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As the pregnancy progresses, your enlarged abdomen becomes too or sexually transmitted diseases are also another cause of painful sex during pregnancy. Dec 21, - In an interview with The Bump, OB-GYN Dr. Sarah Prager said that more blood flows to your pelvic region during pregnancy, which causes sensitivity and sometimes discomfort for some during sex. With a larger-than-normal uterus sitting lower in your pelvis, it can contribute to the pain during intercourse.