Pain during intimacy may stem from superficial discomfort at the vaginal opening or deeper pelvic pain during penetration. Understanding these causes is the first step toward personalised care and lasting relief.
Often linked to hormonal changes, anxiety, or insufficient arousal.
Involuntary muscle tightness that prevents or restricts penetration.
May cause pain, burning, or discomfort during intercourse, often accompanied by discharge or irritation.
Thinning or dryness due to menopause, breastfeeding, or low oestrogen.
Healing tissues may be sensitive or reactive.
Endometrial tissue outside the uterus can cause inflammation and pain.
Infection-related inflammation of reproductive organs.
Can press against pelvic structures during intercourse.
Cervical inflammation, often due to infections such as STIs.
A medical emergency that may cause sharp pelvic pain.
At our affiliated clinics, treatment plans are designed around each woman’s symptoms, health background, and goals. Options may include:
We'll explore your symptoms, medical history, and any concerns in a confidential setting.
This is done gently and only with your consent to assess for physical causes of discomfort.
These may include STI screening, pelvic ultrasound, or hormonal evaluations to identify underlying factors.
Our doctor will begin with a respectful and thorough discussion of your symptoms, sexual health history, and any emotional or psychological concerns.
Based on your comfort and clinical needs, evaluation may include:
• Perform a gentle pelvic examination
• Conduct a pelvic ultrasound to assess the uterus and ovaries
• Collect vaginal swabs or urine tests to detect infections
• Conduct blood tests to check hormone levels or screen for underlying infections
Your care plan will be tailored to the underlying cause(s) and may include:
• Vaginal lubricants or moisturisers to reduce dryness and friction
• Topical or vaginal hormonal therapy to restore tissue health after menopause or childbirth
• Pelvic floor physiotherapy to address muscle tightness or post-traumatic response
• Antimicrobial medications for infections such as yeast, bacterial vaginosis, or STIs
• Psychosexual counselling to support women experiencing anxiety, fear, or relationship stress
• Specialist referral if anatomical conditions like fibroids, cysts, or endometriosis are detected
We provide continuous care through follow-up visits, ensuring progress is monitored and your physical and emotional wellbeing are supported at every stage.
All dyspareunia consultations and treatments are conducted at our affiliated clinics by trained women’s health professionals in a confidential and supportive environment. Care is provided in line with PHMC guidelines and MOH professional standards, under the supervision of doctors registered with the Singapore Medical Council. Accredited under the SMC APOC framework, our medical group ensures ethical, safe, and evidence-based care to help women manage painful sex with sensitivity and confidence.
Mild discomfort may be expected initially, but persistent pain should be evaluated and treated.
Yes. Emotional stress, anxiety, or past trauma can contribute to muscle tightness or arousal difficulties.
Your doctor may suggest relevant tests based on your symptoms to identify causes such as infection, hormone imbalance, or fibroids.
Some causes resolve quickly, while others (like endometriosis) require long-term management.
Yes — partner participation can support intimacy and communication, and is optional based on your preference.
