In this video, Susan Khalil, MD addresses the sensitive topic of what can cause pain during sexual intercourse. Sex shouldn't be painful and there are a few causes that can be behind the discomfort. Vaginal dryness, pelvic tenderness, and a condition with the outside of the vagina are among the things that can make sex more painful than it is enjoyable. If pain during sex has been a normal occurrence, look into getting a medical evaluation just to be sure.