Sex is not pleasurable for everyone. Some people feel pain during sex. This is much more prevalent in females.

Around 75% of females report experiencing pain during sex at some point during their lives.

Around 10–20%Trusted Source females in the United States experience regular sexual pain or dyspareunia.

Some common reasons for sexual pain in females include:

  • vulvodynia, a chronic condition that causes itching, as well as burning pain during and after sex
  • vaginal infections such as yeast infections
  • muscle injuries or dysfunction, especially pelvic floor injuries after childbirth
  • hormonal changes, which may cause vaginal dryness and pain

Males can also experience pain during sex. Some common causes include:

  • structural abnormalities in the penis, such as phimosis
  • infections
  • problems with the prostate, such as prostatitis

People who identify as asexual may not desire sex or experience pleasure from it.

People who identify as demisexual may only experience sexual pleasure in limited contexts, such as when they feel in love with a partner.

Some other factors that can affect sexual pleasure across all genders and sexual orientations include:

  • insufficient lubrication, which can cause sex to be painful
  • a history of trauma or abuse, which can make sex feel threatening or painful
  • lack of arousal
  • boredom with sex or one’s partner
  • sexual interactions that do not conform to a person’s specific sexual desires or interests
  • sexually transmitted infections

See a doctor about sexual pain or displeasure if:

  • the pain persists over time or gets worse
  • management strategies, such as using more lubrication or changing positions, do not work
  • pain occurs with other symptoms, such as pain when urinating or unusual vaginal bleeding
  • pain follows an injury, childbirth, or a medical procedure

Some people, especially female trusted Sources, report that doctors dismiss sexual pain or tell them that it is all in their heads. People who do not get sensitive, responsive care from a healthcare provider should switch providers or seek a second opinion.

Sex does not have to hurt, and there is almost always a solution. A knowledgeable and compassionate provider should be committed to diagnosing and treating the issue.

Tips for pleasurable and safe sex

Clear communication with a trusted partner can make sex more pleasurable by helping the partners discuss their needs openly.

A 2018 study by trusted Source found a significant orgasm gap between males and females also identified strategies linked with more orgasms — and potentially more pleasurable sex — for females. These strategies include:

  • oral sex and manual genital stimulation, such as fingering
  • sex that lasts longer
  • relationship satisfaction
  • discussing fantasies and sexual desires
  • expressing love during sex

Although estimates of the precise number vary, most femalesTrusted Source cannot orgasm without clitoral stimulation.

For some females, indirect stimulation from certain sexual positions, such as being on top, is enough. Others need direct, prolonged stimulation during or separate from intercourse. This is normal, and females should not feel ashamed of needing or asking for clitoral stimulation.

Males may enjoy sex when it lasts longer, both because this allows pleasure to build over time and because it increases the odds that female partners will have time to orgasm. Deep breathing may help males delay ejaculation, as can slow down when the sensations become too intense.

For people who find it difficult to get or maintain an erection, exercise may increase blood flow, improving an erection and sexual performance. Erectile dysfunction medications such as sildenafil (Viagra) may also be helpful.

People may find that using a sexual lubricant decreases friction, improving sex. Lubricants are available to buy in many stores and online.

Pelvic floor exercises strengthen the muscles that play a role in orgasm, potentially helping both males and females have stronger orgasms and better control over the timing of orgasm.

To exercise the pelvic floor, try tightening the muscles that stop the stream of urine. Some people practice this by stopping and starting again when using the bathroom. Gradually build up to holding the position for 10 seconds or longer, and repeat it throughout the day.

Some people may need to meet with a physical therapist, who can give them tips and advice on how to improve and fully enjoy sex.

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