Some studies show more than 50% of women with endometriosis feel pain during intercourse. This is usually the result of abnormal growth of the endometrial tissue in the ovaries, fallopian tubes and the lining of the pelvis. The thrusting motion of intercourse presses on these growths, causing pain and discomfort that can last beyond sex. This can impact libido if women come to dread sex due to the pain it causes. Some women report that other thrusting motions, such as inserting tampons, cause the same pain.

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