Vagina Sore From Sex
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Vagina Sore From Sex
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From a lack of lubrication to fluctuating hormones, there's plenty of reasons
Sex should always be mutually pleasurable, safe, enjoyable and should never hurt. At the same time, there are lots of reasons why you might get a sore vagina, or a sore vulva, after the act.
Of course, there’s the obvious one – you were a little too rigorous – but if getting down is causing you pain, and it’s not completely clear why, it’s something that shouldn’t be ignored.
Note: if you are having recurrent issues after sex, then it's advisable to check in with your GP, to see what might be going on. You should also never be pressured into any form of sexual activity which you are worried will cause you pain.
There are lots of reasons why you might feel pain after sex. 'Most of the time women experience soreness post-sex due to friction,' says GP Dr Jane Leonard . 'However, if you have a pre-existing skin problem, the soreness can be much worse.'
Painful intercourse is known as dyspareunia. It’s important to understand when and where you’re feeling pain. Is it during or after sex? Do you have a sore vagina after sex, or is the pain deep, internal pelvic pain?
From a lack of lubrication to fluctuating hormones and even latex allergies: we’ve spoken to the experts and rounded up the most common reasons why you might get a sore vagina after sex.
'Pain in or around the vagina could be caused by an infection,' suggests Dr Leonard. This could be something like thrush, or it could be a sexually transmitted infection (STI), such as chlamydia, gonorrhoea or genital herpes.
If you're experiencing pain during or after sex, it's always a good idea to visit your local sexual health clinic and ask for a full screening.
Changing hormone levels – which could be down to the menopause, perimenopause or even pregnancy – could be making your vagina dry, meaning there’s not enough lubrication during sex. This dryness could lead to some pain and soreness both during and after sex. The solution? Lots of lube. If you need help with the symptoms of perimenopause more widely, head to your GP, who can help with medication.
Similarly to hormone changes, if you’re not feeling 'in the mood', you might not be producing enough lubrication – leaving your vagina dry. This can cause sex to become painful, and leave you with friction sores afterwards. Don't force sex. If you're not feeling it, do not feel any pressure to go ahead. However, if you're feeling dry but do want to have sex, using lube is key.
'Back pain after sex can be caused by deep penetration but it can also be a sign of a ascending urine infection,' Dr Leonard tells us. If you feel unwell, have a fever, pain on passing urine, blood in your urine or increased frequency of passing urine, it's best to see your doctor.
If you’re itchy after sex , and have ruled out the chances of infection, you could be allergic to either the condom or lubrication you’re using. Latex allergies are more common than you think, and your GP can test you for allergies and suggest other forms of contraception that might be better suited to you.
'If you experience bleeding or pelvic pain, you should visit your doctor and arrange a sexual health screening' says Dr Leonard.
Pain felt inside the pelvis could be down to a number of medical conditions from pelvic inflammatory disease to endometriosis or fibroids . If you’re experiencing lower abdominal pain after sex, cramps after sex or bleeding after sex , visit your GP.
More vigorous sex can feel great at the time – but it can also leave you feeling pretty sore afterwards. If your partner is particularly well endowed they could also be hitting against your cervix, causing pain.
Epsom salts help to heal the body, soothe discomfort and reduce inflammation. Sprinkle a cup full into your bath and soak. Natural Epsom salts are best – be careful to steer clear from anything fragranced, as these could mess with your vaginal pH and irritate the area more.
To ease pain, applying a cold compress to your groin can help reduce inflammation and swelling. Don’t apply ice directly to your vulva though, as this can lead to more issues.
Using a lubrication gel during sex is definitely a good idea if you’re experiencing pain due to friction, but popping some on your vulva after sex can also help ease discomfort. Look for a water-based lube with a cooling and soothing effect.
Cotton is more breathable than other synthetic fabrics, so if your discomfort is caused by an infection, wearing cotton underwear can help whilst you heal.
Verywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
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Verywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
Ⓒ 2022 Dotdash Media, Inc. — All rights reserved
Verywell Health is part of the Dotdash Meredith publishing family.
Steph Coelho is a freelance health writer, web producer, and editor based in Montreal. She specializes in covering general wellness and chronic illness.
Monique Rainford, MD, is board-certified in obstetrics-gynecology, and currently serves as an Assistant Clinical Professor at Yale Medicine. She is the former chief of obstetrics-gynecology at Yale Health.
There are a lot of possible reasons why you may be experiencing pain or soreness in and around your vagina . Some, like irritation or menopause, may be obvious. Others, like a sexually transmitted infection or a cyst, less so.
What people call "vagina pain" may indeed involve the vagina, the inside part that connects to the womb or uterus. But it may also involve the vulva , the outer part of the genitals.
This article explores some of the causes of a vulvar or vaginal pain and soreness. It also explains how these problems are diagnosed and treated.
Vaginal pain can have many different causes. Some are serious, while others go away on their own or respond to simple treatments.
A yeast infection is caused by a fungus. It can cause pain and itching around the vulva and vaginal opening. Other symptoms include:
Some people are more prone to yeast infections. This includes people who:
In some cases, hygiene habits can raise your risk (for example, not quickly changing out of sweaty workout clothes). 1
Bacterial vaginosis is an infection that happens when too much of a bacteria grows in your vagina. Not everyone has symptoms .
Your risk of getting BV is higher if you:
Sexually transmitted infections (STIs) can also cause vaginal/vulvar pain, as well as itching and burning.
If you think you could have an STI, talk to your healthcare provider. You and your partner should both be tested to reduce the risk of passing it on or having complications.
Urinary tract infections (UTIs) are very common. UTIs happen when bacteria enter the urinary tract.
A UTI can make it painful to have sex.
Irritation and allergies can cause soreness. 3 You may have a reaction to:
Shaving or waxing the area can also cause discomfort, especially when the hair grows back. This pain is usually temporary.
Vulvodynia is vulvar pain that lasts more than three months. You may also notice:
Genetics, hormones, trauma, or nerve damage may raise your risk. Vulvodynia can also happen after medical procedures such as chemotherapy or surgery involving the nerve supply in the area.
A Bartholin’s cyst occurs when the Bartholin glands on the labia, the skin folds around the vaginal opening, become blocked.
A cyst that’s not infected may show up as a painless lump. These often resolve on their own.
If a Bartholin cyst becomes infected, it might swell up, be painful, and make it harder to walk or sit comfortably. This may require treatment.
Endometriosis is when the lining of the uterus (womb) builds up on the outside of the organ. Not everyone has the same symptoms.
Some common symptoms of endometriosis include:
Pelvic floor dysfunction is a health condition where the muscles and tendons in your pelvic area weaken. It can cause vaginal pain, especially during sex.
If you have pelvic floor dysfunction, you may leak urine or have trouble controlling bowel movements.
Vaginal pain can also occur because of hormonal changes during menopause . The vagina may become drier . Skin can become thin and easy to tear. These changes can make sex painful.
There is also an increased risk of infection, which can itself lead to vaginal pain.
The tissue in and around the vagina can tear or bruise during rough sex, leading to soreness. Sex can also lead to chafing around the vulva.
These symptoms are more likely if the skin is thin, dry, scarred, or affected by a health condition such as eczema or psoriasis , although all vaginal skin is delicate.
If you think you may have an injury inside your vagina, seek medical care. In rare cases, internal bleeding can be life-threatening.
If you have been sexually assaulted , reach out for help as soon as you are safe. One way to get help is to call the National Sexual Assault (RAINN) Hotline at 800-656-HOPE (4673). You can also speak to a healthcare professional you trust.
Vaginismus is a condition where vaginal muscles spasm. It can make it difficult to have sex. It can also cause pain.
People may develop vaginismus in response to trauma. It can happen because you're nervous about having sex. But it can also occur during menopause or after childbirth.
If you've just had a baby, your vagina will be sore for a period of weeks afterward. Sometimes pain from childbirth lasts even longer.
Injuries from straddle accidents, vehicle accidents, sexual assault, and female genital cutting can also cause long-term pain.
If your symptoms are bothering you and don’t go away, see a healthcare professional. You have several options. If you're having urinary symptoms, it might be best to see a primary care provider, urgent care provider, or urologist . If your only symptom is vaginal pain, you may want to see a primary care provider, an urgent care provider, or a gynecologist .
It's especially important to seek medical care if you have vaginal pain or soreness and are pregnant, in menopause, or have a new sex partner. If you're pregnant, it may be best to see an obstetrician or gynecologist.
Seek immediate medical attention if you have been sexually assaulted. Do not clean yourself of change your clothes ahead of your visit.
Other signs that you need to see a doctor: 5
If you have severe pain, bleeding, and/or a fever, you may need to visit the emergency room (ER).
It can take time to find out exactly what is behind your pain. You may be able to confirm some causes with an at-home test; others require a medical evaluation.
To identify the cause, a healthcare professional may: 6
Tests that detect some causes of vaginal pain are available online and in many drugstores.
Some give immediate results, while others may need to be sent to and analyzed in a lab.
Self-tests that check for allergies and sensitivities do exist, but they may not be as reliable as tests performed by a lab or healthcare professional.
When you visit a healthcare provider, you may need:
In some cases, imaging is the best way to find what's causing your vaginal pain. For example, a transvaginal ultrasound can show endometriosis.
Endometriosis can also show up on a magnetic resonance imaging (MRI) test , a computerized tomography (CT) scan, or a laparoscopy . That's a test in which a tiny camera on a long tube takes pictures inside your body.
Imaging tests can also detect pelvic floor problems and internal injuries.
Treatment will depend on the exact cause of your soreness or pain. In some cases, changing your routines may be all that is needed. In others, medical intervention may be necessary.
Vaginal pain may decrease if you make some simple changes. For example, it may help to: 7
Conditions like STIs need to be treated. They won’t go away on their own and can cause serious consequences if left untreated.
In some cases, medication can resolve or cure the pain. Antibiotics or anti-fungals for infections are a good example. If the pain is from a long-term condition, a healthcare provider can help you manage symptoms with medications, including:
Your therapist may work with you to build your pelvic floor muscles.
Some people learn to relax vaginal muscles using dilators, which are tapered wand-like tools that come in various sizes.
Cognitive behavioral therapy can teach you strategies to relax tense muscles or cope with anxiety, trauma, or pain.
If the pain does not go away with other treatments, you may need surgery. For example, if you have an infected Bartholin's cyst, it may need to be drained.
In some cases, surgery to remove scar tissue helps with endometriosis symptoms. A hysterectomy —removal of the uterus—is another option for endometriosis. 8
To protect your vulva and vagina, you can: 9
Pain in or around your vagina can have many possible causes. Infection, injury, health conditions, menopause, childbirth, pelvic floor problems, and allergies can all make the vulva or vagina sore.
Most of the time, vaginal pain will go away on its own or with self-care. But some types can be serious. Medication, physical therapy, and even surgery may be needed to restore your health.
Some healthcare providers may minimize women's concerns about pain. 10 Studies show that women of color, 11 trans and LGBTQ people, 12 and women with low incomes, chronic pain, or disabilities 13 often feel their doctors don't "get" them and their pain.
When you're seeking care for vaginal pain—or anything else—you need a healthcare provider who takes your symptoms seriously. If you don't feel heard and respected, look for another provider.
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Centers for Disease Control and Prevention. Vaginal candidiasis .
Arkansas Department of Health. Bacterial vaginosis (BV) .
The North American Menopause Society. Vaginal discomfort .
Sorensen J, Bautista KE, Lamvu G, Feranec J. Evaluation and treatment of female sexual pain: A clinical review . Cureus . 2018;10(3):e2379. doi:10.7759/cureus.2379
National Institutes of Health. Lifestyle changes and therapy .
Schäfer G, Prkachin KM, Kaseweter KA, Williams AC. Health care providers' judgments in chronic pain: the influence of gender and trustworthiness. Pain. 2016;157(8):1618-25. doi: 10.1097/j.pain.0000000000000536.
Mende-Siedlecki P, Qu-Lee J, Backer R, Van Bavel JJ. Perceptual contributions to racial bias in pain recognition. J Exp Psychol Gen . 2019;148(5):863-889. doi: 10.1037/xge0000600.
Taylor JL, Drazich BF, Roberts L, et al. Pain in low-income older women with disabilities: a qualitative descriptive study. J Women Aging . 2020;32(4):402-423. doi:10.1080/08952841.2020.1763895
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Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
Health is part of the Dotdash Meredith publishing family.
After sexual activity, your vagina feels sore. The pain lasts at least a few hours or even until the next day. What could be going on?
Post-sexual activity soreness is not uncommon, especially in younger people and with newer partners, said Donnica Moore, MD , OB-GYN and president of Sapphire Women's Health Group in New Jersey.
Yeast infections and some STIs are known to cause stinging and burning, Dr. Moore said, and those symptoms will likely feel worse after intercourse. If the soreness lasts longer than 24 hours, it's a good idea to see your healthcare provider to check for an infection.
But if the discomfort is not accompanied by red flags such as bleeding or unusual discharge, you could figure out the cause on your own. Read through this checklist of possible reasons for soreness after sex, plus the steps to take to keep it from happening again.
Chafing caused by a lack of lubrication during intercourse is the number one cause of post-sex soreness, Dr. Moore said. "Sometimes we get carried away in the heat of the moment and we don't always realize how much friction there may have been," Dr. Mo
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