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Painful Sexual Intercourse Tips

Painful Intercourse - Why Does It Happen?

Dr. Asha Khatri 90% (4249 ratings)
MD - Obstetrtics & Gynaecology
Gynaecologist, Mumbai
Painful Intercourse - Why Does It Happen?

Love making is generally portrayed as a way to great pleasure. However, what most may not know is that intercouse can be painful, very painful, so much so that you at times  don’t want it. In fact, an alarming 75% of women have had pain during sex at some point in their lives. There are physical and psychological components to this, both of which can be managed easily if identified. While some may be frank and talk about it, a lot of them go unspoken and therefore endure the pain in silence.



Painful intercourse, which is a major deterrent for a happy intimate life, has a lot to do with the mindset and emotions than actual physical or physiological problems. Fear of being hurt, performance anxiety, sexual inhibitions, past history of abuse, etc. are major contributors for painful intercourse.

Physical causes for the pain include temporary reasons like the ones listed below.

  1. Vaginal Infections: Fungal infections of the vagina and surrounding organs are very common and there could be sores or lesions, which can turn painful with sex.
  2. Vaginismus: Another common condition leading to painful sex, these are involuntary contractions, which often happens as a defense mechanism. The woman has the fear of being hurt and so these spasms happen.
  3. Gynaecological Issues: Ectopic pregnancy, ovarian cysts, menstrual disorders, endometriosis, cervical problems and vulvar injuries are other causes which can lead to painful intercourse.

With any of these, the remedy lies in acknowledging the problem.
If there are no physical issues, talking about the past, discussing her fears and anxiety can help. Many times, the expectations are often unspoken and there is a lot of uncertainty, fear and anxiety between the couple, especially with respect to intimacy. A frank talk can help ease both of them, and that can often help in reducing pain during sex. If required, counselling can be sought,so that she opens up. In most cases, one or two sittings with both couples and a counsellor can help find the problem and work out a lasting solution.

Lubrication is often another problem that leads to pain. When there is not sufficient mental stimulation, the chances of a dry vaginal mucosa are high. Artificial lubricants can be used to help with easy penetration and reducing the pain. Infections can be managed with antibiotics, often topical, unless it is very severe and requires systemic antibiotics. Women who have delivered babies should refrain from sex for complete healing, as it can be painful. 

Menopause is another reason for painful sex and this is due to lower hormone level. Using hormones either topically or supplements like birth control pills can improve overall sexual urge and lead to painless sex.

1 person found this helpful

Top 7 Common Sex Problems That You Should Know!

Dr. Rakesh Agarwal 89% (33 ratings)
Bachelor of Ayurvedic Medicine & Surgery (B.A.M.S)
Sexologist, Muzaffarnagar
Top 7 Common Sex Problems That You Should Know!

A physical problem related to intimacy is something that keeps the patient from having a satisfactory intimate experience. Many women encounter many kinds of problems at various stages of their lives. In this article, we have listed the seven most common sex problems that women experience. Take a look to know more!

  1. Lack of sexual desire: A total lack of, or inhibited sexual desire is a problem that may be caused due to factors like age, menopause, stress, hormonal changes, pregnancy and child birth, depression, and even fatigue. Also, a work heavy lifestyle as well as too much focus on areas like children can lead to a situation where sex takes a backseat and after a while, lack of desire sets in.
  2. Anorgasmia: Not being able to orgasm during intercourse despite plenty of stimulations is a problem that some women face. This condition can be of various types including primary, secondary and others, to depict a range of orgasm related issues where a proper sexual release does not occur. This can happen due to causes like infections, past sex related trauma, pain during intercourse and other issues including anxiety and depression.
  3. Painful intercourse: This condition can also be called Vaginismus. A number of causes can trigger pain that women feel in the vaginal area during intercourse, which can lead to vaginal contractions or an involuntary spasm. The causes include endometriosis, STDs or sexually transmitted diseases, ovarian cysts, vaginititis, lack of proper lubrication during sex, and stress.
  4. Arousal problems: Lack of sexual arousal is another problem that can happen due to lack of sufficient stimulation and lubrication which affects the blood flow to the vagina, thus preventing an erection of the clitoris. This condition may also be caused due to stress and relationship problems.
  5. Related ailments: The presence of a chronic ailment can also lead to sexual problems for a member of either sex. When a woman is suffering from diabetes, cardiovascular diseases, drug abuse and other such ailments, then sex related activities tend to take a back seat and are often also hindered due to the symptoms of some of these conditions.
  6. Side effects: Taking medication that has to do with depression or menopause can also have a bearing on the kind of sex life that a woman enjoys as these medicines often create hormonal imbalances and numb certain neurotransmitters with the suppressants that they contain.
  7. Psychological factors: It has been proven medically that stress, anxiety, depression, trauma and other such factors play up on the sex life of a patient in a serious manner. Using frequent practice with proper lubrication and counselling as well, one can overcome such problems. In case you have a concern or query you can always consult an expert & get answers to your questions!
3524 people found this helpful

What Are The Reasons Behind Painful Intercourse?

Dr. Pallavi Dhawan 88% (10 ratings)
MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Lucknow
What Are The Reasons Behind Painful Intercourse?

Love making is generally portrayed as a way to great pleasure. However, what most may not know is that intercouse can be painful, very painful, so much so that you at times  don’t want it. In fact, an alarming 75% of women have had pain during sex at some point in their lives. There are physical and psychological components to this, both of which can be managed easily if identified. While some may be frank and talk about it, a lot of them go unspoken and therefore endure the pain in silence.



Painful intercourse, which is a major deterrent for a happy intimate life, has a lot to do with the mindset and emotions than actual physical or physiological problems. Fear of being hurt, performance anxiety, sexual inhibitions, past history of abuse, etc. are major contributors for painful intercourse.

Physical causes for the pain include temporary reasons like the ones listed below.

  1. Vaginal Infections: Fungal infections of the vagina and surrounding organs are very common and there could be sores or lesions, which can turn painful with sex.
  2. Vaginismus: Another common condition leading to painful sex, these are involuntary contractions, which often happens as a defense mechanism. The woman has the fear of being hurt and so these spasms happen.
  3. Gynaecological Issues: Ectopic pregnancy, ovarian cysts, menstrual disorders, endometriosis, cervical problems and vulvar injuries are other causes which can lead to painful intercourse.

With any of these, the remedy lies in acknowledging the problem.
If there are no physical issues, talking about the past, discussing her fears and anxiety can help. Many times, the expectations are often unspoken and there is a lot of uncertainty, fear and anxiety between the couple, especially with respect to intimacy. A frank talk can help ease both of them, and that can often help in reducing pain during sex. If required, counselling can be sought,so that she opens up. In most cases, one or two sittings with both couples and a counsellor can help find the problem and work out a lasting solution.

Lubrication is often another problem that leads to pain. When there is not sufficient mental stimulation, the chances of a dry vaginal mucosa are high. Artificial lubricants can be used to help with easy penetration and reducing the pain. Infections can be managed with antibiotics, often topical, unless it is very severe and requires systemic antibiotics. Women who have delivered babies should refrain from sex for complete healing, as it can be painful. 

Menopause is another reason for painful sex and this is due to lower hormone level. Using hormones either topically or supplements like birth control pills can improve overall sexual urge and lead to painless sex.

2662 people found this helpful

Dyspareunia: Take The Best Treatment After Consulting Doctor

Dr. Shyam Mithiya 91% (713 ratings)
MD - Psychiatry, Diploma in Psychological Medicine, MBBS
Sexologist, Mumbai
Dyspareunia: Take The Best Treatment After Consulting Doctor

Pain during or after sexual intercourse is known as dyspareunia. Although this problem can affect men, it is more common in women. Women with dyspareunia may have pain in the vagina, clitoris or labia. There are numerous causes of dyspareunia, many of which are treatable. 

Common causes include the following:

  1. Vaginal dryness
  2. Atrophic vaginitis, a common condition causing thinning of the vaginal lining in postmenopausal women
  3. Side effects of drugs such as antihistamines and tamoxifen (Nolvadex and other brands)
  4. An allergic reaction to clothing, spermicides or douches
  5. Endometriosis, an often painful condition in which tissue from the uterine lining migrates and grows abnormally inside the pelvis
  6. Inflammation of the area surrounding the vaginal opening, called vulvar vestibulitis
  7. Skin diseases, such as lichen planus and lichen sclerosus, affecting the vaginal area
  8. Urinary tract infections, vaginal yeast infections, or sexually transmitted diseases
  9. Psychological trauma, often stemming from a past history of sexual abuse or trauma.

Symptoms of Dyspareunia:
Women with dyspareunia may feel superficial pain at the entrance of the vagina or deeper pain during penetration or thrusting of the penis. Some women also may experience severe tightening of the vaginal muscles during penetration, a condition called vaginismus.

Diagnosis:
Your health practitioner will check for the following things

  1. If there was ever a time you had painless intercourse or if you have always had dyspareunia
  2. If you have enough natural lubrication and if your symptoms improve when you use commercially available lubricants
  3. About your sexual history (to help assess your risk for sexually transmitted infections)
  4. If you have ever been sexually abused or had a traumatic injury involving your genitals.

Treatment:

  1. Lubrication with an over-the-counter lubricant such as K-Y jelly.
  2. Antifungal medication(if you have any kind of fungal infection)
  3. Sitz baths for removing the inflammation
  4. For skin diseases affecting the vaginal area, lichen sclerosus and lichen planus often improve with steroid creams.
  5. Therapies include topical estrogen cream, low-dose pain medications, and physical therapy with biofeedback to lower the muscle tension in the pelvic floor
  6. Surgeries can also be prescribed for abnormal growths

For dyspareunia that has no apparent physical cause or has lasted for months or years, you may need psychological counseling to address stress or anxiety regarding sexual intercourse.

1 person found this helpful

7 Symptoms Of Dyspareunia

Dr. A Chakravarthy 87% (101 ratings)
MBBS, MHSc (Reproductive & Sexual Medicine), Certified Sexologist
Sexologist, Bangalore
7 Symptoms Of Dyspareunia

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 certain drugs help 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.
  5. Cure for psychogenic cause of Dyspareunia is Sex Therapy.

How To Treat Dyspareunia?

Sexual Health Clinic
Sexologist, Delhi
How To Treat Dyspareunia?

Pain during or after sexual intercourse is known as dyspareunia. Although this problem can affect men, it is more common in women. Women with dyspareunia may have pain in the vagina, clitoris or labia. There are numerous causes of dyspareunia, many of which are treatable. 

Common causes include the following:

  1. Vaginal dryness
  2. Atrophic vaginitis, a common condition causing thinning of the vaginal lining in postmenopausal women
  3. Side effects of drugs such as antihistamines and tamoxifen (Nolvadex and other brands)
  4. An allergic reaction to clothing, spermicides or douches
  5. Endometriosis, an often painful condition in which tissue from the uterine lining migrates and grows abnormally inside the pelvis
  6. Inflammation of the area surrounding the vaginal opening, called vulvar vestibulitis
  7. Skin diseases, such as lichen planus and lichen sclerosus, affecting the vaginal area
  8. Urinary tract infections, vaginal yeast infections, or sexually transmitted diseases
  9. Psychological trauma, often stemming from a past history of sexual abuse or trauma.

Symptoms of Dyspareunia:
Women with dyspareunia may feel superficial pain at the entrance of the vagina or deeper pain during penetration or thrusting of the penis. Some women also may experience severe tightening of the vaginal muscles during penetration, a condition called vaginismus.

Diagnosis:
Your health practitioner will check for the following things

  1. If there was ever a time you had painless intercourse or if you have always had dyspareunia
  2. If you have enough natural lubrication and if your symptoms improve when you use commercially available lubricants
  3. About your sexual history (to help assess your risk for sexually transmitted infections)
  4. If you have ever been sexually abused or had a traumatic injury involving your genitals.

Treatment:

  1. Lubrication with an over-the-counter lubricant such as K-Y jelly.
  2. Antifungal medication(if you have any kind of fungal infection)
  3. Sitz baths for removing the inflammation
  4. For skin diseases affecting the vaginal area, lichen sclerosus and lichen planus often improve with steroid creams.
  5. Therapies include topical estrogen cream, low-dose pain medications, and physical therapy with biofeedback to lower the muscle tension in the pelvic floor
  6. Surgeries can also be prescribed for abnormal growths

For dyspareunia that has no apparent physical cause or has lasted for months or years, you may need psychological counseling to address stress or anxiety regarding sexual intercourse. In case you have a concern or query you can always consult an expert & get answers to your questions!

5626 people found this helpful

Know About Dyspareunia!

Dr. Ramakrishna Chanduri 88% (24 ratings)
BHMS
Homeopath, Hyderabad
Know About Dyspareunia!

Pain during or after sexual intercourse is known as dyspareunia. Although this problem can affect men, it is more common in women. Women with dyspareunia may have pain in the vagina, clitoris or labia. There are numerous causes of dyspareunia, many of which are treatable. 

Common causes include the following:

-Vaginal dryness

-Atrophic vaginitis, a common condition causing thinning of the vaginal lining in postmenopausal women

-Side effects of drugs such as antihistamines and tamoxifen (Nolvadex and other brands)

-An allergic reaction to clothing, spermicides or douches

-Endometriosis, an often painful condition in which tissue from the uterine lining migrates and grows abnormally inside the pelvis

-Inflammation of the area surrounding the vaginal opening, called vulvar vestibulitis

-Skin diseases, such as lichen planus and lichen sclerosus, affecting the vaginal area

-Urinary tract infections, vaginal yeast infections, or sexually transmitted diseases

-Psychological trauma, often stemming from a past history of sexual abuse or trauma.

3 people found this helpful

Painful Intercourse - Physical Causes You Must Be Aware Of!

Dr. Saraschandrika P. V. 90% (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Obstetrics & Gynaecology
Gynaecologist, Hyderabad
Painful Intercourse - Physical Causes You Must Be Aware Of!

Love making is generally portrayed as a way to great pleasure. However, what most may not know is that intercouse can be painful, very painful, so much so that you at times  don’t want it. In fact, an alarming 75% of women have had pain during sex at some point in their lives. There are physical and psychological components to this, both of which can be managed easily if identified. While some may be frank and talk about it, a lot of them go unspoken and therefore endure the pain in silence.

Painful intercourse, which is a major deterrent for a happy intimate life, has a lot to do with the mindset and emotions than actual physical or physiological problems. Fear of being hurt, performance anxiety, sexual inhibitions, past history of abuse, etc. are major contributors for painful intercourse.

Physical causes for the pain include temporary reasons like the ones listed below.

  1. Vaginal Infections: Fungal infections of the vagina and surrounding organs are very common and there could be sores or lesions, which can turn painful with sex.
  2. Vaginismus: Another common condition leading to painful sex, these are involuntary contractions, which often happens as a defense mechanism. The woman has the fear of being hurt and so these spasms happen.
  3. Gynaecological Issues: Ectopic pregnancy, ovarian cysts, menstrual disorders, endometriosis, cervical problems and vulvar injuries are other causes which can lead to painful intercourse.

With any of these, the remedy lies in acknowledging the problem.
If there are no physical issues, talking about the past, discussing her fears and anxiety can help. Many times, the expectations are often unspoken and there is a lot of uncertainty, fear and anxiety between the couple, especially with respect to intimacy. A frank talk can help ease both of them, and that can often help in reducing pain during sex. If required, counselling can be sought,so that she opens up. In most cases, one or two sittings with both couples and a counsellor can help find the problem and work out a lasting solution.

Lubrication is often another problem that leads to pain. When there is not sufficient mental stimulation, the chances of a dry vaginal mucosa are high. Artificial lubricants can be used to help with easy penetration and reducing the pain. Infections can be managed with antibiotics, often topical, unless it is very severe and requires systemic antibiotics. Women who have delivered babies should refrain from sex for complete healing, as it can be painful. 

Menopause is another reason for painful sex and this is due to lower hormone level. Using hormones either topically or supplements like birth control pills can improve overall sexual urge and lead to painless sex.

6 people found this helpful

Painful Intercourse: Physical Causes For The Pain!

Dr. Nupur Gupta 91% (280 ratings)
MICOG, MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Gurgaon
Painful Intercourse: Physical Causes For The Pain!

Love making is generally portrayed as a way to great pleasure. However, what most may not know is that intercouse can be painful, very painful, so much so that you at times  don’t want it. In fact, an alarming 75% of women have had pain during sex at some point in their lives. There are physical and psychological components to this, both of which can be managed easily if identified. While some may be frank and talk about it, a lot of them go unspoken and therefore endure the pain in silence.

Painful intercourse, which is a major deterrent for a happy intimate life, has a lot to do with the mindset and emotions than actual physical or physiological problems. Fear of being hurt, performance anxiety, sexual inhibitions, past history of abuse, etc. are major contributors for painful intercourse.

Physical causes for the pain include temporary reasons like the ones listed below.

  1. Vaginal Infections: Fungal infections of the vagina and surrounding organs are very common and there could be sores or lesions, which can turn painful with sex.
  2. Vaginismus: Another common condition leading to painful sex, these are involuntary contractions, which often happens as a defense mechanism. The woman has the fear of being hurt and so these spasms happen.
  3. Gynaecological Issues: Ectopic pregnancy, ovarian cysts, menstrual disorders, endometriosis, cervical problems and vulvar injuries are other causes which can lead to painful intercourse.

With any of these, the remedy lies in acknowledging the problem.
If there are no physical issues, talking about the past, discussing her fears and anxiety can help. Many times, the expectations are often unspoken and there is a lot of uncertainty, fear and anxiety between the couple, especially with respect to intimacy. A frank talk can help ease both of them, and that can often help in reducing pain during sex. If required, counselling can be sought,so that she opens up. In most cases, one or two sittings with both couples and a counsellor can help find the problem and work out a lasting solution.

Lubrication is often another problem that leads to pain. When there is not sufficient mental stimulation, the chances of a dry vaginal mucosa are high. Artificial lubricants can be used to help with easy penetration and reducing the pain. Infections can be managed with antibiotics, often topical, unless it is very severe and requires systemic antibiotics. Women who have delivered babies should refrain from sex for complete healing, as it can be painful. 

Menopause is another reason for painful sex and this is due to lower hormone level. Using hormones either topically or supplements like birth control pills can improve overall sexual urge and lead to painless sex. In case you have a concern or query you can always consult an expert & get answers to your questions!

2607 people found this helpful

Ways To Manage Female Dyspareunia!

Dr. Ram Gopal Parihar 84% (13 ratings)
Diploma In Naturopathy, Diploma In Neurotherapy
Sexologist, Jalandhar
Ways To Manage Female Dyspareunia!

Female dyspareunia refers to painful sexual intercourse. It is estimated that 8 to 21% of women experience this at some point in their lives. Pain during or after intercourse is disturbing and restricts partners need for intimacy. It leaves the partners with an unpleasant experience and may lead to frustrations, anxiety and fear of sex. There is little awareness among couples about dyspareunia and thus a painful experience is sometimes confusing for the other partner and often invites fights and arguments rather than support and understanding.

Women with dyspareunia suffer pain in genitalia or deeper in the pelvis, vulva or vagina. It is more common among women after menopause; however, many women experience pain right from their first sexual attempt or just after initiation while some at deeper penetration. Causes of Dyspareunia could be medical, psychosocial or both. Medical conditions can be cured but often there are underlying personal and psychological factors which need to be addressed usually by counsellors or sexologists.

Diagnosis of the problem begins with a physical examination of the vulva. Apart from this an internal pelvic examination may also be required. A doctor takes into account the nature, extent and duration of pain in determining possible causes and deciding the mode of treatment. During interaction with the patient, various other psychosocial factors are also revealed that must be addressed for holistic treatment.

Medical conditions that could cause pain during or after intercourse are many including lesions, thin skin, scar tissues or ulcers. Infections like UTI, herpes, yeast infections, Chlamydia, trichomoniasis can also cause pain.

Treatment of infections is through drugs and creams.

Apart from this, infections of the fallopian tubes or conditions like ovarian cysts, fibroids, tumours or endometriosis could be a reason for deeper and intense pain. In most of the cases, surgery is the option.

Lack of oestrogen is another major cause for this type of pain. Oestrogen deficiency can cause lack of lubrication making vaginal area dry. This can cause painful friction during intercourse. Along with lubricants, an oestrogen treatment is given.

Apart from medical causes, fears or anxieties associated with sex can sometimes lead to pain. Lack of harmony in relationships can lead to loss of desire for sex leading to vaginal dryness and discomfort. A traumatic sexual experience of the past may also inhibit a partner to be at peace in the act and may invite psychosomatic problems. It is important for the partner to be sensitive and lend a hand of support. Understanding how a partner wishes to be caressed and touched and making efforts towards providing a sexually exciting experience can go a long way in removing partner’s inhibitions/fears and introducing positive sparks in the relationship. In case you have a concern or query you can always consult an expert & get answers to your questions!

2830 people found this helpful
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