Experiencing painful intercourse?

People with Endometriosis often experience painful intercourse (dyspareunia) and low libido due to a combination of physical, hormonal and psychological factors associated with the condition.

Understanding the WHY behind your pain is crucial to a healthy sex life but know it's can be a completely normal symptom for someone with Endometriosis.

Painful Intercourse (Dyspareunia)

Adhesions and scarring:

Endometriosis can cause the formation of adhesions and scar tissue in the pelvic region. These adhesions can bind organs together and restrict movement, making intercourse painful.

1. Inflammation/Endometriosis:

   • Endometriosis can cause chronic inflammation. This inflammation can lead to pain during intercourse, particularly during deep penetration.

2. Pelvic floor dysfunction:

   • Chronic pain and inflammation can lead to hypertonicity (increased tension) in the pelvic floor muscles. Tight or spasming pelvic floor muscles can contribute to pain during intercourse.

3. Endometriomas:

   • Cysts known as Endometriomas can form on the ovaries and other pelvic organs. These cysts can be tender and painful, causing discomfort during sexual activity.

Low libido

1. Chronic pain:

   • Ongoing pain and discomfort can significantly impact sexual desire. When sex is associated with pain, the anticipation of discomfort can lead to a reduced interest in sexual activity.

2. Hormonal imbalances:

   • Endometriosis can affect hormone levels, leading to imbalances that can impact libido. Hormonal treatments for Endometriosis, such as birth control pills or GnRH agonists, can also affect sexual desire.

3. Fatigue:

   • Many individuals with Endometriosis experience chronic fatigue, which can reduce energy levels and interest in sex.

4. Emotional and psychological factors:

   • Living with a chronic condition like Endometriosis can lead to stress, anxiety and depression. These psychological factors can negatively impact libido and sexual satisfaction.

5. Personal body image concerns:

   • Chronic pain, bloating and other physical symptoms of Endometriosis can affect body image and self-esteem, which in turn can impact sexual desire and intimacy.

Addressing these concerns/pain

• Medical treatment:

  • Effective management of Endometriosis through medication or surgery can help reduce pain and improve sexual function.

• Pelvic Floor Physical Therapy:

  • Working with a Pelvic Floor Therapist can help alleviate muscle tension and improve pain during intercourse.

• Counselling and support:

  • Counselling or therapy can help address emotional and psychological factors, improving overall well-being and sexual health.

• Communication:

  • Open communication with a partner about pain and discomfort can help reduce anxiety and improve intimacy.

• Lubrication:

  • Using lubricants during intercourse can help reduce friction and pain.

Understanding and addressing the multifaceted nature of sexual pain and low libido in Endometriosis can help individuals find relief and improve their quality of life. Consulting with healthcare providers who are knowledgeable about Endometriosis is crucial for effective management.

PLEASE NOTE: The Endo Essentials company takes no responsibility for your diagnosis, tailoring your treatment/plan, we do not claim to be doctors and strongly recommend seeking medical advice from a Health Physician to treat your symptoms. We write these blogs purely based on the evidence provided at the current time and try our best to keep these blogs as up to date as possible.