{"id":22536,"date":"2025-05-14T11:26:16","date_gmt":"2025-05-14T15:26:16","guid":{"rendered":"https:\/\/lesexologue.ca\/?p=22536"},"modified":"2025-05-14T11:26:16","modified_gmt":"2025-05-14T15:26:16","slug":"sex-is-painful","status":"publish","type":"post","link":"https:\/\/lesexologue.ca\/en\/2025\/05\/sex-is-painful\/","title":{"rendered":"Sex is Painful"},"content":{"rendered":"<h1 data-start=\"57\" data-end=\"152\"><strong data-start=\"57\" data-end=\"152\">When the Body Says No: How Sexology Helps Women with Vaginal Pain Reconnect with Themselves<\/strong><\/h1>\n<p data-start=\"154\" data-end=\"552\"><a href=\"https:\/\/lesexologue.ca\/en\/blog\/2025\/04\/30\/pain-during-sex-can-i-find-pleasure-again\/\">Vaginal pain<\/a>\u2014whether dyspareunia (pain during intercourse) or vaginismus (involuntary contraction of pelvic floor muscles)\u2014is far more than a medical issue. It is often the silent reflection of internal conflicts, complex personal histories, and deeply rooted personality traits. In sexological support, it&#8217;s not enough to address the physical symptoms; we must also meet the woman behind the pain.<\/p>\n<h3 data-start=\"554\" data-end=\"621\">The Role of the Sexologist: Beyond Muscles and Mucous Membranes<\/h3>\n<p data-start=\"623\" data-end=\"906\">A <a href=\"https:\/\/lesexologue.ca\/en\/sextherapist-psychotherapist\/sextherapist-clinic\/\">sexologist<\/a> works with the person as a whole. When a woman seeks help for sexual pain, part of the work involves exploring not only biological aspects, but also beliefs, emotions, relationships, and&#8230; personality. Because often, it\u2019s not just \u201cit hurts,\u201d but rather \u201c<em data-start=\"892\" data-end=\"895\">I<\/em> feel bad.\u201d<\/p>\n<h3 data-start=\"908\" data-end=\"937\">Common Personality Traits<\/h3>\n<p data-start=\"939\" data-end=\"1184\">Certain personality tendencies are frequently seen in women who suffer from chronic vaginal pain. These traits are not direct causes but are vulnerability factors that influence how the pain is experienced, interpreted, and maintained over time.<\/p>\n<h4 data-start=\"1186\" data-end=\"1206\">Perfectionism<\/h4>\n<p data-start=\"1207\" data-end=\"1618\">These women often have a strong need for performance, control, and conformity. Their body becomes yet another area where they feel they must \u201cget it right,\u201d even when it hurts. They have little tolerance for imperfection, which makes it hard to accept their difficulties. They also tend to isolate themselves with the problem and feel broken or abnormal. However, this issue is actually very common among women.<\/p>\n<h4 data-start=\"1620\" data-end=\"1670\">Hyper-responsibility and the Need to Please<\/h4>\n<p data-start=\"1671\" data-end=\"2016\">Many were raised with the implicit message that they must care for others before themselves. They strive to be \u201cgood partners,\u201d to not disappoint, to not cause waves. This drives them to maintain painful sexual activity at the expense of their own well-being. Over time, the pain worsens and sexuality becomes associated with an unpleasant task.<\/p>\n<h4 data-start=\"2018\" data-end=\"2052\">Difficulty Expressing Needs<\/h4>\n<p data-start=\"2053\" data-end=\"2324\">Many women struggle to say no, to set boundaries, to assert their desires. Their body then becomes the messenger: it says no for them. Setting boundaries also comes with fears about how their partner might react. They have low tolerance for conflict and tend to avoid it.<\/p>\n<h4 data-start=\"2326\" data-end=\"2366\">Anxiety and Negative Anticipation<\/h4>\n<p data-start=\"2367\" data-end=\"2813\">Anticipating pain leads to both physical and psychological tension. The vagina becomes a site of alertness and vigilance. The more one anticipates pain, the more deeply it becomes ingrained. General anxiety is also often seen in the daily lives of these women. This constant hypervigilance makes it difficult to relax during sexual activity. Emotional regulation must therefore be addressed both broadly and specifically in relation to sexuality.<\/p>\n<h4 data-start=\"2815\" data-end=\"2844\">Shame or Sexual Taboos<\/h4>\n<p data-start=\"2845\" data-end=\"3021\">A background marked by silence, modesty, or guilt around sexuality often leads to a dissociated relationship with the body, where pleasure is suspicious and pain is normalized.<\/p>\n<h4 data-start=\"3023\" data-end=\"3057\">A Fragile Feminine Identity<\/h4>\n<p data-start=\"3058\" data-end=\"3412\">Many women with this difficulty perceive their femininity as flawed. Either the issue creates this perception, or it may stem from it. Without a solid relationship with their feminine identity, sexuality often suffers. This may manifest as a lack of confidence, a shaky body image, or negative views of female sexuality (e.g., internalized slut-shaming).<\/p>\n<h3 data-start=\"3414\" data-end=\"3441\">The Impact on Sexuality<\/h3>\n<p data-start=\"3443\" data-end=\"3503\">These personality traits interact with pain in complex ways:<\/p>\n<ul data-start=\"3505\" data-end=\"3934\">\n<li data-start=\"3505\" data-end=\"3640\">\n<p data-start=\"3507\" data-end=\"3640\"><strong data-start=\"3507\" data-end=\"3523\">Desire fades<\/strong>, not because it no longer exists, but because it becomes tied to suffering, impossible performance, or obligation.<\/p>\n<\/li>\n<li data-start=\"3641\" data-end=\"3737\">\n<p data-start=\"3643\" data-end=\"3737\"><strong data-start=\"3643\" data-end=\"3676\">Pleasure becomes inaccessible<\/strong>, as the body shifts into defense mode instead of openness.<\/p>\n<\/li>\n<li data-start=\"3738\" data-end=\"3845\">\n<p data-start=\"3740\" data-end=\"3845\"><strong data-start=\"3740\" data-end=\"3789\">The relationship with the partner is affected<\/strong>, often colored by guilt, shame, or unspoken conflict.<\/p>\n<\/li>\n<li data-start=\"3846\" data-end=\"3934\">\n<p data-start=\"3848\" data-end=\"3934\"><strong data-start=\"3848\" data-end=\"3880\">Intimacy becomes threatening<\/strong>, which increases isolation and fuels a vicious cycle.<\/p>\n<\/li>\n<\/ul>\n<h3 data-start=\"3936\" data-end=\"3987\">Sexological Support: An Identity-Based Approach<\/h3>\n<p data-start=\"3989\" data-end=\"4185\">Helping these women means offering a safe space to reconnect with their body, redefine their permissions, deconstruct limiting beliefs, and develop deeper self-knowledge. This journey may include:<\/p>\n<ul data-start=\"4187\" data-end=\"4574\">\n<li data-start=\"4187\" data-end=\"4236\">\n<p data-start=\"4189\" data-end=\"4236\"><strong data-start=\"4189\" data-end=\"4208\">Psychoeducation<\/strong> about sexuality and pain.<\/p>\n<\/li>\n<li data-start=\"4237\" data-end=\"4310\">\n<p data-start=\"4239\" data-end=\"4310\"><strong data-start=\"4239\" data-end=\"4274\">Learning intimate communication<\/strong>, to set boundaries without guilt.<\/p>\n<\/li>\n<li data-start=\"4311\" data-end=\"4380\">\n<p data-start=\"4313\" data-end=\"4380\"><strong data-start=\"4313\" data-end=\"4335\">Exploring emotions<\/strong>, to restore space for pleasure and desire.<\/p>\n<\/li>\n<li data-start=\"4381\" data-end=\"4475\">\n<p data-start=\"4383\" data-end=\"4475\"><a href=\"https:\/\/physioformesante.com\/carla-abdelnour\"><strong data-start=\"4383\" data-end=\"4431\">Bodywork with a pelvic floor physiotherapist<\/strong><\/a>, to soothe the body\u2019s defensive response.<\/p>\n<\/li>\n<li data-start=\"4476\" data-end=\"4574\">\n<p data-start=\"4478\" data-end=\"4574\">And most importantly, <strong data-start=\"4500\" data-end=\"4523\">an identity journey<\/strong>, to shift from \u201cI have to do\u201d to \u201cI choose to be.\u201d<\/p>\n<\/li>\n<\/ul>\n<h3 data-start=\"4576\" data-end=\"4593\">In Conclusion<\/h3>\n<p data-start=\"4595\" data-end=\"4996\">Vaginal pain is not just a mechanical problem\u2014it is often the language of a body that has much to say. Sexological work helps women give meaning to what their body is expressing, reconcile their head and their sexuality, and reclaim a chosen, vibrant, and finally pain-free sexual life. The goal is also to bring pleasure back into sexuality, which is the cornerstone of fulfilling sexual experiences.<\/p>\n<hr \/>\n<p data-start=\"4595\" data-end=\"4996\"><a href=\"https:\/\/lesexologue.ca\/wp-content\/uploads\/2025\/01\/unnamed-300x171.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-21133\" src=\"https:\/\/lesexologue.ca\/wp-content\/uploads\/2025\/01\/unnamed-300x171.png\" alt=\"sexologue psychoth\u00e9rapeute\" width=\"300\" height=\"171\" srcset=\"https:\/\/lesexologue.ca\/wp-content\/uploads\/2025\/01\/unnamed-300x171.png 300w, https:\/\/lesexologue.ca\/wp-content\/uploads\/2025\/01\/unnamed-1024x583.png 1024w, https:\/\/lesexologue.ca\/wp-content\/uploads\/2025\/01\/unnamed-768x437.png 768w, https:\/\/lesexologue.ca\/wp-content\/uploads\/2025\/01\/unnamed-1536x874.png 1536w, https:\/\/lesexologue.ca\/wp-content\/uploads\/2025\/01\/unnamed-2048x1165.png 2048w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<hr \/>\n<p data-start=\"4595\" data-end=\"4996\">\n","protected":false},"excerpt":{"rendered":"<p>When the Body Says No: How Sexology Helps Women with Vaginal Pain Reconnect with Themselves Vaginal pain\u2014whether dyspareunia (pain during intercourse) or vaginismus (involuntary contraction of pelvic floor muscles)\u2014is far more than a medical issue. It is often the silent reflection of internal conflicts, complex personal histories, and deeply rooted personality traits. In sexological support, it&#8217;s not enough to address<\/p>\n","protected":false},"author":2,"featured_media":22533,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[815,814],"tags":[818,817,816],"class_list":["post-22536","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pain-during-sex","category-vaginismus","tag-dyspareunia","tag-pain-during-sex","tag-vaginismus","has-featured"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Sex is Painful - with a Sexologist<\/title>\n<meta name=\"description\" content=\"Vaginal pain is not just a mechanical problem\u2014it is often the language of a body that has much to say.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lesexologue.ca\/2025\/05\/sexualite-fait-mal\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sex is painful\" \/>\n<meta property=\"og:description\" content=\"Vaginal pain is not just a mechanical problem\u2014it is often the language of a body that has much to say.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/lesexologue.ca\/2025\/05\/sexualite-fait-mal\/\" \/>\n<meta property=\"og:site_name\" content=\"sexcoupletherapy.com\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/couplesextherapy\" \/>\n<meta property=\"article:published_time\" content=\"2025-05-14T15:26:16+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/lesexologue.ca\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-14-at-10.55.55\u202fAM.png\" \/>\n\t<meta property=\"og:image:width\" content=\"2240\" \/>\n\t<meta property=\"og:image:height\" content=\"754\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Francois Renaud M.A\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@lessexologues\" \/>\n<meta name=\"twitter:site\" content=\"@lessexologues\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Francois Renaud M.A\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/lesexologue.ca\/2025\/05\/sexualite-fait-mal\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/lesexologue.ca\/2025\/05\/sexualite-fait-mal\/\"},\"author\":{\"name\":\"Francois Renaud M.A\",\"@id\":\"https:\/\/lesexologue.ca\/#\/schema\/person\/00ce2d41cc2efc794e3213885cf54b68\"},\"headline\":\"Sex is Painful\",\"datePublished\":\"2025-05-14T15:26:16+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/lesexologue.ca\/2025\/05\/sexualite-fait-mal\/\"},\"wordCount\":740,\"image\":{\"@id\":\"https:\/\/lesexologue.ca\/2025\/05\/sexualite-fait-mal\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/lesexologue.ca\/wp-content\/uploads\/2025\/05\/Screenshot-2025-05-14-at-10.55.55\u202fAM.png\",\"keywords\":[\"dyspareunia\",\"pain during sex\",\"vaginismus\"],\"articleSection\":[\"pain during sex\",\"vaginismus\"],\"inLanguage\":\"en-CA\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/lesexologue.ca\/2025\/05\/sexualite-fait-mal\/\",\"url\":\"https:\/\/lesexologue.ca\/2025\/05\/sexualite-fait-mal\/\",\"name\":\"Sex is Painful - 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