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Painful Sexual Intercourse: Treatment, Procedure, Cost and Side Effects

What is the treatment? How is the treatment done? Who is eligible for the treatment? (When is the treatment done?) Who is not eligible for the treatment? Are there any side effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is the treatment?

Painful sexual intercourse is usually caused by the inability to have or maintain an erection, sexual weakness or erectile dysfunction (ED) that is fairly common in men. Women after menopause or undergoing a urinary tract infection (UTI) may also have pain while intercourse. There are plenty of treatment options available that people can employ in order to cure themselves of this condition. Treatment options vary from simple methods such as oral medications and injections to more complex ones such as surgeries, implants and pumps. However, before a treatment option can be zeroed in on, a doctor will conduct diagnostic tests to find out exactly what's causing the problem. After an analysis of the cause, the most suitable treatment option will be chosen by the doctor with the consent of the patient. That said, the chosen treatment option will not only vary on the basis of the cause but also the severity of the condition. Patients will be explained the risks and benefits of each of the treatment options so that they can make the best choice with the help of the doctor and know what they are getting into. > In case you are suffering from a severe urinary tract infection, then you may have to be hospitalized. This is because the doctor will want to give you your medications intravenously in order to clear the infection faster.

How is the treatment done?

Medications are known to treat the pain either due to an infection or a medical condition. In case there are medical conditions which already exist and are causing vaginal dryness then the doctor will recommend a few alternatives. A number of oral medications are prescribed for the causes of painful sex. They help in increasing the blood flow to the penis so that an erection can be maintained in response to sexual stimulation. Some of the other medications prescribed by a doctor, need to be injected instead of taking orally such as alprostadil, which is injected into the base of the penis with the help of a needle. Another treatment method known as alprostadil urethral suppository works by placing a suppository inside the man's penis in the penile urethra with the help of a special applicator.

Apart from the above, penis pumps and surgery is also an option. Penis pumps work by placing the tube of the pump on the penis and using the pump given to suck out air that is present in the tube. The vaccuum created increases blood flow to the penis, thereby helping in gettng an erection. Once the man gets the erection, he is supposed to slip a tension ring on the base of his penis and keep it there to maintain the erection. A drug named as ospemifene is taken at a dosage of 60 mg/day by women with menopause.

Who is eligible for the treatment? (When is the treatment done?)

Men who suffer from sexual weakness and do not have heart diseases are eligible for medications used to treat painful sex. Potential candidates for surgery and penis pumps include those on whom medications did not prove to be effective.

Who is not eligible for the treatment?

Oral medications should not be taken by men who suffer from heart diseases or chest problems as well as very low blood pressure. To know about who is not eligible for a penile implant, one should consult their doctor.

Are there any side effects?

Different treatment methods for painful sex have different side effects. For example, side effects of oral medications include nasal congestion, blurry vision, flushing, stomach upset and backache. Side effects of injections urethral suppository include prolonged erection and mild bleeding as well as pain and formation of fibrous tissues in the penis. The side effects of penile implants include infection, formation of scar tissue, uncontrolled bleeding etc.

What are the post-treatment guidelines?

Men who take oral medications or those in the form of injections or urethral suppositories need to follow any post treatment guidelines as such although they should consult with their doctors about that. Those who go through penile implants must rest for a couple of days after the operation and should not lift anything heavy either until their doctor allows them to.

How long does it take to recover?

Once a man gets an erection with the help of medications (oral or otherwise), they may last for about half an hour after which the penis will go back to its normal flaccid state. Recovery from a penile implant surgery takes about 6 weeks.

What is the price of the treatment in India?

Oral medications cost between Rs. 450 and Rs. 600 for a pack of 10. The Alprostadil self-injection costs roughly Rs. 5,900, while the cost of the penis pump is around Rs. 200 to Rs. 600. A penile implant surgery can set one back by around Rs 1 lakh.

Are the results of the treatment permanent?

The results of the penile surgery are permanent. The results of medications, injections, suppositories and pumps are temporary and they have to be used again before sex in order to get results.

What are the alternatives to the treatment?

There are plenty of alternative remedies available for pain while having sexual intercourse. These include exercising, making lifestyle changes, trying out homeopathy or ayurvedic supplments and opting for a testosterone replacement. However, before opting for any of them, one should consult their doctor.

Popular Questions & Answers

I have got severe pain in pelvic region. Got tests done. Ultrasound normal. Blood tests normal. Urine infection is there. Pus cells ranges 5 -7. Doctor gives the augmentin thrice n on liquid diet. They gave inj. Vovrin. But pain is not subsided completely.

MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Hisar
Take tablet martifer sr twice a day for 7 days. Along with it take tab rabeprazole empty stomach in morning and tab diclofenac -twice a day. Drink plenty fluids. Maintain perineal hygiene.
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Is acid phos q, alfalfa q, agnus castus q, and avina sativa q is useful for increase penis size, erectile dysfunction, premature ejaculation and weakness due to masturbation?

BHMS
Homeopathy Doctor, Noida
Don't believe the hype and do not be taken away by market gimmicks companies offer many types of nonsurgical penis-enlargement treatments, and often promote them with serious-looking advertisements that include endorsements from "scientific" resea...

I have been using the panderm plus cream for 4-5 years and my skin have developed a lot of side effects. It has become too dry and when I discontinue using it a lot of small pores appear which are very itchy and when I apply any moisturizer or sunscreen it causes a burning sensation what should I do to treat the side effects of panderm plus. Help me.

MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Mumbai
Please stop using panderm plus cream as it contains strong steroid which will cause serious side effects. Steroid induced pimples, photosensitivity that is sensitivity to sunlight, rosacea that is red face, atrophy that is thinning of skin, stretc...

Vaginal itching with thin discharge, pelvic pain, constipation. What can ot be? I used clingen forte but its not working.

MBBS, MS - Obstetrics and Gynaecology, Senior Resident obstetrics and gynaecology
Gynaecologist, Delhi
It can be pid. Clingen forte is usually effective. However, if it’s not working it can be because of either you are not using it correctly or you are having some other infection. If you have any questions you can contact me.

From 30th dec 2020 to 4th jan 2021, frequent urination, urge of urination, slight burning and one time painful ejaculation in african country angola. Some lab tests were performed in angola on 4th and 5th dec, which indicated uti symptoms. Tab: leflox (levofloxin) 500 mg taken on 4th and 5th jan-2020 once a day and then 2 tablets 500 mg (1 day and 1 night) from 6th jan to 11 jan 2020. Travel from angola to pakistan on 11-13 jan. On 13th jan 2021 check-up done by akuh doctor and recommended lab tests (urine detailed report and culture, blood cbc, hiv, vdlr, thpa, kidney critne, liver, ureteral swab test, ultrasound etc.). Also, prescribed one single time injection: ceftriaxone 2g iv (taken on 15th jan). On 22nd jan 2021, check up was done again after receiving all lab tests results. Nothing clear shown up in medical tests even in culture. Doctor prescribed tab zanicef 250 mg (1+0+1) for 2 weeks and then tab leflox 500 mg (1+0+0) for 2 weeks. Tab. Zanicef was taken from 22nd till 26th jan but during 25th night strong pain was felt in left testicular side for 10-12 mins. Also no improvement was observed till 26th jan. On 27th jan, appointment was follow up appointment is made with doctor via tele clinic for consultation to describe all situation. Following medicines were prescribed: -rocephin injection 2 g each day for 1 week. (taken from 28th jan till 3rd feb.), then -single doze of flaygl 400 mg, 5 tablets straight (taken on 4th feb.), then -septran ds for 4 weeks (started from 5th feb). -nuberol forte for pain whenever felt -canmax (1+0+1) (taken since 28th jan till now) till now no considerable improvement are observed and still persisting the following conditions: -very frequent urination and urge of urination. -light pain in testicular region from time to time. -pain in lower back and abdomen side from time to time. -sometimes little needle like pain or burning during or after urination but if I take can max and lot of water, this symptom is negligible. -weakness. Note: I had multiple unprotected sex in july/ aug 2020 and painful ejaculation in oct-2020 twice (may be relevant). I am looking for diagnosis/ root cause as no one here is able to find. Thank you.

MBBS, MD Internal Medicine, PhD (Endocrinology), FRCP(Edin)
Endocrinologist, Vellore
Dear , please do vdrl and hiv tests as you had unprotected sexual intercourse. Get an ultrasound scan of kub region to find out if there are stones in the kidney ureter or bladder

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