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North West Regional Health

Painful Sex in Women

The technical term for pain caused by intercourse is dyspareunia. It’s hard to say because it’s hard to deal with, especially for the ladies. Aside from the obvious effects, dyspareunia [dis-puh-roo-nee-uh] can leave lasting effects on one’s relationships and confidence.

Why ‘It’ Hurts

The most common cause might not be apparent to Casanova, but insufficient lubrication is often at fault. This can be caused by any number of complications, with numerous possible solutions: Perhaps a little more foreplay, a little relaxation, a little Luther Van Dross. Safe artificial lubricants can also be purchased to solve this particular problem.

There can also be other causes of coital pain:

Infection- Yeast infections are just one of the many common infections that can cause a lady pain.

Chronic Vulval Pain (Vulvodynia)- Women who suffer from Vulvodynia, veibulodynia, or vuval vestibulitis experience vaginal pain/discomfort on a recurring basis.

Vaginismus- Caused by vaginal muscle spasms, this condition is usually the result of fear of being hurt.

Cervical Issues- The uterus opening can sometimes be irritated if the tip of the penetrating apparatus achieves sufficient depth. (In other words, too much meat in the fajita)

Uterus Problems- Deep intercourse can cause problems in the uterus (See fibroids).

Injury- A tear that occurs during childbirth or a laceration between the anus and vagina can cause pain during sex. Take time after giving birth or having surgery in order to recover before having intercourse.

Ovarian Cysts- These growths can make sexual activity painful.

Endometriosis- This condition results in the uterine lining growing on the outside of the uterus.

Menopause- One of the many unfortunate side effects of menopause includes a drying of the vaginal lining that can be uncomfortable during sex.

Pelvic Disease- Inflammatory conditions can cause swelling inside the pelvis. Consequentially, pressure during intercourse can become quite unpleasant.

And Ectopic Pregnancy- An interesting occurrence in which the fertilized egg grows outside the uterus!

 

What can we do?

The cause of dyspareunia can be psychological or physical. A psychological condition can often be more challenging to treat due to natural variance among patients. Some individuals benefit from psychosexual therapy when it comes to resolving latent psychological issues. Sometimes couples-therapy will be recommended. In any case, the brain is a complicated machine to repair.

Sex after a pregnancy can cause pain up to six weeks after the birth. Take your time and ease your way back into bedroom relations. Gentleman, be gentle.

Vaginal dryness can be treated with water or silicone-based lubricants. Never use oil-based lubricants in combination with a condom. Menopause-related dryness can sometimes be treated using estrogen creams and other kinds of medication.

If dyspareunia becomes a recurring problem. It may be wise to consult your general practitioner. If you experience irregular periods, vaginal discharge, involuntary muscle spasms (the bad kind), genital lesions or bleeding then you should speak with a doctor as soon as possible. Your GP may or may not refer you to specialist or in some cases a psychotherapist.