Endometriosis Occurs When The Type Of Tissue Lining The Uterus Starts Growing Outside The Uterus. Endometriosis Is Behind The Vagina & The Lower Part Of The Uterus. It’s Likely To Cause More Pain As Sexual Thrusting Pushes &` Pulls The Growths. Many Women With Endometriosis Experience Pain During Sex Here Are A Few Solutions That Will Help Make Sex Satisfying Again. 3 Strategies For More Pleasurable Sexual Trying Other Positions Side To Side & Doggy Style Positions Are A Little Bit More Comfortable. Also Try Alternatives To Intercourse Such As Kissing, Massage & Mutual Fondling. Pick The Right Times Of The Month Intercourse May Be Less Painful At Certain Times During Your Menstrual Cycle Keep The Lines Of Communication Open Your First Instinct Might Be To Hide Your Pain, But For Your Own Comfort & The Health Of Your Relationship, That’s Not A Good Long-Term Solution.