Dr. Vivika Joshi, OB/GYN at Dr. Felix, told POPSUGAR that some of the most common causes of pain during sex can be related to the mind and mental health. "Lack of confidence, relationship problems, stress, and other psychological issues can cause tension in the vagina and its surrounding muscles," she explained. "This is known as vaginismus and can make penetration painful or even impossible."
Joshi recommended speaking to your general practitioner to determine if your case of vaginismus is psychological, physical, or both. If the root of the problem is psychological, cognitive behavioral therapy (CBT) can be helpful.
Joshi also recommended "vaginal training" for women with vaginismus. "Plastic forms in gradated sizes can be used at home to help women get more comfortable with vaginal penetration," she explained.