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Pain during and after arousal: main causes

Medical expert of the article

Obstetrician-gynecologist, reproductive specialist
, medical expert
Last reviewed: 04.07.2025

According to WHO, every third woman in the world has experienced pain during arousal sooner or later. Men often have such problems too. What are the causes of pain during arousal and what to do about it?

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Pain during arousal in women

Since ladies are usually let first, let's first look at the characteristic signs of pain in women during arousal. It should be immediately noted that this does not only mean arousal during sexual intercourse - pain can also occur during masturbation and simply during sexual arousal. So, several diseases in which a woman suffers from pain as soon as she gets aroused.

Ovarian cyst

Ovarian cysts are formations that appear as sacs filled with fluid and can burst. They are classified as tumors. An ovarian cyst can resolve on its own in 2-3 months, or it may require surgical or medical intervention.

Nature of pain

When intercourse occurs, a woman may feel a sharp pain in the pelvis - on the left or right. A woman may feel the same pain during menstruation, which, as is known, makes women more excitable.

What to do?

It is necessary to undergo an ultrasound of the genitals, paying special attention to the ovaries. To make sure whether you really have an ovarian cyst, you need to consult a gynecologist and undergo a course of treatment.

As a rule, a woman with an ovarian cyst can be saved from pain during arousal by ibuprofen (up to 400 milligrams) approximately 1-1.5 hours before sexual contact. In addition, during sex, it is advisable to control the process of penetration of the penis into the vagina, because deep penetration can cause more severe pain than usual.

Thrush, also known as candidiasis

Almost every first woman has suffered from this disease at least once. That is, all women have gone through this torment at least once: pain in the vagina, white rashes on its walls, and the itching is so bad you want to scream. This is a fungal disease that is not necessarily sexually transmitted - its causes can be different. During thrush, nasty Candida fungi grow in a woman's vagina and on its walls, which is why the disease is also called candidiasis.

With candidiasis, pain during intercourse becomes more severe in every fourth woman.

Nature of pain

When aroused during sex, vaginal pain may increase, and so may itching. Every touch to the vaginal walls causes severe pain, discomfort, and irritability. If a woman still endures sexual intercourse, her vagina becomes even more inflamed, vaginal pain may become simply unbearable and radiate to the ovarian area - then the lower abdomen hurts. As a rule, the pain has a burning character.

What to do?

Visit a gynecologist and undergo therapy against thrush. It is necessary to refuse pads with strong odors (aromatized), tight underwear, synthetic panties, uncontrolled medications - all these products can cause thrush in addition to infection during sex. Before or after sex, you can use an ointment with the hormone cortisol in the composition - this will reduce inflammation of the vaginal walls and make the pain quieter.

Myoma or fibromyoma of the uterus

This is a tumor-like formation in the uterus that doctors consider benign. This formation involves uterine myoma and fibromyoma – that is, muscle and connective tissue. This disease affects more than a third of women over 35. Fibroma can be as small as a pea or as large as an orange.

Nature of pain

With myoma or fibromyoma of the uterus, the vagina hurts at its very entrance, as soon as the partner touches it. There may be quite dense areas in the form of humps under the skin. Pain may also occur in the vagina itself, in the genitals. During sex, the pain may become quite severe.

They are pulsating, long-lasting, and may not go away after sex for several hours. A woman worries so much about these pains, especially if the cause is not clear! She may even fall into depression if she does not consult a doctor for diagnosis in time.

Pain during arousal in women

What to do?

Consult a gynecologist to clarify the diagnosis and treatment. For a more accurate picture of the disease, an ultrasound will be needed. As a rule, the diagnosis of this disease reveals deviations immediately. Complex therapy is used as treatment, surgery is possible.

Vulvodynia

This is an inflammation of the nerves, their roots, which are located in the vulva area. The causes are infections that affect the mucous membranes of the vagina, as well as frequent diseases of the female genital organs. In particular, fungal ones, such as candidiasis.

Nature of pain

With vulvodynia, a woman may experience pain in the lower abdomen during sex or arousal. The pain intensifies even if the woman simply stays in one position for a long time or sits on a hard surface. The pain also intensifies during insertion of the penis into the vagina.

These symptoms may also be accompanied by frequent urge to urinate, pain may radiate to the lower back, and during menstruation, a woman may have more abundant discharge than before.

What to do?

Visit a gynecologist and undergo a thorough diagnosis. The peculiarity of vulvodynia is that it is very difficult to distinguish it from other similar diseases. For example, fungal or venereal. And therefore, treating vulvodynamia is much more difficult than other diseases of the female genital organs, which are easily diagnosed.

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Bartholinitis

Bartholinitis is an inflammation of the Bartholin glands, organs that resemble peas in both size and shape. They are located on the lips of the vagina, one pea on each labia. The cause of the disease is, in addition to inflammation of the glands, their blockage as a result of oversaturation with toxins and poor blood flow. This is a presumed cause, because medical scientists have not yet found out the true causes of Bartholinitis. According to their assumptions, these may be pathogenic infections such as staphylococci, streptococci and other nasty microbes.

Nature of pain

With bartholinitis, a woman's labia enlarge, swell, become inflamed and, of course, the woman experiences pain during intercourse and for 5-6 hours after it. This is difficult to bear, so women take painkillers or call an ambulance. This pain is pulsating. In addition, when the partner or the woman herself touches the vaginal vault, they can feel dense areas of the body under their fingers.

What to do?

See a gynecologist for examination and treatment. If the stage of the disease is already advanced, the patient will most likely be offered surgery, it will be necessary to remove one of the glands - the culprit of the pain. Or both.

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Endometriosis

This is the growth of tissue from the uterine lining (endometrium) in areas of the body where it should not be. The bladder, fallopian tubes, ovaries, uterine wall, and rectum may be affected by the growth of the endometrium. There are many organs where the endometrium can grow!

The result is the same - pain during arousal, poor quality of the woman's sexual life. Her menstruation can come and go whenever they want, with any frequency. That is, this disease can be aggravated by bleeding from the uterus. Just think - endometriosis is diagnosed in more than a third of women worldwide! This disease is one of the serious causes of infertility.

Nature of pain

Pain during arousal can bother any woman if she has endometriosis. The pains are sharp, cutting, abrupt – so much so that it’s time to call an ambulance. Naturally, this does not allow a woman to have a full orgasm, she suffers from the inability to have sex with pleasure.

What to do?

Consult a gynecologist for examination and, if necessary, if conventional complex therapy does not help, undergo surgery.

Urinary tract infections

Urinary tract infections

...or genitourinary tract - abbreviated UTI. Urogenital infections often affect women because the urethra and vagina are anatomically located very close to each other, so infections very quickly travel from the vagina to the urethra, and from there to the bladder. This can cause inflammation of the woman's genitals and, as a result, pain during arousal or sexual intercourse.

Nature of pain

The woman feels pain in the lower abdomen, but cannot pinpoint exactly where. Pain during infections can be wandering, unclear, of an indefinite nature. During sex, this pain can intensify, become viscous, dull. At the same time, the woman may constantly have a desire to visit the toilet.

What to do?

Do not confuse urogenital tract infection with colds and inflammations and do not self-medicate. If you experience pain in the lower abdomen during sex, you must visit a doctor and undergo a thorough diagnosis. Urine tests will be especially indicative, as they can easily determine that a woman has been visited by pathogenic viruses and bacteria.

She should not be treated alone. With this type of disease, the sexual partner, the husband, must also undergo a course of treatment.

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Vaginal dryness

This is a condition in which there is too little lubrication in the vagina. It remains dry, so during intercourse the male member irritates it. Pain occurs during sex.

Every woman can suffer from vaginal dryness at any time in her life. This symptom affects more than a quarter of women worldwide. The cause may be excessive use of hormonal drugs, including oral contraceptives. The causes of vaginal dryness and pain during arousal may include pregnancy, breastfeeding, and menopause.

Nature of pain

Unpleasant, sharp, irritating. When during intercourse the partner's penis or fingers penetrate the vagina, it can react with sharp pain. After intercourse has occurred, this pain may not leave the woman for another 2-3 hours. Of course, vaginal dryness makes intercourse painful, so you cannot patiently and silently endure this problem.

What to do?

Consult a gynecologist to prescribe the best treatment. If vaginal dryness is caused by hormonal imbalances, you will need to, first of all, regulate your hormonal balance. If oral contraceptives are to blame, you need to review their dosages and prescription. If a woman does not get aroused quickly during sex, you need to use lubricants - special lubricants for sexual intercourse.

Pain during arousal in men

Men have their own peculiarities of pain during sexual arousal. And they are dictated by the peculiarities of male anatomy. When a man gets aroused, after 20-40 seconds the blood actively flows to the pelvic organs, the veins narrow and there is no backflow of blood. Because of this, the penis begins to grow, strengthen, increase in length and width.

The peculiarity of male erection is that the phallus increases three times. It also becomes 8 cm longer than in a calm state. Translated from Latin, "erection" means "to raise". In this state, the phallus needs a discharge, it cannot remain in this position for a long time. When the phallus rubs against the walls of the vagina, arousal increases, all organs activate their work. If something is wrong with the genitals during sexual arousal, a man may experience severe pain from overexertion.

What diseases can cause pain in men during arousal?

First of all, these are viral diseases. Viruses and bacteria can cause inflammation of the genitals, which makes them weaker, more vulnerable, the tissues are overstrained and painful.

Orchitis

This is an inflammatory process in a man's testicles. It can occur after a man has had mumps, commonly known as mumps. The most characteristic symptoms of this disease are high body temperature, the testicle becomes swollen and painful.

Nature of pain

The pain in the testicle can be strong and short-lived or pulling, dull, which does not go away for several hours or even days - the pain can last up to a week. During sexual intercourse, the pain may not allow it to take place at all, since the pain can become unbearable.

After a week of suffering, the pain may subside, but then return again. The testicle at this time significantly decreases in size, it remains in this state, and may even atrophy. Up to two months after the disease passes, the pain may still return and prevent a man from having a normal sex life. The sperm that the diseased testicle produces decreases significantly in quantity.

What to do?

First of all, get examined by a urologist. He will prescribe a course of treatment and the man needs to remain under medical supervision for at least two months after the pain during arousal and sexual intercourse stops bothering him.

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Epididymitis

This is a painful disease during which the appendages of the male testicles become inflamed. The scrotum increases in size, the man has a high temperature - up to 38 degrees, as well as frequent urges to urinate. The cause of the pathology is usually a viral infection or fungal disease. The cause of this condition can be a fungal disease or a cold of a viral nature.

Nature of pain

When aroused, the pain in the testicles and scrotum is especially strong. The scrotum becomes much larger, the testicles also increase in size, and the blood that flows in excess to the genitals during arousal makes sexual intercourse simply unbearable. The nature of the pain is sharp and acute.

What to do?

You should immediately contact a urologist and undergo a course of treatment with antifungal and antiviral drugs. Complex therapy may also include anti-inflammatory drugs. If you do not catch yourself and do not treat the disease at its initial stage, it can lead to infertility and the absence of sexual life at all.

Prostatitis

This is the scourge of many men, which they fear like fire. The terrible word prostatitis is an inflammation of the tissues of the prostate gland. The causes may be viruses that have affected the male genitals, colds, improper sexual life (including its complete absence), physical inactivity, and problems with the urination process (for example, situations when a man is forced to endure for a long time).

Prostatitis causes pain during intercourse, and this requires serious treatment. By the way: even elementary hypothermia can be the cause of prostatitis, so such situations should be avoided.

Nature of pain

The man has pain in the perineum and scrotum, the pain can be sharp and very strong. Like a knife. They can be accompanied by chills, high temperature, enlarged testicles and scrotum. The man cannot urinate normally because of the pain, especially they intensify during sexual arousal.

What to do?

See a urologist and eliminate the causes of prostatitis, if the doctor can do it. That is, get rid of the viruses and bacteria that provoke the disease, and also avoid hypothermia and a busy schedule of physical activity.

Deformations and pathologies of the testicles, scrotum, frenulum of the penis

Diseases that cause deformations and pathologies of the testicles can provoke very severe pain in a man during arousal, not to mention the sexual act itself. In order not to suffer from an inadequate sexual life. You need to know the nature of your disease and its symptoms. This will help you make the right decision about treatment.

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Testicular torsion

This is a serious pathology, in which the spermatic cord, through which blood passes with its useful substances and which is designed to carry sperm, is deformed. When the testicle is twisted, the spermatic cord is compressed, twisted, sperm can no longer pass through it, and the man suffers from pain.

Nature of pain

Sharp, unbearable, increases greatly when excited.

What to do?

Urgent surgery is needed, otherwise you can lose the testicle as a result of hydrocele and its complete atrophy.

Varicocele

There are varicose veins on the legs - this is difficult and painful, and there is a more serious disease - varicocele. With this disease, the veins of the spermatic cord, attached to the testicle and supplying sperm from it, increase in volume in men.

Nature of pain

The pain can be very strong, and increases with arousal. Of course – almost the main artery of the male body is blocked, which supplies the main male pride from the testicle – sperm! Varicocele is dangerous because it can deprive a man of the ability to produce sperm at all as a result of testicular atrophy.

What to do?

Consult a urologist after the first signs of pain during arousal, during and after intercourse. Delay may threaten a more serious development of varicocele, then only surgery can correct the situation.

Inguinal hernia

With this disease, the peritoneum bulges in a man. It is not in the place where it should be anatomically, but in the inguinal canal. Therefore, the spermatic cord, coming from the testicle, is compressed, and severe pain occurs in the testicles.

Nature of pain

Sometimes the disease proceeds without symptoms, the pain may increase during sexual arousal, when the testicles are tense. But more often, an inguinal hernia is accompanied by pain in the groin and testicles, the pain sometimes weakens, sometimes becomes stronger. Sexual intercourse with such a deviation in health may not go as a man would like.

What to do?

See a urologist and surgeon for examination. If a man has an incarcerated inguinal hernia, then very often only surgery can save the situation. And can return a man to a normal sex life.

One of the most common answers to the question of why the testicles hurt is unsatisfied sexual arousal. Most young men are familiar with this symptom. During an erection of the penis, blood also accumulates in the testicles, which leads to their swelling. If ejaculation does not occur for a long time, a nagging pain in the testicles appears. Such sensations cause significant discomfort, but do not pose a significant threat to a man's health.

Torn frenulum of the phallus

This anatomical imperfection can greatly interfere with a man's sexual life. A rupture of the frenulum, which is located on the head of the penis, can provoke severe pain. This happens for various reasons - trauma, a woman's vagina that is too dry and small, an inept partner who can injure a man's penis.

Nature of pain

Sharp, burning, sometimes hard to bear. Occurs during sexual tension, intercourse, masturbation.

What to do?

Go to a surgeon or urologist. Such pathology can be corrected with anti-inflammatory therapy, and also by using wound-healing agents, not forgetting about bactericidal drugs.

Both men and women should not tolerate pain during sexual arousal, even if it is not very strong at first. This is not a case where “patience and work will grind everything down.” Patience can eventually lead to very long treatment, deterioration of active sexual life and surgery.

Who to contact?


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