accompanied by fever or chills, vomiting, unusual discharge or a possible pregnancy also needs prompt assessment. Use the emergency or same-day care arrangements where you live rather than waiting for an online explanation.

Sources and scope

Sources checked on 28 October 2026: ACOG's guidance on painful sex, NHS information on vaginal dryness and pelvic pain, and Mayo Clinic's clinical overview. NHS telephone numbers and referral systems are specific to the UK, so they are not presented as international procedures. Individual causes and treatment require professional assessment; this article has not received clinician review. View source: www.acog.org View source: www.nhs.uk View source: www.nhs.uk View source: www.mayoclinic.org

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