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Last Updated: Apr 07, 2024
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Discomfort During Sex - 6 Causes Behind it!

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Dr. Malvika SabharwalGynaecologist • 46 Years Exp.MBBS, DGO, F.I.C.O.G., Dipl.Endo. Surgery (USA)
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Painful intercourse can happen because of many reasons from physical problems to psychological problems. Numerous men and women encounter pain during intercourse sooner or later in their lives. The medical term for this is dyspareunia, which is characterised by constant or repetitive genital pain that occurs just before, during or after sex. Physical reasons for excruciating intercourse differ, depending upon whether the pain happens at the entry or the inside of the genitalia.

Torment during penetration might be connected with a number of factors, including:

  1. Insufficient lubrication, which is a consequence of insufficient arousal during intercourse. Inadequate lubrication is normally brought on by a drop in the estrogen levels after menopause or after labour.
  2. Certain medicines are known to repress craving or excitement, which can diminish the lubricants and make sex painful. These include antidepressants, hypertension medicines, narcotics, antihistamines and certain contraceptive pills.
  3. Trauma, injury or irritation including harm from a miscarriage, pelvic surgery, female circumcision or a cuts made during childbirth.
  4. Irritation, infection or skin problems in your genital area or urinary tract can result in excruciating intercourse. Dermatitis or other skin diseases in your genital region additionally can be the problem.
  5. Vaginismus is automatic fits or spasm of the muscles of the vaginal wall that can make the penetration extremely painful.
  6. Congenital abnormality during childbirth, for example, the absence of a full-fledged vagina (vaginal agenesis) or growth of a membrane that hinders the vaginal opening (imperforate hymen), could be the basic reason for dyspareunia.

Profound pain typically happens with deep penetration and might be more painful with specific positions. The causes for that include:

  1. Certain diseases and conditions, these include endometriosis, pelvic incendiary disease, uterine prolapse, retroverted uterus, uterine fibroids, cystitis, irritable bowel syndrome, haemorrhoids and ovarian pimples.
  2. Surgeryor restorative medicines used for the scarring from pelvic surgery, including hysterectomy, can some of the time cause painful intercourse.
  3. Emotions play a huge role during sexual intercourse and may be a reason behind the sexual pain. Enthusiastic elements include:
  4. Mental issues. such as tension, sadness, worries about your physical appearance, fear of closeness or relationship issues can add to a low level of excitement and a subsequent uneasiness or pain.
  5. Your pelvic floor muscles have a tendency to tighten because of worry and stress in your life. This can add to pain during intercourse.
  6. History of sexual abuse i.e. most women with dyspareunia do not have a background marked by sexual abuse. However, in case that you have been abused in the past, it might be a reason behind the painful sex.

In some cases, it can be hard to tell whether psychological factors are connected with dyspareunia. Pain, in the beginning, can cause fear of repeated pain, making it hard to relax, which can lead to more pain.

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