Heel pain after sex in women may be caused by diseases such as Achilles peritendinitis, heel bone spurs, and heel osteochondritis dissecans, which lead to aggravation of symptoms after activities. 1. Achilles peritendinitis: it may be related to heel pain caused by repeated pulling of the lower limbs during intercourse. Patients are advised to take more rest, reduce activities and wear looser shoes. 2. Achilles osteochondritis: continuous pulling during intercourse can cause chronic injury at the attachment of the heel tuberosity, resulting in Achilles osteochondritis. Patients can take ibuprofen and other drugs as prescribed by the doctor and avoid strenuous exercise. 3. Heel bone spurs: heel pain is one of the common symptoms of heel bone spurs, which may be related to the degeneration of the surrounding soft tissues caused by chronic strain injury, and may be aggravated after activities. Patients can take indomethacin and other drugs as prescribed by the doctor. There are many reasons why a woman’s heel hurts after sex, and it is recommended that patients go to the hospital in time for examination and treatment.