What could be wrong and/or how could i fix it? for the past month, sex has become absolutely excruciating. no matter what we try, it has become almost unbearable. no matter the position, the angle, time of day, etc, nothing has helped. sometimes, it hurts

With : With such a pronounced change in symptoms, a complete gynecological evaluation would be recommended. Excruciating pain during intercourse should be evaluated. A patient with these symptoms should have an examination to evaluate for any changes in condition causing these symptoms. Pap smears should be up to date. Any rash or lesion should be evaluated. The patient should be sure that they are using enough lubrication during intercourse.