The impact of endometriosis on libido

Endometriosis , a pathology that is still too little recognized, is a chronic disease that affects between two and four million women in France ( Ministry of Higher Education and Research ).

It is characterized by the growth of tissue similar to that of the uterus (endometrium) outside of it, causing pelvic pain and abnormal bleeding.

But that's not all! In addition to hindering women's personal development, it also disrupts their libido and sexuality. We are convinced that the more we break the taboos surrounding this disease, the faster medicine will focus on concrete solutions for women.

This is why this article highlights the complex relationship between endo and libido.

Dyspareunia: when sex hurts

In addition to complicating the daily lives of 20% of women, endo directly impacts sexual well-being.

For the majority of women with endometriosis, pain and heavy bleeding transform a moment of pleasure into a parenthesis of suffering.

This is called dyspareunia . The medical community observes two types of pain during intercourse.

1. Superficial dyspareunia is characterized by pain that occurs at the beginning of penetration and is felt in the vulva, clitoris, vestibule or vagina.

2. Deep dyspareunia is defined as pain deep inside the vagina that can spread to the lower abdomen.

The icing on the cake? Women with the condition may also experience discomfort or pain during orgasm , which greatly detracts from the experience of pleasure.

The effects of endometriosis on libido

Beyond the physical symptoms, endometriosis also affects emotions.

As uncomfortable experiences accumulate, a vicious cycle takes hold. Each new encounter becomes a source of stress that prevents the letting go necessary to experience pleasure.

Shame and guilt often follow apprehension. Unable to fully enjoy their sex lives, women with endometriosis feel abnormal. They may also fear being judged or rejected by their partner because of their complex relationship with sexuality. You know how much our intimacy is riddled with expectations. The expectation of being good in bed is no exception.

But it's not all doom and gloom. Although endometriosis can have a significant impact on sexual fulfillment, it is possible to take steps to regain one's libido . 

Our tips for enjoying a better sexuality with endometriosis 

Communicating with your partner

It can't be stressed enough: communication is central to all forms of relationships . Whether it's the love of your life or a one-night stand, verbalize your experience and needs with your partner.

Give them space to understand and include them in the search for solutions that work for both of you.

Working on pelvic mobility

Endometrial lesions can cause pelvic rigidity . The body resists pain, and adhesions stiffen the pelvic floor .

To avoid this vicious cycle, maintain your body's mobility with stretching activities, whether through sports, physiotherapy, osteopathy, or yoga and Pilates postures.

Pain can also be caused by nerve irritation, such as of the pudendal nerve. In this case, neural prolotherapy may be a good option.

In any case, consult a doctor who is aware of the realities of endometriosis to be referred to trusted professionals.

Choosing kindness

It's important to remember that endometriosis isn't your fault and you shouldn't feel guilty or ashamed about your condition. Every experience is different, and the idea of "normal" sexuality is a complete illusion. Self-compassion will be your best friend in helping you reconnect with your sexuality. 

As you've probably gathered, endometriosis can significantly impact libido and sexual fulfillment. Our final piece of advice? Remember that pleasure for two isn't limited to penetration. There are countless other practices to explore to enjoy your sex life.