Can prolapse cause painful penetration?
Some women with pelvic organ prolapse experience discomfort or pain with penetration, often described as a feeling of pressure, bulging, or dragging. The severity and nature of pain varies, and many women can enjoy sex with adjustments and support.
Detailed Medical Explanation
Prolapse can change vaginal shape and tension, which may cause discomfort during penetration. Dryness, anxiety, or pelvic floor muscle tightness may also contribute. Lubricants, gentle foreplay, communication, and changing positions may improve comfort. Severe or persistent pain should be discussed with a clinician or women’s health physiotherapist. (NHS: Living with prolapse)
Clinical Context
Addressing discomfort early helps maintain a positive sexual relationship. Professional support and tailored advice are available for persistent pain.
Evidence-Based Approaches
NHS guidance includes physiotherapy, lubrication, and counselling for women experiencing pain with sex and prolapse.