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Wednesday, 15 June 2016

For Ladies -10 Causes of Dyspareunia and The Treatment

  Dyspareunia (Pain During Sex) is a medical term for painful intercourse, it is pain felt in the pelvis during or after having sexual intercourse. Painful intercourse can occur for a variety of reasons ranging from structural problems to psychological concerns.


 The symptoms of Dyspareunia are more common in women and the pain can be on the external surface of the genitalia or deeper in the pelvis upon deep pressure against the cervix. It can affect a small portion of the vagina or vulva or felt all over the surface.

Cause of Dyspareunia

 A woman can experience painful sex if there isn’t sufficient vaginal lubrication. When this occurs, the pain can be resolved if the female becomes more relaxed, if the amount of foreplay is increased, or if the couple uses a sexual lubricant. The causes of dyspareunia include:

1.Tissue Injury – Pain after trauma to the pelvis from injury, surgery or birth.

2.Vaginismus – This involves an involuntary spasm of the vaginal wall / the vaginal muscles. Its mainly caused by fear of being hurt and makes penetration painful.

3.Vaginal infections – an infection in your genital area or urinary tract can cause painful intercourse
4.Problems with the uterus – These problems may include fibroids that can cause deep intercourse pain.

5.Endometriosis – in this case, the tissue that lines the uterus grows outside the uterus.

6.Menopause – in menopause, the vaginal lining can lose its normal moisture and become dry.

7.Sexually transmitted disease (STDs) – These may include genital growths, sores or other STDs.

8.Problems with the ovaries – ovaries problems like ovarian cyst is a typical example. The presence of cysts on the ovaries can cause pain during sex.

9.Injury to the vagina or vulva – Having sex too soon after childbirth or surgery causes dyspareunia. Vaginal injuries may include a tear from childbirth or from a cut (episiotomy) made in the area of skin between the vagina and anus during labour.

10.Fibroids and growths in the womb – Fibroids are non-cancerous growths in the muscle of the womb, which can cause the womb itself to become quite bulky. This is not always painful, but it can lead to pain and discomfort during sex.

The Treatment
The treatment for painful intercourse depends on what is causing the pain. After proper diagnosis one or more treatments for specific causes may be necessary. This can be:

1.For pain caused by yeast or fungal infections, a clinician may prescribe Mycogen cream (nystatin and triamcinolone acetonide) which can treat both a yeast infection and associated painful inflammation and itching because it contains both an anti-fungal and a steroid.

2.For pain caused by post-menopause vaginal dryness, estrogen treatment can be used.

3.For women with diagnostic criteria for endometriosis, medications or surgery are possible options.

Other ways to reduce painful intercourse are:

1.Initiating the receiving partner to take the penis of the penetrating partner in their hand and control insertion themselves, rather than letting the penetrating partner do it.

2.The couple can also add sexually exciting experiences to their regular interactions like mutual caressing without intercourse in order to increase natural lubrication.

3.Finally, a change in sex position to one admitting less penetration from the man is also encouraged.