Vital Alpha Testo may only experience sexual pleasure in limited contexts, such as when they feel in love with a partner. Some other factors that can affect sexual pleasure across all genders and sexual orientations include: insufficient lubrication, which can cause sex to be painful a history of trauma or abuse, which can make sex feel threatening or painful lack of arousal boredom with sex or one's partner sexual interactions that do not conform to a person's specific sexual desires or interests sexually transmitted infections See a doctor about sexual pain or displeasure if: the pain persists over time or gets worse management strategies, such as using more lubrication or changing positions, do not work pain occurs with other symptoms, such as pain when urinating or unusual vaginal bleeding pain follows an injury, childbirth, or a medical procedure Some people, especially females, report that doctors dismiss sexual pain or tell them that it is all in their heads. People who do not get sensitive, responsive care from a healthcare provider should switch providers or seek a second opinion. Sex does not have to hurt, and there is almost always a solution. A knowledgeable and compassionate provider should be committed to .