How can endometriosis cause pain during sex and what can be done?

Reviewed by Yoshinori Abe, MD

Internal Medicine

Endometriosis often causes pain during sex (dyspareunia) due to inflammation, scar tissue, and adhesions in the pelvic region that make deep penetration uncomfortable or painful. Common treatments include hormonal medications, pelvic floor physical therapy, pain management, and self-care strategies such as trying different positions, using lubrication, and communicating openly with your partner.

Because pelvic pain during sex can stem from many causes—not just endometriosis—it's important to understand what may be driving your symptoms before deciding on next steps. A free, instant, online symptom check can help you identify possible conditions in minutes and guide you toward the right care. Taking a few moments now could save you weeks of uncertainty later.

Reviewed for medical accuracy: 07/15/2026

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Explanation

Endometriosis is a condition where tissue similar to the lining inside the uterus grows outside of it. This can cause pain during sex, known as dyspareunia, because the tissue can lead to inflammation and scar tissue in the pelvic area.

How Endometriosis Causes Pain

Inflammation: The tissue can cause inflammation in the pelvic area, making it painful.
Scar Tissue: Scar tissue may form, leading to pain when pressure is applied during sex.

Managing Pain

Medications: Pain relievers and hormonal treatments can help reduce inflammation and pain.
Physical Therapy: Specialized therapy can help relax muscles and reduce discomfort.
Self-Management: Techniques like relaxation exercises and using certain positions during sex can lessen pain.

Women experiencing pain should consider using a free symptom checker to better understand their symptoms before talking to a healthcare provider to explore these options and find the best treatment plan.

(References)

Vercellini P, Somigliana E, Consonni D, Frattaruolo MP, De Giorgi O, & Fedele L. (2012). I. Effect on pain during intercourse and patient satisfaction. Human reproduction (Oxford, England), 22926841.
Facchin F, Buggio L, Dridi D, Barbara G, & Vercellini P. (2021). The Subjective Experience of Dyspareunia in Women with .... International journal of environmental research and public health, 34831868.
Howard AF, Noga H, Kelly MT, Gholamian B, Lett S, Sutherland J, & Yong PJ. (2024). Women's Self-Management of Dyspareunia Associated .... The journal of pain, 38341015.

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