Endometriosis intercourse pain: How to Make Intimacy Easier

16.07.202327.06.2023 by alexxlab

Содержание

How to Make Intimacy Easier

In this Article

When you have endometriosis, sex can hurt. But that doesn’t mean you have to give up being intimate with your partner. You just need to make a few tweaks in your approach to sex. There are ways to lessen or even get rid of the pain.

About two-thirds of women with endometriosis report some kind of sexual issue. Every woman is different, of course. Some report no dyspareunia, or pain during intercourse. Others hurt during and after. The pain may last for hours after sex and even up to a few days.

Women describe the discomfort differently, too. Reports range from mild pain to sharp, stabbing pain to deep, aching pain. Some say any penetration hurts, while others say that only deep penetration brings discomfort.

The Link Between Endometriosis and Painful Sex

The reason women describe and experience the pain differently is because endometriosis can grow in different places around your uterus, fallopian tubes, and the back of the vagina.

Sex may be most painful if the endometriosis is behind your vagina in the lower uterus. Sometimes endometriosis can even adhere the vagina to the rectum. Penetration can pull or stretch the irritated tissue, causing pain.

If the endometriosis is elsewhere, such as on your ovaries, then you may have no pain or less pain during sex. And if endometriosis is in many places, sex may be painful no matter what.

Emotions Play a Role

Endometriosis doesn’t just interfere with intercourse — it can affect sexuality in general. Sex is supposed to be about two people enjoying each other physically. If sex causes pain, you can’t have a good time. This will probably lessen your desire to have sex.

Some women cite endometriosis as the reason their sex drive is lower. Some couples say they enjoy less sexual intimacy because of endometriosis. That can cause tension and turmoil in a relationship.

Some male partners may feel anxious about having sex. Or they may have trouble getting or keeping an erection. Help your partner understand that you may be avoiding sex because of your condition, not because of them.

How to Ease the Pain

Communicate with your partner. Sexual activity is a deeply personal topic. While you may feel awkward talking about it with your partner, that discomfort is probably less than the pain you’ll continue to feel if you don’t speak up. Talking to your partner about dyspareunia will help them understand your situation better. To make it easier:

Set aside time when you and your partner can chat without distractions or interruptions.
Explain what endometriosis is. If you need a starter definition, try this: It’s when tissue that normally grows inside my uterus grows outside it. This irritates the organs around it and makes me hurt.
If you’re comfortable, tell them how the condition makes you feel physically and emotionally.
Only offer as much information as you want to.
If you want to, take your partner with you to a doctor’s appointment so they can ask questions and feel included in your support system.

Communicate with your doctor. You may not want to discuss painful sex with your doctor, but you need to. Sexual health is part of your physical and mental well-being, so it’s worth working up the courage. Your doctor may recommend medications to control endometriosis, or they might suggest laparoscopic surgery, which is a common treatment. The surgeon will remove as much of the tissue as possible growing outside of the uterus. Most people who’ve had it say their quality of life improves and sex is less painful.

Think about timing. The pain may get worse around your period. You might try to avoid sex during this time.

Experiment with positions. Some women say any sex position causes pain, while other women find only certain positions hurt. It can help to find one where penetration is shallow or where you have control over the depth, like a side-by-side spoon position with penetration from behind.

Consider other forms of pleasure. Intercourse isn’t the only way to be close to your partner, of course. Try foreplay, oral sex, or mutual masturbation.

Use a lubricant. Some women with endometriosis use a type of hormone therapy to treat their symptoms. But this can lead to vaginal dryness, which also makes sex uncomfortable. A vaginal lubricant can help with that. They work better than petroleum jelly or other products that aren’t specifically designed for vaginal dryness.

Oil-based and natural lubricants can damage latex on condoms and diaphragms.

SOURCES:

Endometriosis Foundation of America: “Endometriosis Symptoms: Painful Sex (Dyspareunia),” “Sex Tips for the Endo Girl.”

Reproductive Sciences: “What Is Known and Unknown About the Association Between Endometriosis and Sexual Functioning: A Systematic Review of the Literature.”

Endometriosis.org: “Painful Intercourse.”

Jean Hailes for Women’s Health: “Endometriosis, Relationships & Sex. ”

Mayo Clinic: “Endometriosis.”

International Society for Sexual Medicine: “What can women with endometriosis do to improve their sexual relationships?”

What to know and how to prevent pain

People with endometriosis may experience pain during sex, especially if intercourse stretches and pulls the endometrial growths. People can try different positions and non-penetrative actions to minimize pain.

Symptoms of endometriosis include heavy menstrual bleeding, painful periods, and sometimes, pain during sex.

Dyspareunia is the medical term for pain during sex.

In this article, we look at the ways that endometriosis can lead to painful sex. We also discuss tips for managing this pain, including positions, toys, timings, and how to talk with a partner about the condition.

Pain during sex is a common symptom of endometriosis. Penetration and other movements related to intercourse can pull and stretch endometrial tissue, particularly if it has grown behind the vagina or lower uterus.

Vaginal dryness can also cause this pain. Some means of addressing endometriosis, such as hormonal treatments or a hysterectomy (surgical removal of the uterus), can cause dryness.

Not every person with endometriosis experiences pain during sex.

Those who do may experience the following:

pain that is sudden or feels like stabbing
pain deep in the abdomen
pain ranging from mild to severe

This pain varies from person to person and may depend on the type of intercourse. Some experience pain only during deep penetration, for example, while others experience pain after sex rather than during it.

Some positions put less pressure on areas of the pelvis that contain endometrial tissue. An individual should experiment with their partner to discover the positions that are best for them.

However, many people find that certain positions are better than others. For example, when the person with endometriosis is on top, they can control the depth and speed of penetration, allowing them to determine a comfortable pace.

Also, comfortable positions often involve shallow penetration. Some of these positions include:

spooning
raising the hips of the person with endometriosis
a modified doggy style

The missionary position could be painful for women with endometriosis.

Sometimes any form of penetrative sex is painful, and a person may prefer to engage in other types of sexual activity, including:

oral stimulation
massage
foreplay
using toys

Anyone experiencing pain during sex should talk with their doctor to determine a pain management plan.

Below are some additional steps a person with endometriosis can take to reduce pain during sex:

having penetrative intercourse at certain times of the month. It may be less painful in the week after ovulation or in the 2 weeks following a period.
extending foreplay to increase the amount of natural lubrication before penetration
practicing gentle and slow penetration
using plenty of lubricant during sex
communicating with a partner about what does and does not feel good
having a warm bath or taking a painkiller to ease symptoms before or after sex
trying different positions
practicing forms of sexual activity that do not involve penetration
attending counseling or sex therapy to deal with the consequences of endometriosis and improve communication

Communication is key for a healthy sex life.

Telling a partner when sex is painful and talking about what is and is not pleasurable can make sex more enjoyable for everyone involved and increase feelings of intimacy.

It is important to share feelings, needs, fears, and frustrations around sex. A partner may be experiencing similar feelings and worry about causing pain or discomfort.

It may be easier to start this conversation in a neutral place outside the bedroom.

The way a person approaches the subject matters. It is best to use sentences that invite dialogue rather than criticism. Sentences should begin with “I” rather than “you.” For example, a sentence beginning with “I really liked when you…” is better than, “You don’t touch me anymore.”

Partners should discuss preferred positions, those to avoid, and their favorite types of physical stimulation.

Overall, dealing with painful sex may be a difficult and emotional task. The goal is to foster genuine and open communication, to ensure that sex is pleasurable and free of pain for each partner.

Endometriosis can cause severe abdominal pain, which often occurs during or after sex.

Although treatment can help to relieve the symptoms of endometriosis, including pain during sex, it is a good idea for partners to foster an environment of understanding and communication about forms of sex that are pleasurable and free of pain.

Pain in endometriosis – what kind of pain in endometriosis of the uterus in women?

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06/26/2023 15:02:00 Elena Chernokoz

Hello, dear Konstantin Viktorovich! There are no words to describe how grateful I am to you! You gave me a new life!!! Now I can leave the house without fear that I will get sick) that you can live like this! You are an outstanding surgeon and doctor! After the operation, I began to play the violin again. Thank you for your skill and work! and adenomyosis node). I feel good!

05/30/2023 13:06:00 Marina Samoylenko

Konstantin Viktorovich, good day to you! There are no words to express my gratitude to you for the operation! My agony lasted for over 20 years. How many wrong roads were passed. How much time was lost by me. And then one day I found you! The first meeting with you through telemedicine made it clear that there is a solution to my problem, that you can help, you instilled faith!
There was exactly a month before the operation, during which I passed the necessary examinations. Olga Nikolaevna was always in touch with me, controlled the course of my actions, I thank her very much for her help, it was necessary! Konstantin Viktorovich, well, and of course you eventually solved all my problems! I went to the operation, my whole body ached, I woke up, there was no trace of pain left. Today is 2 weeks post-surgery and the pain has not returned. And I don’t sleep, that’s for sure! I thank all the heavenly powers that you are!
Good health to you and all your relatives! I also express my gratitude to all the staff of the clinic! My leading doctors Alina Yurievna and Anastasia Andreevna, resuscitation nurse Barsukova Marina are very competent and most caring specialists, manager Olga Nikolaevna is the best and in general your entire team is perfectly matched, and this is the key to great success! I wish you the best health, prosperity, long years!

05/21/2023 11:38:00 AM Yulia Chepurnova

Konstantin Viktorovich, good afternoon! Your patient Yulia Chepurnova (Krasnoyarsk) is writing to you, she had an operation (laparoscopy with bowel resection and anastomosis) 1. 5 months ago, I want to thank you again for the complicated operation done!!!! indeed, I was convinced that it’s true that you are called “a surgeon from God!” And indeed it is! I will be very, very grateful to you all my life!

05/10/2023 14:28:00 Elena Vinogradskaya

Konstantin Viktorovich. Hello! I want to express my gratitude and respect to you! True, the Lord sent you to me, you work miracles. I can’t wrap my head around how you do it. I perfectly understand what could have been if I had not met you or would have got later. American local doctors would just cripple me and put a stoma and everything, as they basically told me (if they find endometriosis of the intestine, that is, they didn’t even see it) for many years. Since the bladder was also severely affected by endometriosis, it’s even scary for me to imagine what could have been. Thank you very much not only from me, but from all of us, you save our lives! Thank you and God bless you and have a long life.

02/09/2023 21:06:00 Review left on Instagram under the nickname natalialugagareva

Hello Konstantin Viktorovich! I never cease to thank fate and the Almighty that I fell into your golden hands! In 2020, you removed a 10 cm endometrial ovarian cyst, a retrocervical one, and a bunch of other foci in the abdominal cavity with pinpoint accuracy. A resection of the affected part of the intestine was also made. With so much endometriosis in my body, it seems like half of the organs needed to be removed, but everything is in place. Moreover, the adhesions were dissected and now I live without pain in my stomach. The operation that you did to me was so easily transferred by me with tiny holes that many doctors do not believe that it was possible to do everything at once. And you do! Thank you very much for taking care and developing such methods of surgical treatment.

01/23/2023 11:26:00 AM Review posted on Instagram under the nickname 5real5

Konstantin Viktorovich! You are a unique doctor, your award “golden laparoscope” was given to you not in vain. Operated on! Thank you, I remember a young woman from Tambov was lying with me, they planned to remove her organs affected by endometriosis, you saved everything, and later she gave birth. I remember your phrase: “Many doctors believe that there is no organ, no problems. ” And also thank you very much for the fact that after the operation you have been leading the patient for a long time and consulting him absolutely free of charge. Thanks for all! There is probably no such thorough preparation, at the same time operational, before the operation.

01/10/2023 15:55:00 Review left on Instagram under the nickname nataly.golubtsova

Dear Konstantin Viktorovich, I would like to tell you a HUGE THANK YOU for my health. You operated on me on March 30, 2022 for endometriosis with bowel resection. It is impossible to convey the horror that I experienced when I found out my diagnosis and went to see other doctors in words. Everyone promised me a very long recovery period and the most difficult abdominal surgery. I will not get tired of thanking the Universe that I got to see you. Communication with you and your clinic is like getting into another reality and believing in a miracle. You can feel great professionalism, calmness, optimism and colossal experience and calmness. I never doubted for a minute that everything would be great. On the second day after the operation, I was already on my feet, and on the fifth day I went home! The recovery period went well and quickly.
Now I feel great, I started to go in for sports, lost weight, looked younger, as if a new life had begun. During this year, so many important events happened – the graduation of the youngest daughter, as I imagine that I could have missed it all. Thank you very much from our whole family. Your mission is definitely over (in my case). We wish you a Happy New Year and Merry Christmas! We wish you great human happiness and many more professional successes and joy from work!) We are all very lucky to have you!

12/16/2022 17:30:00 Julia

Good day. Dear girls, I was operated on by Konstantin Viktorovich. I had fibroids, endometriosis and cysts. All the doctors also told me that everything should be removed along with the uterus, but I really wanted to save the uterus. I found this wonderful person on the Internet. I wrote to him, not hoping that he would answer, but lo and behold, he answered very quickly. We corresponded for almost a year, I still did not dare to go. But in September 21, I arrived, they looked at me, examined me, and Konstantin Viktorovich said that he would operate and, most importantly, that he would save the uterus, which I was very happy about. And now more than a year has passed, I feel good, of course I really want to come again to make sure that everything is in order, but so far it has not worked out. I hope to come in the summer. Konstantin Viktorovich is a man with golden hands, go girls, don’t worry. Health is the most important thing in our life. Don’t over tighten.

29.11.2022 15:43:00 Natalia

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11/17/2022 04:20:00 PM Tatiana Kotenko

Hello Dear Konstantin Viktorovich!
Mom Tanya is writing to you, girls (Grishchenko Elena is your recent patient)
I want to express my heartfelt THANK YOU! low bow for your conscientious work! You have made my daughter healthy, she has been in severe pain every month since her puberty. Painkillers, fainting, etc.
I told my daughter that there is such a GENIUS DOCTOR! At the family council, we decided to send our daughter for a consultation, we are from Irkutsk. Upon arrival to you, it was decided: surgery (endometriosis), operated on. Everything is clear: professionalism, concreteness, respect, mood, ideal conditions!
After the operation, on certain days, the daughter could not believe that there was NO pain!!!
She had no idea that NOTHING HURTS! Glory, Konstantin Viktorovich !!
Thanks to all your professional team!

26.07.2022 12:43:00 Olga

Good afternoon, Konstantin Viktorovich!
Thank you for treating, helping, supporting. With you, I have become stronger, bolder, more tolerant and softer. Learned to trust and believe. Despite the fact that there is no item *healing of the soul in the list of services, on some very subtle, invisible and non-discussable level, this happens slowly and inevitably.
I understand your students very well – I don’t want to leave you at all, but I want to learn and absorb knowledge and life like a sponge.

Please pass on my gratitude to Igor Borisovich:
– It’s hard for me to imagine, I would say impossible, the level of your resistance to stress and generosity for kindness. Thank you for your warm, caring hands and understanding, sympathetic, inspiring confidence in yourself and the result, look. With your energy you fill the entire space, leaving no room for fear, pain and doubt. I am sure that this energy would be enough to heat the planet.

I consider meeting with such doctors, and most importantly people like you, Konstantin Viktorovich and you, Igor Borisovich, a gift, and myself a real lucky person, because my first surgical intervention, with subsequent treatment, was performed and anesthetized by you.
As a token of my gratitude, I light a new star in the sky, it will always, warming, illuminate your path and point only the right direction. I did not find any other way and unit of gratitude)….

Sincerely, Olga.

07/18/2022 13:19:00 Dina

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06/27/2022 15:27:00 Review left on Instagram under the nickname ularus_95

Konstantin Viktorovich, hello! Exactly half a year has passed since the removal of endometrial lesions in the abdominal cavity, small pelvis and resection of the intestine, I feel great! Yesterday I had an ultrasound, there was no liquid in the cavity, after 6 months of taking diferilin, the follicles began to ripen, from next month we will plan a pregnancy with my husband. SOOOOO grateful to you with the whole family, where would I be now if it were not for your golden hands and invaluable experience in the fight against endometriosis! I will write to you again and tell you how things are going with the planning. Thanks for being you!

06/27/2022 15:27:00 Lily

Hello Professor Konstantin Viktorovich. I want to write a review and express my endless gratitude to you, your incredible professionalism and gift, thanks to which you saved me and save patients by doing the impossible.
I had a very difficult journey after previous surgeries and complications before I came to you and trusted you. I had to make a choice of a surgeon after what had already happened to me. It was not very easy. There were forecasts from strong specialists – this is to remove all the reproductive organs. When I heard these decisions, there were thoughts in my head that there was still an opportunity to save the organs, and I believed in it. An abdominal operation was already scheduled in another clinic according to the quota with the removal of the uterus and it is unlikely that the ovary will be preserved and the stoma removed for a long time.

I prayed, kind people sent me to St. Luke of Crimea, I live in Crimea and immediately went to the holy relics to ask for help and pray, and miracles began to happen to me. When I saw a post on your Instagram dedicated to the great surgeon St. Luke of Crimea, I realized that higher powers are leading me to you.

At the end of September, you did a serious and great job for my salvation and the most difficult operation was performed for a very extensive endometriosis . I am immensely grateful that the operation was laparoscopic! It is simply incredible in my case. And saved my reproductive organs! It was not without a stoma, but even then I felt my healing and that everything was over. Your encouragement and support has been a great support for me on the road to full recovery and recovery. I remember well how, before closing the stoma, you said very important words to me, when I was depressed that after the examination it was impossible to perform an operation to close the stoma, but it was necessary to treat the intestines. I held on to these words and tuned in to recovery). And I returned to the clinic with a good result after the treatment and you performed the last operation to close the stoma. When I was discharged from the clinic, I had a very good feeling that I had a new life! Yes, it is now!

I pray for you every day. Thank you for my recovery and new quality of life, Konstantin Viktorovich.
God bless you!
And of course, many thanks to all the doctors and medical workers of the Swiss University Hospital, who helped me a lot, cared for and supported me!

Thank you from the bottom of my heart for your help!

Regards, Lilia

05/18/2022 13:22:00 Ekaterina Lepina

Hello, Konstantin Viktorovich! 5.05 a real thing happened in our family
miracle ! I gave birth to a girl Anya. I gave birth with two anastomoses myself, without
stimulations, with small gaps of 1-2 degrees. Pregnancy has come
naturally without hormones. It went well and calmly. Thank you for your
skillful fingers! Two years ago I wrote a verse on this subject, now mine come true
dreams. I hope my message will please you!

After your operations, I wrote a prayer … with tears in my eyes and happiness
that remained alive.

PRAYER

Thank you Lord for keeping me alive!

Thank you for the breath of the breeze.

For the noise of birches,

For the sun that caresses the clouds.

Thank you for an interesting journey!

The “game” seemed too much for me,

But you helped and I passed.

Like a bright light, words in the soul:

Thank you, Lord, for the fact that I am alive.

Thank you for not hearing the “call”

There is a time for everything,

Complete the lesson.

My mistakes are not mistakes at all,

is not a failure,

A GOOD HIGHEST,

that you gave me.

Thank you for everything!

Thanks for the happiness!

What used to seem small to me,

It suddenly became large.

You opened your heart with love

And let the native child go on a creative flight,

After giving inspiration.

Thank you for everything!

Thank you for the strength of my spirit.

Appreciate him.

Grows with me on the way and helps me overcome obstacles,

In love and gratitude to you.

Thank you Lord for opening my eyes every day.

And a tear rolls for joy because I’m alive!

The soul has awakened.

Came to life and understood

That the world of beauty is gifted.

And not alone.

You are always with me.

Thank you for everything!