If you are experiencing painful sex, we at Alchemy Wellness Medspa may be able to help.

What is painful sex?

Many women experience painful sex at some point in their lives. If you have painful intercourse, you might experience pain only upon penetration, pain with every penetration (including inserting of tampons), deep pain during thrusting, burning pain or aching pain, and throbbing pain that lasts for hours after intercourse.

Painful intercourse can occur for many reasons, from structural problems to psychological concerns. Often, however, it’s due to the changes in a woman’s body that cause pain. If you are experiencing painful sex, we at Alchemy Wellness Medspa may be able to help. Currently, we offer the following treatments:

Frequently Asked Questions About Painful Sex

Is painful sex just part of aging or something I should be concerned about?

While painful intercourse is more common during menopause due to hormonal shifts, it’s not something you should accept as “just part of aging.” It’s a medical condition called dyspareunia, and it often signals an underlying issue—like vaginal dryness, thinning tissue, inflammation, hormonal imbalance, or even past trauma. At Alchemy Wellness, we believe no one should suffer in silence. Painful sex is a valid medical concern, and we offer personalized treatments to help you reclaim comfort and intimacy.

Could my hormones be causing pain during sex?

Yes, hormonal changes—especially decreased estrogen and testosterone—can lead to vaginal dryness, loss of elasticity, and thinning of the vaginal walls. This can cause discomfort or even sharp pain during intercourse. At Alchemy Wellness, we evaluate your hormone levels to identify imbalances and may recommend bioidentical hormone therapy or vaginal rejuvenation treatments to restore comfort, hydration, and tissue health.

Is painful sex always caused by physical issues, or can emotional health play a role, too?

Both physical and emotional factors can contribute to painful sex. Stress, anxiety, and past trauma can create muscle tension or reduce arousal, making intimacy uncomfortable. We take a holistic approach—looking at physical symptoms, emotional wellness, and relationship dynamics. Whether the root is hormonal, psychological, or both, we provide compassionate, judgment-free support and treatment tailored to your unique needs.

What if I’ve been told everything looks “normal,” but I’m still in pain?

Many patients come to us feeling frustrated after being told their exams are “normal” despite ongoing pain. Traditional pelvic exams can miss subtle issues like nerve sensitivity, micro-tears, or vaginal tissue thinning. At Alchemy Wellness, we take your symptoms seriously and dig deeper. We look at hormone levels, lifestyle factors, sexual history, and vaginal health in much greater detail to uncover hidden causes and create a path to relief.

Can non-hormonal therapies help with painful sex?

Absolutely. While hormone therapy is effective for many, it’s not the only solution. Depending on your needs, we may recommend regenerative therapies like platelet-rich plasma (PRP), pelvic floor therapy, or vaginal rejuvenation techniques using radiofrequency or laser technology. These options help improve circulation, restore tissue integrity, and enhance sensation without hormones or surgery.

Is there a treatment plan that includes both my physical and emotional health?

Yes, and that’s exactly what sets Alchemy Wellness apart. We recognize that sexual wellness isn’t just physical—it’s deeply emotional and relational, too. Our providers may recommend a combination of hormone support, therapeutic treatments, nutritional counseling, mindfulness techniques, and emotional health support to help you heal from every angle. Your care plan is fully customized and designed to help you feel whole again.

What can I expect during my first visit to Alchemy Wellness for painful sex?

Expect a welcoming, nonjudgmental space where your concerns are heard and validated. We’ll begin with a detailed discussion of your symptoms, health history, sexual wellness, and personal goals.  We may perform lab work or gentle pelvic evaluations depending on your needs. From there, we craft a treatment plan tailored to you—whether that means hormonal therapy, regenerative treatments, or emotional support. We aim to restore your confidence, comfort, and connection—at your pace.

Request an appointment in Austin, Texas

If you want to enjoy a healthy, happy sex life again and say goodbye to painful sex, we may be able to help. Call us at (512) 561-0971 or request an appointment online using the form below.