Why is it that when i have sex without a condom i'm sore in the perineum area for days? i had an episiotomy 5 years ago, could that cause discomfort?

Yes it may.: There may be problems with episiotomy,lubrication,your partner penis,sex technique.Try using OTC lubricants. May help.

Yes: Have your GYN MD take a look at the area for scar tissue from the episiotomy when it healed. He/she may have to do a revision of the area if it is the only source of your pain which can be documented by pressure on certain points of the old scar.