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Endometriosis occurs when cells that resemble the uterus lining, called endometrial cells, grow outside the uterus. Many women experience chronic pain and fatigue regardless of the time of the month — and for some women, intercourse can amplify this discomfort. Although symptoms vary from woman to woman, there are things you can do to lessen your pain.

Trying different positions, using lube, exploring alternatives to intercourse, and open communication with your partner can help bring the pleasure back to your sex life. Keep reading to learn more.

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For most women, discomfort caused by endometriosis is constant. When you keep track of your cycle, you can also keep track of any symptoms related to endometriosis.

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There are free mobile apps you can download, such as Clue or Flo Period Trackerto log your cycle. Or you could keep track of your period by creating your own menstruation calendar. No matter the method, make sure to also rate the pain you feel so you can track what times of the month the pain is worse.

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You may be able to reduce the pain you feel during sex if you take an over-the-counter pain reliever, such as an aspirin Bayer or ibuprofen Advilat least an hour before intercourse. You could also take a pain reliever, as directed, after sex if your discomfort persists. If you have endometriosis, then lube is your best friend, Brooks told Healthline. Some women with endometriosis feel pain during sex because of vaginal dryness or lack of lubrication — whether from being aroused or from an artificial source.

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But using water-based or silicone-based lubes during sex can really help ease any discomfort. If you have endometriosis, you may find that some sex positions will cause you intense pain. The missionary position tends to be the most painful for women with endometriosis because of how your uterus is tilted and the depth of penetration. Experimenting with different positions can teach you and your partner which ones hurt and which ones to avoid forever so you can have the most pleasure during sex.

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Although which positions are considered better will vary person-to-person, Brooks said those that had shallow penetration worked best for her. Think modified doggy style, spooning, raised hips, face-to-face, or with you on top. Deep penetration and quick thrusting can exacerbate pain for many women with endometriosis.

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Finding the right rhythm can help you experience less discomfort during sex. Talk with your partner about slowing down and not thrusting as deeply during intercourse. You can also switch positions so that you can control speed and limit penetration to a depth that feels best for you.

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Bleeding after sex, known as postcoital bleedingis a common symptom of endometriosis. Postcoital bleeding can happen because penetration causes the uterine tissue to become irritated and tender. The experience can be frustrating, but there are ways you can prepare for potential bleeding. Foreplay, massage, kissing, mutual masturbation, mutual fondling, and other arousing alternatives to penetration can bring you and your partner closer together without triggering your symptoms.

Talk with your partner about the stuff that turns you on, and experiment with all the many activities that can bring you pleasure.

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Brooks told Healthline that communicating with your partner about having endometriosis and its impact on your sexual desire, as well as pleasure, is key to an open and honest relationship. When talking to your partner about having endometriosis and its effects on your sex life, Brooks offers the following tips:. Certain foods may…. Endometriosis is one of the most common reasons women develop adhesions unconnected to a surgery. If you have endometriosis, birth control may help manage your symptoms.

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It works by reducing estrogen, which slows down the growth of endometrial…. Ultrasound imaging is an important tool in diagnosing endometriosis and keeping an eye on its stage and possible progression.

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We'll discuss the role…. A hysterectomy is one surgical treatment for endometriosis. It is often, but not always, a cure. Learn about the types, benefits, drawbacks, and more.

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Endometriosis-related leg pain feels different than your average muscle cramping or soreness. Medically reviewed by Janet Brito, Ph. Cycle Pain reliever Lube Position Rhythm Planning Alternatives Takeaway How endometriosis can affect your sex life Endometriosis occurs when cells that resemble the uterus lining, called endometrial cells, grow outside the uterus.

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Track your cycle and try at certain times of the month. Take a dose of pain reliever one hour before. Use lube.

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Try different positions. Find the right rhythm.

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Plan for potential bleeding. Explore alternatives to intercourse. The bottom line. Read this next. Medically reviewed by Debra Rose Wilson, Ph. Medically reviewed by Natalie Butler, R. Medically reviewed by Fernando Mariz, MD. Medically reviewed by Amanda Kallen, MD.

Medically reviewed by Carolyn Kay, M.

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