The following situations and conditions can contribute to or cause pain during intercourse or other forms of penetration. The first few times you have intercourse or experience vaginal penetration, you may feel a small to moderate amount of pain at the entrance to the vagina. There can be some bleeding or no bleeding at all—both are normal. The reasons for the pain are not always clear, but it is typically temporary. An unstretched hymen vaginal corona has typically been blamed for this pain at first penetration, but new understandings of the hymen suggest otherwise. But not all hymens meet these criteria, and women without substantial hymens can also experience painful penetration.
Pain during intercourse is very common—nearly 3 out of 4 women have pain during intercourse at some time during their lives. For some women, the pain is only a temporary problem; for others, it is a long-term problem. The internal female reproductive organs and the external female genitals. Pain during sex may be a sign of a gynecologic problem, such as ovarian cysts or endometriosis.
Pain during sex, or dyspareunia, can cause problems in a couple's sexual relationship. Painful intercourse can have negative emotional effects in addition to the physical pain. There are many effective treatment options available so patients should discuss their symptoms with a physician.
Back to Sexual health. When a woman has vaginal sex for the first time, it can be a little painful. You may also have some bleeding, but this isn't always the case.