11/11/2025
Hormonal Contraception & Painful Intimacy — What’s the Link? 💡
Hormonal contraceptives (like the pill, Implanon, or hormonal IUDs) work by altering natural hormone levels to prevent pregnancy.
Because of these hormonal changes, some people notice changes in s*xual comfort, such as:
Common effects on s*xual health:
• Reduced natural lubrication
• Lower desire or difficulty with arousal
• Tightness or increased tension in the pelvic floor
• Discomfort or pain during pe*******on
This happens because synthetic hormones can decrease oestrogen, which plays a key role in vaginal tissue health, lubrication, and s*xual sensation.
It doesn’t mean contraception is “bad.”
It simply means your body might be reacting in a way that deserves attention and support.
What can help?
✔ Water-based lubricants to reduce friction
✔ Pelvic floor physiotherapy for muscle relaxation and comfort strategies
✔ Discussing options with your GP if symptoms persist (there are hormonal and non-hormonal alternatives)
Pain during s*x is common, but not normal, and you don’t have to just “put up with it.”
Your comfort matters. 💗
If you’d like guidance, our pelvic health physiotherapists are here to help — gently, respectfully, and with evidence-based care.
Photo by Reproductive Health Supplies Coalition on Unsplash