Experiencing pain during or after sex is never normal and should always be investigated. If you’re experiencing pelvic discomfort before, during, or after intercourse, it is known as dyspareunia.  

A recent Well + Good article highlighted various potential causes, including infections and menstrual cycle timing. More chronic causes include underlying conditions such as endometriosis or uterine fibroids. It’s important to consult a healthcare professional to diagnose the underlying cause. 

How Fibroids Can Cause Painful Intercourse  

Uterine fibroids are noncancerous growths that develop on or within the uterus. These growths can vary in size, number, and location, and their presence can significantly impact a woman’s reproductive health and overall well-being.  

When fibroids are present, they can: 

• Distort the Uterus: Large fibroids or multiple fibroids can change the shape and size of the uterus, making it more sensitive to pressure and movement during intercourse. 
• Cause Inflammation: Fibroids can trigger inflammation in the surrounding tissues, leading to pain and discomfort. 
• Increase Pressure on Organs: Depending on their location, fibroids can press on other pelvic organs, such as the bladder or bowel, exacerbating pain during and after sex. 

Beyond Painful Intercourse: Other Fibroid Symptoms 

It’s important to recognize that painful intercourse is often just one symptom of fibroids. Other common symptoms include: 

• Heavy or prolonged menstrual bleeding 
• Pelvic pain or pressure 
• Frequent urination 
• Constipation 
• Enlarged abdomen 
• Back pain 

If you’re experiencing a combination of these symptoms, it’s important to consult with a healthcare professional for a proper diagnosis. 

What Can You Do? Diagnosis and Treatment Options for Fibroids 

If you suspect fibroids are contributing to your pain during or after sex, here’s what you should do: 

Talk to Your Doctor

Schedule an appointment with your healthcare provider. Be prepared to discuss your symptoms in detail. 

Diagnostic Testing

Your doctor may recommend a pelvic exam, ultrasound, or other imaging tests to confirm the presence of fibroids and assess their size and location. 

Explore Treatment Options

Several effective treatment options are available for uterine fibroids, ranging from conservative management to minimally invasive procedures and surgery. These include: 

• Medications: Certain over-the-counter or prescribed medications can help manage symptoms like heavy bleeding and pain. 
• Hormonal therapies: Birth control pills or other hormonal treatments can sometimes help shrink fibroids or reduce symptoms. 
• Minimally invasive procedures: Procedures like uterine fibroid embolization (UFE) can effectively treat fibroids without requiring major surgery. 

If you’re experiencing painful sex, especially alongside other fibroid symptoms, talk to your doctor. Early diagnosis and appropriate treatment can significantly improve your health and wellbeing. 

Resources for Women’s Health

The Fibroid Fighters Foundation is a national non-profit organization dedicated to raising awareness, providing support, advocating for improved healthcare options, and empowering women to take control of their health when facing fibroids.

For more information and resources about uterine fibroids, visit Fibroid Fighter’s resource page, call (855) 455-5262, or email us at [email protected].  

For the latest news on women’s health, follow us on www.instagram.com/fibroidfighters. 

To read the full Well + Good article, click here.