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You are seeking a diagnosis

How can I make sex less painful right now while awaiting diagnosis?

Topic:Symptoms
Affected areas:pelvicabdominalbladder

If penetration hurts, it’s okay to pause and adjust—pain isn’t something you should push through. In the moment, many people do better with plenty of lubricant, slower pacing, longer arousal time, and positions that limit depth or allow you to control angle and pressure. Planning intimacy on lower-symptom days (often avoiding peak cycle flare days) can also make a meaningful difference.


If the pain feels sharp with deeper penetration, or if you notice guarding, burning, or tightening, pelvic floor muscle overactivity can be part of the picture, and targeted pelvic floor therapy can be very helpful. If pain during sex is paired with painful periods, pelvic pain, bowel or bladder symptoms, or post-sex cramping, it may point to an underlying condition such as endometriosis or adenomyosis—our team can help evaluate the root cause and discuss next steps. If you’re ready, you can reach out to schedule a consultation so we can tailor a plan to your symptoms and goals.

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Dr. Steven Vasilev delivers best-in-class endometriosis guidance and a personalized treatment plan—built on evidence and your unique biology.


Led by Steven Vasilev, MD—an internationally recognized endometriosis specialist & MIGS surgeon—Lotus Endometriosis Institute is virtual-forward, with many patients traveling nationally for care. Clinical evaluation and surgical treatment are provided in California.

Santa Monica, CA

2121 Santa Monica Blvd, Santa Monica, CA 90404

Operating Hours

8:00 am - 5:00 pm
Monday - Friday

Arroyo Grande, CA

154 Traffic Way, Arroyo Grande, CA 93420