Is pain during sex a sign of endometriosis?

Yes, it can be. Deep pain during sex (or aching afterward) is a common endometriosis symptom, especially when disease involves the tissues behind the uterus, the ovaries, the bowel surface, or scar tissue/adhesions that limit normal movement in the pelvis.

At the same time, pain with sex isn’t specific to endometriosis—pelvic floor muscle dysfunction, vaginal dryness/low estrogen, fibroids, bladder pain conditions, and infections can cause similar symptoms. The most helpful next step is a focused evaluation to pinpoint the pattern of your pain, associated symptoms, and likely pain generators so we can outline the most effective treatment options. If sex is consistently painful or becoming more painful over time, reach out to schedule a consultation with our team.