Oh yeah. This is worse.
It depends. Had he just had sex with her in the last few days? Then perhaps he should have put her need to not experience more pain and discomfort ahead of his need for sex. But if she had been in pain for weeks or a month and he finally came to her and said “Babe I need this, I promise I will make it quick” – then she should have put his need for sex above her need to not experience additional discomfort.
Sometimes though a woman cannot have vaginal intercourse for medical reasons beyond just discomfort.
And it gets worse:
As I have said before, I have never advocated for a Christian husband to force himself upon his wife. But contrary to what feminists and other marital rape accusers say – there is difference between a husband convincing his wife to let him have sex with her and him physically forcing himself upon her.
Rather than hash this out again here – I have answered this entire issue from a Biblical perspective in the my article “Is a husband selfish for having sex with his wife when she is not in the mood”. But the short answer is no he is not being selfish for having sex with his wife simply because she is not in the mood. The Bible is clear that for the purposes of sex “The wife hath not power of her own body, but the husband: and likewise also the husband hath not power of his own body, but the wife.” – I Corinthians 7:4.