Sexual pain is a term used to describe pain associated with sexual intercourse. Also known as dyspareunia, the disorder can cause a patient to lose interest in sexual activity.

Pain related to intercourse may occur in the pelvic area or genitals. It may occur immediately before, during or after intercourse. Sexual pain can occur in men but is more common in women.

The majority of female patients complain of pain at the entrance of the vagina at the time of penetration. Deep pelvic pain, however, can also occur as the result of thrusting. In addition, some women experience pain at multiple sites. Men may complain of pain at the time of erection, penetration or ejaculation.

Sexual pain may be described as primary or secondary. Primary sexual pain is pain that is present at first intercourse and all other attempts at intercourse. Pain developing after previous acts of pain-free intercourse is referred to as secondary sexual pain. Sexual pain may also be described as complete or situational. Pain occurring with each act of intercourse is described as complete, whereas pain occurring with only some acts of intercourse is described as situational. Situational pain may occur exclusively with one partner or in certain situations.

In addition, intercourse-related pain may be further classified as superficial-entrance pain and deep thrust pain. Superficial-entrance pain is noticeable at the initial moment of penetration. Deep thrust pain, on the other hand, is noticeable during or after the moment of penetration.

Patients experiencing sexual pain are encouraged to discuss it with their physician. Sexual pain may be a sign of a number of physical, hormonal or psychological conditions. It is particularly important for patients to contact their physician when the pain is accompanied by additional symptoms including bleeding, genital lesions, irregular periods, discharge from the penis or vagina, or involuntary vaginal contractions.