Pregnancy brings significant physical and emotional changes, and one aspect that is often not discussed openly is painful intercourse. During pregnancy, various physiological and psychological factors can contribute to discomfort or pain during sexual activity.
Is Painful Intercourse During Pregnancy Common?
A study published in the Journal of Sexual Medicine examined the prevalence of clinically significant pain during intercourse in the second and third trimesters of pregnancy, revealing that 21% of pregnant women experienced this issue. Most of these women reported that the pain began during pregnancy and persisted at the same intensity, with many not using any pain management strategies (1).
Factors Contributing to Sexual Discomfort
Understanding the underlying factors causing sexual discomfort during pregnancy is crucial. A systematic review and meta-analysis aimed to assess the relevant factors to sexual dysfunction during pregnancy and postpartum. This comprehensive study included various observational studies published between 1990 and 2019. The findings indicated that sexual dysfunction, which encompasses pain during intercourse, is influenced by multiple factors, including hormonal changes, physical and psychological adjustments, and the couple's experiences. This knowledge is vital in developing strategies to mitigate these factors, thereby improving the quality of life for women during and after pregnancy (2).
How To Fix Painful Intercourse During Pregnancy
While the pain during intercourse during pregnancy can be caused by several factors, there are some general steps you can take to alleviate the pain.
- Lubrication - If there's too much friction there will be pain. It's that simple. Use a water based lubricant (never oil based) and take it slow.
- Relaxation - Pregnancy is a stressful time. If you're tense it will be difficult for your body, including your vagina, to be accepting to intercourse. Take a warm shower and exchange massages with your partner. Turn down the lights, and relax.
- Probiotics - Gut issues and vaginal flora issues can be the cause of much discomfort. A the vaginal health supplement Soaking Wet provides essential probiotics to ensure the best possible version of your vagina. It can even help women climax!
- Vitamins - Aside from a healthy diet, a natal vitamin is recommended by most physicians. Talk to your doctor about exactly what to look for in your natal vitamin.
Addressing and Managing Painful Intercourse
Despite the prevalence of sexual dysfunction, including painful intercourse, many women do not discuss these issues with their healthcare providers. In a descriptive study on preconception sexual dysfunction, distress, and care-seeking among females, it was found that although a significant portion of women experienced pain with intercourse, discussions about sexual health during preconception visits were limited. The study emphasized the importance of healthcare providers initiating conversations about sexual functioning, as this could greatly aid women experiencing sexual dysfunction while attempting pregnancy (3).
Sources
- Rossi MA, Mooney KM, Binik YM, et al. A Descriptive and Longitudinal Analysis of Pain During Intercourse in Pregnancy. J Sex Med 2019;16:1966-1977.
- Sexual dysfunction and related factors in pregnancy and postpartum: a systematic review and meta-analysis protocol.
- Sexual dysfunction, distress, and care-seeking among females during the preconception period.




