Positions to try to mitigate pain

Although sex is often spontaneous, preparation is incredibly useful. A calm mindset can make a huge difference, but so can using lubricant (water or silicone-based). If needed, Perrett shares that you can also buy penis bumpers, which prevent penetration from going as deep into the vagina.

A good, old-fashioned pillow can also be a lifesaver for better comfort. She explains: “What you’re trying to modify is the depth of penetration and the angle. If you’re in missionary position, you might want to elevate the hips a bit or try other positions like lying on your side or the lotus.

“Doggy style is challenging, as it does tend to be really deep, but you could do a modified version of that. Think about trying to lengthen the vagina, so bringing your body downwards might help, or lying completely on your front with your partner on top of you and a pillow underneath your pelvis. And remember, there are lots of other, non-penetrative ways of having sex as well.”

When to see a professional

Endometriosis is really characterised by pain, so it can be difficult to know when it’s worth seeking medical help for painful sex. Perrett also flags that pain doesn’t always follow the same pattern for everyone and that for many of us, it’s linked to hormonal fluctuations. “It can be more frequent around ovulation or towards our periods,” she says. “At certain points of the month, you might start noticing that you struggle to release the pelvic muscles, so initial penetration is more painful, or the pain increases in certain positions.”

Vakharia advises speaking to your GP if you suspect you’ve got endometriosis but also stresses the importance of being as honest and specific about the kind of pain you’re experiencing during sex – even if you’ve already had an endo diagnosis. “If you feel you’ve not been listened to then don’t be afraid to ask for a second opinion… It’s not normal to find intercourse painful, and women shouldn’t have to endure it,” he states.

“Seeking medical help can lead to effective treatments and improve quality of life.”

Endometriosis pain during sex can be excruciating – this is how women and gynaecology experts recommend managing intimacy while waiting for treatment