Pelvic Pain During Sex: How Women Can Reduce Their Risk
Psychology Today
by Michael Castleman M.A.February 14, 2026
AI-Generated Deep Dive Summary
Pelvic pain during sexual intercourse is a common yet underreported issue affecting many women, with around half of sexually active heterosexual women experiencing some form of discomfort. Despite its prevalence, few women discuss their pain with partners or healthcare providers, leading to a lack of awareness and understanding among men and even medical professionals. This can result in long delays in diagnosis and treatment, as highlighted by studies showing it often takes five doctor visits for women to receive proper diagnoses.
A recent study conducted by researchers at the University of California, San Francisco Medical Center aimed to identify risk factors associated with sexual pain. The research involved over 2,000 physically active women from various countries, who were generally healthier than the average population. Despite their overall good health, 54% reported experiencing sexual pain, with nearly one in five describing it as severe. Interestingly, age played a significant role, with younger women (18–30 years) being at the highest risk, likely due to anxiety and inexperience with partners who may imitate high-intensity porn scenarios.
Relationship satisfaction was another key factor, with 70% of women dissatisfied with their relationships reporting pain compared to only 45% of those satisfied. The study also found that heavier women were less likely to experience pain, possibly due to hormonal changes from physical activity. However, while cycling emerged as a protective exercise against pain, it can sometimes cause genital numbness, which may increase the risk of discomfort during sex.
Understanding these risk factors is crucial for improving sexual health and well-being. Open conversations between partners about comfort and pleasure are essential, as is encouraging women to speak up about their experiences. Additionally, healthcare providers need to prioritize discussions about sexual pain during routine check-ups, given its impact on intimacy and overall quality of life. By addressing this issue head-on, women can take proactive steps to reduce their risk and enhance their sexual experience.
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Originally published on Psychology Today on 2/14/2026