Sex injuries aren’t uncommon, and whether because of fear or shame, we can often feel hesitant to bring them up. But in the case of cervical pain—aka a bruised cervix—it may be too intense to ignore. Luckily, it’s usually not a cause for concern. Here’s what to know about cervical pain, plus how to prevent it going forward. “The cervix is like any other body part and can become bruised if it’s hurt,” functional medicine gynecologist Wendie Trubow, M.D., explains to mbg. “The most common cause of a bruised cervix is rough intercourse or rough play with vaginal toys.” Certain factors can make cervical pain more likely, according to OB/GYN Suzanne Gilberg-Lenz, M.D. “The position and consistency of the cervix changes throughout the menstrual cycle for menstruating women who are not on hormonal contraception,” she notes. “It is higher up in the second half after ovulation, and lower during the week during and immediately following menstruation.” Additionally, the cervix also rises with sexual arousal as the vagina lengthens, because of changes in blood flow to that region, she adds. So, when the cervix is lower, it’s easier to hit. Until then, your best bet is to avoid vaginal penetration and particularly strenuous activities to let your body recover, she says. In addition, Trubow suggests changing things up during sex is something isn’t feeling good: “If intercourse is uncomfortable, I would recommend changing positions, increasing foreplay, and using a lubricant. Prevention is focused on avoiding the behavior that causes it.” If you realize there’s a position where your cervix is getting hit more, avoid it and switch things up. “Sex—with another or self—is a mind-body experience,” Gilberg-Lenz adds, “so understanding your physiology and honoring your body’s response to stimulus are paramount in supporting pleasure.” Topical products including CBD or THC designed for vaginal or anal sex may help, she adds. “Some evidence supports using these products, especially for folks who have experienced pain or other arousal issues.” In the meantime, be sure to give your body time to heal, and keep these tips in mind going forward so a bruised cervix doesn’t get in the way again.

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