Dr. Manju Agarwal

Dyspareunia is a phenomenon noticed in both males and females, but more frequently in females. It refers to recurring pain during or after sexual intercourse. Such kind of pain affects female genitalia usually the vagina, clitoris, or at times the depths of the pelvis. This pain is often accompanied by a burning, itching or throbbing sensation which can prove to be extremely discomforting if left unattended. Thankfully, a careful examination of symptoms leading to Dyspareunia and its early diagnosis can improve a person's sexual health. 

Indicators of this deep rooted problem

1. Pain can occur during penetration in and around the vagina, urethra or the bladder.
2. Pain can be a new occurrence after earlier instances of painless intercourse.
3. It can be felt throughout intercourse in places, such as deep in the pelvis or even after intercourse.
4. The intensity of the ache is sometimes sharp and at other times, it is as piercing as menstrual cramps.
5. It need not necessarily be associated with intercourse; pain can be experienced during any kind of penetration. Thus, using a tampon or a moon cup can also result in soreness.
6. Skin diseases can either be a symptom or a root cause leading to the problem. Skin problems, such as Psoriasis or Lichen Sclerosus should not be taken lightly. 
7. Tightening of vaginal muscles at the beginning of intercourse may or may not be superficial pain. In most cases, it is identified as Vaginismus but it can also be a symptom of acute Dyspareunia. 

Ways to nip the pain in the bud

1. While, usually, pain during sexual intercourse is a result of adolescence or a traumatic sexual history, it can also be the result of a physiological problem contracted at birth. However, treatment in any situation is necessary to enable smooth functioning of one's life. 
2. Injectable corticosteroids might prove to be helpful.
3. There are oral medications to remedy the problem; antibiotics and antifungal medicines.
4. Increase in estrogen levels through the use of the drug Osphena helps in curing frailty of vaginal tissues.

Precautionary measures to be followed at home

1. Taking a warm bath before intercourse can lead to betterment.
2. It is best to avoid sex when in stress. Both partners should be relaxed to ensure a complete lack of pain.
3. After sex pain can be relieved by applying an ice pack around the vulva.
4. Urinating before sex can be helpful. It is also good to use water soluble lubricants for stimulation. If you wish to discuss about any specific problem, you can consult a Sexologist.