Sexual intercourse for humans is not only a reproductive act, but is also considered to be an emotional and pleasurable act. However, statistics report that almost 30% of the women experience pain during intercourse also known as vaginismus. This not only hampers the pleasure, but is also an unhealthy sign since it is indicative of a problem.

Vaginismus / Painful intercourse could be a regular occurrence, or a sporadic one. There could be numerous reasons that cause the discomfort and pain. Though it might be an early manifestation of grave diseases such as endometriosis or fibroids, but more often, it is triggered due to conditions such as vaginal dryness, yeast infection, bacterial vaginiosis, which can be easily treated. It is pertinent to understand that it is not the physical infirmity of the entire female anatomy that causes such pain/ discomfort, but the existence of certain conditions that can be treated by a medical practitioner. 

Certain such causal factors associated with painful intercourse and the efficient ways to deal with them are discussed below:

Vaginal dryness- Vaginal dryness is one of the most commonly cited causes for painful intercourse. There are various causal factors of vaginal dryness. These include, but are not limited to, consumption of certain drugs, bathing with hot water, health conditions or even lack of foreplay. Vaginal dryness due to the aforementioned causes is a short-lived condition that can be treated well with the help of a medical practitioner. Usage of lubricants that is suitable for you, as advised by a medical practitioner, could go a long way in aiding the ease of sexual intercourse. The lubricants act as an effective substitute, if the body is unable to naturally secrete vaginal fluids to ease intercourse, thereby greatly reducing the pain that is experienced.

Improper vaginal expansion- The female anatomy is designed in such a way that it expands normally during intercourse. Proper foreplay enables the woman to get excited, which results in the release of vaginal fluids that aids in sexual intercourse. However, in the event that the female is not excited enough prior to the act, sexual intercourse can become a painful act, since the vagina is unable to expand in the absence of vaginal fluids. In such cases, take things slow and give your body time to comfortably go with the flow.

Vaginal itching caused by infection- Vaginal infections can be caused by antibiotics, prior sexual activity that has resulted in contraction of Sexually Transmitted Diseases etc. This results in an itching or burning sensation while having sex. It is essential to rest your body instead of forcing things, and to consult your doctor as soon as possible. The doctor can correctly diagnose the causal factors behind the infection, and prescribe the necessary medicines for it.

Emotional issues including fear of sex, marital issues/ disputes, etc are also leading cause of painful sex

Treatment:

However, symptoms vary from the common ones mentioned above, it is always advisable to consult a experienced doctor including a gynecologist, sexologist or sexual counselor.

Role of sexual counselor is very important, as he she can offer Sex therapy in the form of counseling, brief psychoanalysis, or behavioural therapy .This can help to address any underlying psychological issues, such as fear or anxiety, tackle any irrational beliefs that you have about sex, educate you about sex.

Also some special techniques can be taught eventually stop your vagina closing involuntarily, such as using vaginal trainers and pelvic floor exercises

If you wish to discuss about this problem, you can consult a doctor and ask a question.

Vaginismus - Make Sex Less Painful For Your Lady!

Ladies, it is important that we must take good care of our body, but most of all we must pay specific attention to the health of our vagina. The vagina is a tube-like muscular structure of the female genital tract that extends from the cervix to the vulva. It is a delicate organ which is prone to injuries and infections. Complications related to urination, menstruation and sexual intercourse, all affect the vaginal health. Here are five questions associated with vaginalproblems that are commonly experienced, but rarely discussed:

1. Why does it feel itchy before menstruation?
The hormonal cycle reduces the amount of estrogen secreted right before the period starts. This reduces the moisture content of the inner membranes of the vagina; the skin becomes thinner and slightly dry, which can cause itching. However, if the itching and burning sensation is too severe, it could be an infection and should be checked out.

2. What is the white discharge?
The greasy white discharge is due to the ovulation cycle. It usually occurs once a month because the amount of secretion increases right before ovulation. Some women may experience this discharge more frequently, but it is nothing to worry about unless there is an unpleasant odor. Odorous discharge could be a sign of bacterial infection.

3. How often should you have a vaginal examination?
You should get a vaginal examination at least once a year. This is important for a general health assessment and the prevention of sexually transmitted diseases. If you are using birth control medication, there might be irregularity in the hormonal cycles and this can lead to a number of conditions, another reason to get an annual vaginalexamination.

4. Does it smell differently at different times?
It usually smells differently for every woman and even that unique smell changes with the cycles of ovulation and menstruation due to changes in the pH level of the vagina. The normal vaginal pH value is between 3.8 and 4.6. Before menstruation, it may smell acidic followed by a bitter smell for a few days after menstruation. It may also smell differently after a workout (due to sweat) or after sex (due to lubrication). However, a foul smell accompanied by discharge, might be a cause for concern.

5. Why does it feel dry sometimes?
Vaginal dryness is normally experienced by women after the age of 45 or after pregnancy. However, dryness is also common just before menstruation. It also happens in women who use anti-allergy medications or birth control pills because they cause dryness in all the mucous membranes of the body.

5 Unconventional Questions About Vaginal Health

It is very common for women to experience vaginal problems due to the menstrual cycle, birth control methods, sex or aging. Vaginal odor may change according to your sexual health. Sometimes, it is wrongly interpreted as infection or any other problem but it is a naturally existing odor which can also be caused by normal sweating. Nevertheless, an unpleasant vaginal odor can also be indicative of infection, irritation or an overgrowth of vaginal bacteria. Four common reasons of vaginal odor are:

1. Bacterial vaginosis
Bacterial vaginosis (BV) is an overgrowth of naturally existing bacteria in the vagina which can occur due to unprotected sex, douching or low production of lactobacilli bacteria. This can cause irritation, itching and makes women more vulnerable to sexually transmitted infection and other complications like preterm birth. Bacterial vaginosis is a very common occurrence for women in their reproductive years and is the primary reason for the vaginal odor in most cases.

2. Poor hygiene
Poor hygiene can be one of the major causes of vaginal odor. In terms of hygiene two common reasons which can cause unpleasant odor are the lack of proper washing and not wearing clean undergarments. Due to the presence of sweat around the genitalia and poor maintenance of hygiene, women often experience bad odor.

3. Forgotten tampon
A forgotten tampon can cause bacterial infection and lead to vaginal odor. The growth of bacteria along with menstrual blood can cause itching and lead to unpleasant smelling vaginal discharge. Sometimes, the infection can spread and cause serious problems like pain in the lower abdomen.

4. Trichomoniasis
Trichomoniasis is a sexually transmitted disease which is caused by a protozoan parasite. It can cause a foul smelling odor, soreness, pain while urination and intercourse and also vaginal itching. Pregnant women suffering from this disease are more at risk to deliver premature babies. It can be treated with antibiotics and can be prevented with proper use of condoms.


4 Reasons for Vaginal Odor

What is vaginal dryness and how can it affect you?
Vaginal dryness is often a result of menopause and it is capable of affecting women of any age. Although it feels like a minor irritation, it can have a huge impact on a person's sex life. Normally, the vaginal walls are lubricated with a layer of clear fluid. The 'oestrogen' hormone is used to maintain this thin layer of fluid, thus keeping the vaginal lining thick, elastic and healthy. However, menopause brings about a condition known as vaginal atrophy, which is a drop in the levels of oestrogen and this greatly reduces the level of vaginal moisture that is available. Improper lubrication of the vagina can result in painful sex which in turn affects libido, arousal and desire.

Treatment 
The most common treatment for this condition resulting from low levels of oestrogen is Topical oestrogen therapy. In this, hormones which are no longer secreted by the body are replaced by the topical oestrogen. Even though Topical Oestrogen Therapy is helpful in relieving the symptoms of vaginal dryness, the treatment pales in comparison to oral oestrogen hormone therapy (HT).

Usually, women mostly use one of the three types of vaginal oestrogen listed below:
1. Vaginal oestrogen tablet: A tablet is inserted into the vagina using a disposable applicator. The procedure is carried out once daily during the initial two weeks of treatment, after which it can be inserted twice a week.

2. Vaginal oestrogen ring: A soft and flexible ring is inserted inside the vagina, either by the patient or the doctor. Oestrogen, in the form of a steady stream, is then released directly to the vaginal tissues by this ring. Replacement of this ring is done every three months.

3. Vaginal oestrogen cream: An applicator is used to apply cream to the vagina daily. The frequency of application can be reduced as per doctor's advice.

Side effects and aftercare 
Side effects such as breast pain and vaginal bleeding are common when any form of oestrogen product is used. Vaginal moisturisers should be used to keep the vagina lubricated. Use of water-based lubricants during sex can make it more enjoyable. Use of bubble baths, scented soaps, douches and lotions around the sensitive area of the vagina should be avoided as these products can worsen the problem.

Modes of Treatment for a Dry Vagina

Masturbation is considered as a good way of pleasuring oneself and leading to a more qualitative sex life. Masturbation is a sexual activity that is at par with sexual intercourse that will create a basis for an improved sex life. This will ensure that the need for sex is one that is based on respect and love, rather than a mere bodily function. Let us find out how it helps in having a better sex life:

Awareness: masturbating is also a great way to know more about your own sexual preferences and what you like in terms of sexual activities. This awareness helps in better understanding and channelling ones sexual appetite for even better gratification during intercourse.

Staying healthy: masturbating can help in releasing even more dopamine and oxytoxin, both of which have a favourable effect on your brain and mood. These hormones can also help in improving your immune system in the long run.

Knowing your partner: masturbating alone and with your partner can help in knowing your partner and his or her sexual preferences. This can help in pleasuring your partner in a better way which will further fortify the relationship.

Excessive masturbation is strongly recommended as it has its long-term side-effects:

1. The use of sex toys and other accessories can further your satisfaction level. For instance, realistic vaginas can prove to be pretty handy in maximizing your sexual potency. Other credible sex toys are also available which are as helpful. Another effective technique of masturbating better is via porn or r-rated movies. By simultaneously watching movies while masturbating, your imagination gets fueled up with all kinds of sexual fantasies, providing you with more immediate satisfaction than usual.

2. A change in position is also pretty effective in heightening your senses and providing a better feel whilst masturbating. Keeping your hand still and only moving your body is such a way. While doing this, you can masturbate while kneeling or standing or sitting or even swapping hands. The more the variety, the better. Moreover, interchanging positions in between has also been proved to be very effective.

Masturbation: For A Better Sex Life

4 reasons why your vagina can be hurtful

In India, along with a lack of sex education, there is also a lack of knowledge about hygiene of the privates amongst women even in urban areas. When a woman experiences pain in her vagina, while it could be because of various reasons and not necessarily alarming, one does get alarmed. 

Let us understand the reasons.

1. Yeast infection: Dry and itchy vagina can feel painful after a while. Yeast infections are very common and usually most women experience them. They can be treated by medicines, yet it is best to get in touch with your doctor and get a prescription. Your doctor will prescribe an anti-fungal cream after a pelvic exam.

2. Vaginal dryness: This usually happens to post-menopausal women but can also happen to younger women because of certain birth control pills which are low in estrogen and dry up the moisture in one's vagina.

3. Pelvic inflammatory disease: If you are having regular pains during penetration and during your periods, it could be endometriosis. During examination, the pain is usually linked to the lower abdomen where the ovaries are.

4. Vulvodynia: These are mysterious pains which come &amp; go and can be treated with medicines.

If you would like to consult with me privately, please click on'consult.

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Top 4 Reasons Why Your Vagina Hurts

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