Most often, when the woman is not properly aroused (lubricated) and if the man makes an attempt to enter, it leads to irritation and pain at the time of intercourse. If the pain is always present at the time of intercourse then it could be because of hymenal obstruction, urethral disorders or congenital malformation of the vulva or vagina. It could also occur following post-operative scars and atrophic vulvo-vaginitis (common in menopausal years). If the pain is present occasionally, then one may look for some local infection and/or allergy.

The female superior position helps in increasing stimulation in a majority of women. This is because of more direct contact with clitoris and her ability to move freely. Hence, she is at an advantage to choose the positions which stimulate her most. In a study carried out at K.E.M. Hospital among 500 women as to which position give them the maximum satisfaction, 75% of the women preferred the female superior position. Moreover, this position gives the female a sense of superiority of being in command of the situation, and increases her active participation, thus enhancing arousal.

The female superior position is more comfortable for a majority of couples during intercourse in late pregnancy. The couple can also try the lateral positions with both anterior and posterior approaches.