Painful Intercourse Specialists

Alabama UROGYN -  - Urogynecology

Alabama UROGYN

Urogynecology & Gynecologic Surgery located in Fairhope, AL

Painful intercourse can prevent you from enjoying intimacy and take a toll on your relationship with your partner. Pain during sex can also indicate the presence of a medical condition, such as endometriosis or ovarian cysts. At Alabama UROGYN, board-certified urogynecologist Robert Brown, MD, FACOG, FPMRS, and his team can help resolve the underlying cause of painful intercourse so you can feel comfortable and confident during intimacy. Schedule a confidential consultation with Dr. Brown by calling the office in Fairhope, Alabama, or booking online today.

Painful Intercourse Q & A

What Causes Painful Intercourse?


Known medically as dyspareunia, painful intercourse is experienced by many women at some time during their lives. Although frequently associated with menopause, painful sex can affect women of all ages and arises due to a variety of causes.

Common causes of painful intercourse include:

  • Insufficient vaginal lubrication
  • Vaginal atrophy
  • Yeast infections and other vaginal infections
  • Endometriosis
  • Ovarian cysts
  • Uterine fibroids
  • Pelvic inflammatory disease
  • Vaginismus (spasm of the vaginal muscle)
  • Ectopic pregnancy
  • Sexually transmitted diseases (STDs)
  • Injury from childbirth


Anxiety, depression, stress, and a history of sexual abuse can also contribute to painful intercourse. If you consistently experience painful intercourse, it can affect your relationship with your partner and the way you feel about yourself. The pain you experience might cause you to lose interest in sex or avoid it altogether.

How Does a Doctor Diagnose the Cause of Painful Sex?

When you see Dr. Brown at Alabama UROGYN, he begins by taking a thorough health history. He then carefully conducts a pelvic exam to check for signs of infection and other conditions. 

If Dr. Brown detects evidence of a problem with your uterus or ovaries, he may recommend that you have a pelvic ultrasound. Ultrasound imaging allows Dr. Brown to see ovarian cysts, uterine fibroids, structural abnormalities, and other conditions that may contribute to painful intercourse.

What is the Treatment for Painful Intercourse?

Treatment for painful intercourse depends on the underlying cause. A personal lubricant helps many women who have pain during sex. If you suffer from vaginal dryness or atrophy due to menopause, oral hormone medications, pellet therapy, and topical estrogen creams may improve your vaginal lubrication.

Dr. Brown also performs cutting-edge radiofrequency procedures and CO2RE® Intima laser treatments to address vaginal atrophy and dryness. These nonsurgical treatments revitalize vaginal tissue, restoring lubrication and muscle tone without hormones.

Dr. Brown has extensive experience treating medical conditions that cause painful sex. He specializes in innovative, minimally invasive procedures to address conditions like endometriosis, uterine fibroids, ovarian cysts, and other concerns. 

If painful intercourse is preventing you from enjoying intimacy, schedule a confidential consultation with Dr. Brown at Alabama UROGYN. Call the office today or request an appointment online.