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Painful Sex Self-Assessment

A brief evidence-based assessment to help you understand what is causing your sexual pain and what can help.

2 min7 questionsBased on Custom compositeFree & private

Join 2,600+ women who have mapped their pain pattern

Understanding Your Pain

A brief evidence-based assessment to help you understand what is causing your sexual pain and what can help.

Your severity level — mild, moderate, or significant
What’s driving YOUR painful sex specifically
A personalized next step from Dr. Wellls

2,579 women got their profile this month

Free · 5 min · 100% private

This is not a clinical assessment. For medical concerns, consult a healthcare provider.

About This Assessment

Informed by the 2025 AUA/SUFU/AUGS Guideline on GSM, AAFP dyspareunia evaluation protocols, and pelvic floor physical therapy meta-analyses (BMC Women's Health, 2023)

This painful sex quiz uses 7 evidence-based questions informed by the Custom composite to evaluate the severity and impact of painful sex on your daily life. Your score is calculated from multiple dimensions including symptom frequency, intensity, and functional impact.

This is a screening tool, not a diagnosis. It draws on validated clinical guidelines and peer-reviewed research but does not replace medical evaluation. Sexual pain has multiple possible causes that require in-person assessment. If your results concern you, consult a menopause-trained provider or sexual medicine specialist (ISSWSH.org).

Understanding Your Score

Early-Stage Dyspareunia(Score 1-3)

Your sexual pain appears to be in its early stages. This is the best time to intervene. Tissue changes from estrogen loss are progressive, but early treatment with vaginal estrogen and pelvic floor aw

Established Pain Pattern(Score 4-6)

What you are experiencing is significant and it is not in your head. Your body has developed a real pain pattern that involves tissue changes, muscle guarding, and neural conditioning. The encouraging

Significant Dyspareunia(Score 7-10)

What you are going through is one of the most distressing conditions in our entire database. Painful sex scored 3.96 out of 5 for severity across 49 women who shared their experience. You are not alon

Frequently Asked Questions

What does this painful sex quiz measure?

This painful sex quiz uses 7 evidence-based questions informed by the Custom composite to assess the severity and impact of painful sex on your daily life. It evaluates multiple dimensions including symptom frequency, intensity, and how they affect your wellbeing.

How accurate is this painful sex quiz?

This screening tool is informed by the Custom composite, a clinically validated instrument (AUA/SUFU/AUGS (2025). Guideline on Genitourinary Syndrome of Menopause. StatPearls: Dyspareunia (continuously updated). BMC Women's Health (2023). Systematic review of physical therapy for dyspareunia.). While it provides a reliable indication of severity, it is not a diagnostic tool. For clinical diagnosis, consult a qualified healthcare provider.

Is this a medical diagnosis?

No. This is a screening tool, not a diagnosis. It provides an indication of painful sex severity that you can discuss with your healthcare provider. For clinical diagnosis, consult a qualified medical professional. You can bring your results to your next doctor visit as a conversation starter.

How long does this painful sex quiz take?

This assessment takes approximately 2 minutes to complete. It contains 7 evidence-based questions. Your results are immediate, private, and include personalized recommendations.

What should I do with my results?

Your results include a severity score and personalized recommendations. We suggest: (1) reviewing your score and what it means, (2) reading our in-depth article about painful sex at wellls.com/problems/painful-sex, (3) discussing your results with a healthcare provider, and (4) exploring our evidence-based lifestyle medicine recommendations for managing painful sex.

Read the full painful sex article

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This self-assessment is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified health provider with any questions about a medical condition. If you are in crisis, call 988 (Suicide & Crisis Lifeline) or text HOME to 741741 (Crisis Text Line).