Dyspareunia - Pain During Intercourse

What is dyspareunia?

Dyspareunia means pain during intercourse. It can be caused by a variety of reasons such as local infection, hormonal changes with aging, or an allergy caused by the use of personal care products.

How is it caused?

• Tipped or retroverted uterus: Some women with a tipped uterus experience pain during intercourse. The penis may hit the cervix or uterus during sex causing pain. This condition is known as collision dyspareunia.
• Endometriosis: The endometrium, which is the tissue lining the uterus, may grow outside the uterus causing deep pain during sex.
• Infection: Bacterial or yeast infections may result in pain during intercourse.
• Vulvodynia:This is a condition in which the vulva becomes sensitive and tender to touch.
• Drugs: Common drugs used for allergy, high blood pressure or depression may affect the amount of vaginal lubrication, sexual arousal and desire. A dry vagina results in pain during intercourse.
• Physical problems: An abdominal surgery or a scar during delivery can cause a lot of pain during intercourse.
• Pelvic floor myalgia: Involuntary contractions of the pelvic muscles can result in difficult and uncomfortable sex.
• Emotional issues: Sometimes, past experiences such as sexual abuse or other psychological problems can be a cause of pain during sex

 How is it treated?

The treatment options may depend upon the results of the pelvic examination and other diagnostic tests. The various treatment options include: 

• A changed position in case of a tipped uterus, may allow the uterus to move away resulting in a more comfortable intercourse.
•  In case of infections medications may be given either orally or as vaginal pessaries.
•  If the problem is caused by insufficient lubrication of the vagina, a cream or jelly may be used to reduce the pain.
• Relaxation exercises may help regain control over vaginal muscles. This may help in reducing pain during sexual intercourse. 
• If the diagnostic tests determine that a tipped uterus or endometriosis may be responsible for the pain, surgery may be suggested.

( (Disclaimer: This content including advice provides generic information only. It is in no way a substitute for qualified medical opinion. Always consult a specialist or your own doctor for more information. Blogger does not claim responsibility for this information.)