3. Pain during or after sex
Altough most of the symptoms of endometriosis commonly manifest during menstruation, because they are derived from the reaction of endometrial implants to female hormones, a few of them can be active during the whole menstrual cycle. Women with endometriosis can experience pain during sexual intercourse. The aching can happen during the act or, in some cases, after it is over.
Endometrial implants can be found at odd places in the reproductive system, such as ovaries and Falopian tubes, and the scars they produce might affect how the whole system responds during sexual intercourse. Also, women might experience cramping during their sexual encounters due to their endometriosis.
Pain derived from endometrial implants isn’t the same as other common causes of pain during intercourse; it can happen with normal lubrication, and with no abnormal muscular contractions of the vagina such as the ones characteristic of vaginism.