Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
154 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction
Article Home Women's Health Pain during intercourse

Pain during intercourse

Publisher
12837 Views
It is also called as dyspareunia


Dyspareunia is painful sexual intercourse. It can be due to medical or psychosexual problem. It is any pain experienced any time before, during or following sexual intercourse. The pain can be felt in the genitals or in the pelvis. It is quite normal for women occasionally to have pain during intercourse. This is not true Dyspareunia. A woman who has Dyspareunia often also have vaginismus which is involuntary tightening of the vaginal muscles in response to penetration which can make the intercourse painful or impossible.


Symptoms

  • Pain with every penetration, even while putting in a tampon.
  • Pain with certain partners or just under certain circumstances.
  • New pain after previously pain free intercourse.
  • Superficial entry pain.
  • Deep pain during thrusting, which is often described as something being bumped.
  • Burning or aching pain.

Causes of entry pain

  • Inadequate lubrication: It is often occur due to inadequate foreplay. Inadequate lubrication is commonly caused by a drop in estrogen levels after menopause, after child birth or during breast feeding. Certain medications decrease lubrication like antidepressants, high blood pressure medications, antihistamines, certain birth control pills.
  • Injury, trauma or irritation: Either due to accident, pelvic surgery, female circumcision, episiotomy etc.
  • Inflammation, infection or skin disorder like genital tract infection, urinary tract infection. Eczema of genital area.
  • Reactions to birth control products.
  • Vaginismus.
  • Vestibulitis: It occurs die to stinging or burning around the opening of your vagina.

Causes of deep pain

  • Deep pain occurs with deep penetration and may be more pronounced with certain positions.
  • Certain illness and conditions like endometriosis, pelvic inflammatory diseases, fibroids etc.
  • Infections of cervix, uterus, fallopian tubes.
  • Surgeries: scar from surgeries that involve pelvic area, hysterectomy (removal of uterus) It can also occur with radiation and chemotherapy.
  • Emotional factors: like as in case on anxiety, depression, concerns about physical appearance, relationship problems tress, history of sexual abuse.

Test and diagnosis

  • Medical history.
  • Pelvic examination.
  • Ultrasound.

Treatment

  • Hygienic habits: Avoid scented bath products which can irritate genital area.
  • Sexual techniques and counseling include switching the positions during intercourse, not rushing to the main event, long foreplay, communication with the partner about what feels good.
  • Use lubricants.
  • Estrogen therapy.
  • Treating the underlying cause.
  • Desensitization therapy: By practicing vaginal relaxation exercises to reduce pain.
  • Counseling.
  • Sex therapy.

Related questions you may be interested in

doctor1 MD

I am newly married, i am not able to do the intercourse since she finds it painful

doctor1 MD

My question is of kinda embrassing....When ever my husband and I are having intercourse I have mild pain in the lower part of my stomach as soon as...

doctor1 MD

hi, i am a 26 year old female and every since giving birth exactly a year ago, i have been experiencing pain everytime me and my partner have sex....

doctor1 MD

My wife is pregnant. This is the 4th month continuing. As advised by gyanecologist I avoided sex for first 3 months. After 3 months we resumed sex....

doctor1 MD

Hi there, I am female, 57 years old and I went to many doctors and no one is helping me. They all say is old age and is nothing wrong. Every time I...

doctor1 MD

Hello Doctor , I got married on 29th June 2010, got a baby girl on 1st april 2011. My wife is unable to enjoy sex, she gets excited when i touch/...

doctor1 MD

Hello doc my name is palesa me and my fiance we have been trying for a baby its been long its about 1 year ND 4 months I had my period this month...

doctor1 MD

Hello im a 15 yr old and when i have sex it actually hurts now. After 4 months of having sex fine i started to hurt. i have usually had sex with...

doctor1 MD

Yes, I had a hysterectomy about a year ago. Intercourse is difficult and painful. It feels like after insertion of the penis it only goes so far...

doctor1 MD

hello, recently i have been having this really bad stomach pain BUT it only happen when i had intercourse. I could barely move for about 20...