“Something Gets Hit During Sex and It Hurts. Is Something Wrong?”

Why Deep Pain During Sex Can Feel Like Something Is Being Bumped—and What It Could Mean

It’s difficult to explain.

The pain isn’t at the entrance of the vagina.

It’s deeper.

Almost as if something inside is being bumped.

Sometimes it’s a sharp pain.

Sometimes it’s a deep ache.

Sometimes it’s bad enough that you immediately want to stop.

Afterward, you start asking yourself questions.

“Why does it feel like something gets hit during sex?”

“Did childbirth change something?”

“Could my uterus be dropping?”

“Is it an ovarian cyst?”

“Do I have endometriosis?”

“Why didn’t this happen before?”

If you’ve searched “it feels like something gets hit during sex” or “deep pain during sex,” you’re not alone.

At the practice of Dr. John Miklos and Dr. Robert Moore in Alpharetta, Georgia, women from Georgia, Florida, Alabama, Tennessee, North Carolina, South Carolina, as well as California, Texas, New York, Illinois, and throughout the United States seek answers for deep pain during intercourse and other pelvic floor symptoms that can affect intimacy and quality of life.

What Does Deep Pain During Sex Feel Like?

Women describe this symptom in many different ways.

Some say:

• “It feels like something is getting hit.”
• “There’s a deep stabbing pain.”
• “It feels like he’s hitting something.”
• “I get pain only with deep penetration.”
• “It feels like pressure deep inside.”
• “The pain lingers afterward.”

These descriptions can provide important clues about the underlying cause.

What Can Cause Deep Pain During Sex?

There isn’t one single explanation.

Possible causes include:

• Pelvic organ prolapse
• Endometriosis
• Pelvic floor muscle dysfunction
• Scar tissue from childbirth or previous surgery
• Ovarian cysts
• Uterine conditions such as fibroids or adenomyosis
• Genitourinary syndrome of menopause (GSM)
• Vaginal shortening after surgery
• Other gynecologic or pelvic conditions

Sometimes more than one condition contributes to painful intercourse.

A thorough evaluation helps identify the most likely cause.

Could Pelvic Organ Prolapse Cause This?

Yes, for some women.

Changes in the position of the pelvic organs can alter how intercourse feels.

Women with prolapse may also notice:

• Pelvic pressure.
• A vaginal bulge.
• Difficulty using tampons.
• Bladder leakage.
• A feeling of heaviness.

However, many women with prolapse do not experience painful intercourse, and many women with painful intercourse do not have prolapse.

That’s why it’s important not to assume the diagnosis based on symptoms alone.

Why Women Often Wait to Talk About It

Many women convince themselves:

“Maybe next time it won’t hurt.”

“Maybe it’s just because I’m getting older.”

“I don’t want to ruin intimacy by talking about it.”

“I don’t even know how to explain it.”

Over time, they may begin avoiding intimacy altogether—not because they don’t want it, but because they fear the pain.

Why Women Choose Drs. John Miklos and Robert Moore

For more than twenty years, Dr. John Miklos and Dr. Robert Moore have focused exclusively on Female Pelvic Medicine and Reconstructive Surgery and cosmetic gynecology.

They evaluate women experiencing:

• Deep pain during sex
• Pelvic organ prolapse
• Vaginal laxity
• Childbirth-related pelvic floor injuries
• Menopause-related pelvic changes
• Urinary incontinence
• Pelvic floor dysfunction
• Vaginal reconstruction concerns
• Complex revision pelvic surgery

Their comprehensive evaluations are designed to determine not only where the pain occurs, but why it occurs, allowing treatment recommendations to be tailored to each patient’s diagnosis and goals.

Women Travel From Across the United States

Located in Alpharetta, Georgia, the practice welcomes women from Georgia, Florida, Alabama, Tennessee, North Carolina, South Carolina, as well as California, Texas, New York, Illinois, Arizona, Virginia, Colorado, Pennsylvania, Ohio, and many other states.

Patients also travel internationally for specialized evaluation of pelvic floor disorders, reconstructive pelvic surgery, and complex gynecologic conditions.

Pain During Intimacy Is Your Body’s Way of Asking for Answers

Pain isn’t something you should simply learn to live with.

Whether it’s caused by a pelvic floor disorder, endometriosis, scar tissue, menopause, prolapse, or another condition, identifying the reason behind the pain is the first step toward improving it.

You deserve answers.

You deserve to understand your body.

And you deserve intimacy that doesn’t leave you wondering what went wrong.

Frequently Asked Questions

Why does it feel like something gets hit during sex?

Deep pain during intercourse can be caused by pelvic floor disorders, endometriosis, scar tissue, ovarian cysts, prolapse, uterine conditions, or other gynecologic issues. A thorough evaluation can help determine the cause.

Is deep pain during sex normal?

No. While many women experience it, persistent pain during intercourse should not be ignored. It deserves medical evaluation to identify the underlying cause.

Can childbirth cause deep pain during sex?

Yes. Childbirth can lead to scar tissue, pelvic floor muscle changes, or support defects that contribute to painful intercourse.

Does painful intercourse always require surgery?

No. Treatment depends on the diagnosis and may include pelvic floor physical therapy, medications, hormonal treatments, non-surgical therapies, or surgery when appropriate.