Injury to the vulva or vagina. Symptoms If you have painful intercourse, you might feel: The medical term for painful intercourse is dyspareunia dis-puh-ROO-nee-uh , defined as persistent or recurrent genital pain that occurs just before, during or after intercourse. Scarring from pelvic surgery, including hysterectomy, can cause painful intercourse. These problems may include fibroids that can cause deep intercourse pain. In some cases, a woman can experience painful sex if one of the following conditions is present: These involuntary spasms of the muscles of the vaginal wall can make penetration painful.
Some treatments for female sexual pain do require a doctor's care. Your pelvic floor muscles tend to tighten in response to stress in your life. This can contribute to pain during intercourse. Problems with the uterus. These involuntary spasms of the muscles of the vaginal wall can make penetration painful. A problem present at birth, such as the absence of a fully formed vagina vaginal agenesis or development of a membrane that blocks the vaginal opening imperforate hymen , could cause dyspareunia. In many cases, a woman can experience painful sex if there is not sufficient vaginal lubrication. Anxiety, depression, concerns about your physical appearance, fear of intimacy or relationship problems can contribute to a low level of arousal and a resulting discomfort or pain. Ask for a referral to a certified sex counselor if there are other concerns that need to be addressed. But self-care combined with medical treatments can help bring relief. It involves an involuntary spasm in the vaginal muscles, sometimes caused by fear of being hurt. Scarring from pelvic surgery, including hysterectomy, can cause painful intercourse. Injury, trauma or irritation. Symptoms If you have painful intercourse, you might feel: This includes injury or irritation from an accident, pelvic surgery, female circumcision or a cut made during childbirth to enlarge the birth canal episiotomy. These include antidepressants, high blood pressure medications, sedatives, antihistamines and certain birth control pills. Inflammation, infection or skin disorder. Injury to the vulva or vagina. Problems with the ovaries. Pain only at sexual entry penetration Pain with every penetration, including putting in a tampon Deep pain during thrusting Burning pain or aching pain Throbbing pain, lasting hours after intercourse When to see a doctor If you have recurrent pain during sex, talk to your doctor. It can be difficult to tell whether emotional factors are associated with dyspareunia. Some individuals may need to resolve issues such as guilt, inner conflicts regarding sex , or feelings regarding past abuse. With PID, the tissues deep inside become badly inflamed and the pressure of intercourse causes deep pain. Not every woman with dyspareunia has a history of sexual abuse, but if you have been abused, it can play a role. The list includes endometriosis, pelvic inflammatory disease, uterine prolapse, retroverted uterus, uterine fibroids, cystitis, irritable bowel syndrome, hemorrhoids and ovarian cysts. In cases in which there is vaginal dryness or a lack of lubrication, try water-based lubricants.
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