Many women with endometriosis find that sexual intercourse is painful, both during and after intercourse. This situation simply compounds the guilt and adds more pressure to a relationship. It is estimated that about 60% of sufferers experience painful sex.
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.
Many women find that certain positions are better than others. For example, when a woman with endometriosis is on top, they can control the depth and speed of penetration, allowing them to determine a comfortable pace.
The pain caused by endometriosis during sex comes from the inflammation and fibrosis fusing the front wall of the rectum to the back wall of the vagina. Using supplements that help with inflammation and fibrin can help.
Surgery for painful sex
Laparoscopic excision of endometriosis is the gold standard for conservative surgical treatment. However, in cases of painful sex, it is important to specify that there must be a focus on endometriosis infiltrating the anterior and posterior cul-de-sac.
By focusing on these areas, studies have found that upon removal of the endometriosis through excision surgery, patients experience improvements in dyspareunia symptoms as well as quality of their sex life. ( 1 )
It is important to discuss this issue with your partner. They may not be aware of how much pain you are suffering, especially if you are good at concealing your endometriosis pain on a daily basis. Getting treatment as soon as possible for this disease helps to reduce the development of the disease and reduce the symptoms you suffer.
Being open and communicating with your partner is vital to help reduce the emotional impact the problem of having pain with intimacy can have. The goal is to foster genuine and open communication, to ensure that sex is pleasurable and free of pain for each partner.