Strategies for Minimizing Discomfort from Endometriosis During Intercourse
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For those experiencing pelvic pain during sex due to endometriosis, finding comfortable positions can significantly improve their sexual experience. This article offers recommendations for sex positions that minimise deep penetration and allow control over penetration depth, aiming to reduce discomfort and increase intimacy.
Positions with Controlled, Shallow Penetration
Positions such as woman on top and side-lying (spooning) are often advised because they allow the person with endometriosis to control the depth and angle of penetration, potentially reducing pain [3][5]. These gentle positions, which also include other variations that allow self-regulation of penetration depth, are ideal for reducing discomfort during intercourse.
Avoid Deep Penetration Positions
It's essential to avoid deep penetration positions that can exacerbate pain in endometriosis. Positions like missionary may cause discomfort due to the penile angle, but elevating the hips using a pillow or wedge can help reduce pain [2].
Use Lubricants
Lubricants can help reduce friction and discomfort during sex [3]. Applying a generous amount before intercourse can help make the experience more comfortable.
Seek Pelvic Floor Physical Therapy
Pelvic floor physical therapy can help manage muscle tension and pain associated with endometriosis [1]. Therapists often recommend strengthening weak muscles and relaxing overactive muscles to improve comfort during sex.
Heat Therapy and Other Pain Management Strategies
Heat therapy and other pain management strategies may complement positional changes [2]. Applying heat to the affected area before intercourse can help soothe pain and make the experience more enjoyable.
Communication is Key
Open communication with your partner is crucial in finding comfortable sex positions. It's essential to be on the same page and create a comfortable, pressure-free environment.
Nonpenetrative Sex Options
Nonpenetrative sex, such as oral sex, mutual masturbation, and using certain sex toys, can provide pleasure without causing pain associated with endometriosis. Partners should understand and accommodate these needs to maintain intimacy.
Experiment and Find Pleasure
Gynecologic surgeon Miguel Luna suggests experimenting with comfortable sex positions to find pleasure. Being on top allows control over the depth of penetration and speed of sex, and there are various position variations to adjust the angle of the body.
Modified Doggy Style
Modified doggy style can be achieved by arching your back to alter the angle of entry, or by lying on your stomach with your partner on top for full-body contact and using a pillow for support.
During Sideways Sex
During sideways sex, partners can control the thrusting and depth of penetration, making it a comfortable option for those with endometriosis.
Endometriosis and Vaginal Dryness
Endometriosis can cause vaginal dryness, requiring the use of lubricant. Using a lubricant can help reduce friction and discomfort during intercourse.
Conclusion
Endometriosis can cause significant pain during sex, but with the right strategies and positions, it's possible to find comfort and enjoyment. Open communication, experimentation, and seeking professional help can all contribute to a more pleasurable sexual experience for those with endometriosis.
- In addition to the recommended positions, using heat therapy before intercourse can help soothe the pain caused by endometriosis, contributing to a more comfortable and enjoyable sexual experience.
- Women with endometriosis may face issues with vaginal dryness, which can be addressed by incorporating lubricants into their sexual health and wellness routines, reducing friction and discomfort during intercourse.
- Beyond positions that promote controlled, shallow penetration, exploring nonpenetrative sex options like oral sex, mutual masturbation, and certain sex toys can provide pleasure without causing pain associated with endometriosis, thereby maintaining intimacy and supporting overall sexual health.
