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Why do women put up with painful sex?

An illustration of a woman in bed grimacing
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The assumption that 'what feels good for men should feel good for women' is not necessarily true...

Contains adult themes

There was a clear message in my school鈥檚 sex education and among the older girls I knew: if you were female, sex was going to hurt.

Sex would likely make you bleed. If you had enough of it, you鈥檇 probably get an STI 鈥 which would hurt. Or get pregnant 鈥 which would end in labour. We all saw those birthing videos and they were not the screams of a lady who鈥檇 just won free Drake tickets.

While the boys were hearing about erections and orgasms, girls were being told to quietly brace themselves. And this idea - that we should expect discomfort during sex - leads many women to believe that a bit of pain is just part of the package, not just the first time but forever.

While they were busy scarring us with images of a baby鈥檚 head turning our lady-parts into something out of Stranger Things, no one thought to mention how to make sex enjoyable.

鈥淚 had no clue how to make sex anything other than sore,鈥 says Jess, 24. 鈥淚 was so tense that it was hard for anyone to get inside me, which made me more self-conscious. I thought the clitoris was something you touched for a few seconds and had an orgasm. That wasn鈥檛 enough to make me come, so I thought mine must be faulty. I鈥檇 been told that sex could hurt, so I just accepted the discomfort.鈥

It took an attentive partner (鈥渁 foreplay guy and a real giver鈥) as well as some solo exploration last year for Jess to realise that pain didn鈥檛 have to be a given. 鈥淚t鈥檚 actually a lie,鈥 she says.

The vlogger Hannah Witton is one of a crop of twenty-something YouTubers using the platform to have honest conversations about sex for women. 鈥淭he reason that a lot of women have painful sex isn鈥檛 because sex is inherently painful 鈥 it鈥檚 because we're not taught how to have good sex,鈥 she says.

Of course, in some circumstances, painful sex can be a sign of something serious. 鈥淧ain in the vagina can be caused by thrush or an STI, vaginismus (a condition where the vaginal muscles shut tightly) or irritation from latex condoms or soap,鈥 says Swati Jha, a spokesperson for the Royal College of Obstetricians and Gynaecologists (RCOG).

鈥淧ain inside the pelvis can stem from pelvic inflammatory disease, endometriosis, fibroids or irritable bowel syndrome.鈥 She urges anyone who is worried about pain during or after sex to see their GP or visit a sexual health clinic.

But, as Dr Kirstin Mitchell, Senior Research Fellow at the University of Glasgow, says, 鈥渢here鈥檚 a whole range of psychological and social reasons for pain as well.鈥 She is the author of a 2017 study that found that almost (the study鈥檚 authors defined this as regularly experiencing painful sex over three months or more).

鈥淚f a young woman isn鈥檛 having the kind of sex that she鈥檇 like to have, if she鈥檚 not properly aroused, if she lacks confidence talking about what she鈥檚 enjoying or not enjoying, then sex can be painful.鈥 In her view, 鈥淲omen often feel they have less of a right to pleasure than men do. Sometimes sex is painful and they think that鈥檚 just how it is for women.鈥

In a US study, researcher Sara McClelland asked men and women to describe what low sexual satisfaction meant to them. While the men talked about things like boredom and unresponsive partners, the women frequently answered 鈥減ain鈥.

One woman who has experience of this, and is now hoping to reinvigorate women鈥檚 right to pleasure, is Kim Loliya, editor of an online sex zine and founder of a London-based sex-education service. She believes that uncomfortable sex isn鈥檛 necessarily a physical problem, but a verbal one.

鈥淲omen can feel like they can't speak up when they're in pain during sex; it's the societal indoctrination that says 鈥榞irls should be seen and not heard鈥,鈥 Kim explains. 鈥淲hen pain arises, women often think there鈥檚 something wrong with them, and fear how that will impact their partner. They feel responsible for the pain, and embarrassed by it. Often, women completely miss that their pain is triggered by their body feeling unsafe.鈥

To re-establish a sense of comfort and security, Dr Mitchell encourages couples take a step backwards. 鈥淪ex doesn鈥檛 have to be penetrative. If having your clitoris stimulated with fingers is really pleasurable, do that. You should always be building up in ways that are mutual, gradual, and listening to each other.鈥

The images we get of sex don鈥檛 necessarily promote this model. 鈥淭he only depictions a lot of people get of the logistics of sex are from porn or Hollywood movies,鈥 says Hannah. 鈥淚n both cases, the woman is simply good to go from the start. You don't see the reality of sex: the fumbling, the foreplay, the gentleness that can build into intensity (but which rarely starts off that way). Also, lube! It feels great, and can be really sexy.鈥

Lydia, 21, realised lube was what worked for her. 鈥淪ex hurt 鈥 it felt tight, almost chafing, and I just felt like I wanted to get it over with. There鈥檚 still this stigma that lube is only for anal sex, but I tried some and realised that lube equals better sex for me. Wanting to use lube doesn鈥檛 mean you鈥檙e failing as a woman,鈥 she affirms.

As for Charlie, 24, sex became less painful when she took more control. 鈥淟ots of kissing, lots of foreplay and making sure I鈥檓 really relaxed. Then I go on top so I can control of the speed of penetration. That works better for me than asking a guy to slow down 鈥 which he does for three thrusts, then it鈥檚 like I never said anything.鈥

Ultimately, says Kim聽Loliya, 鈥淚t鈥檚 about learning not to worry about female arousal being 鈥榯oo much鈥 or 鈥榟ard work鈥欌 鈥 ideas that still persist in our culture.聽There鈥檚 still an assumption that what feels good for men is what should feel good for women, too. But that鈥檚 not necessarily the case - as a lot of women can tell you. And it鈥檚 time we accepted that.聽

This article was originally published on 19 March 2018.

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