PAINFUL INTERCOURSE
PROCEDURES AND EFFECTIVENESS
What is painful intercourse?
Pain that is constant or recurrent right before, during, or after sex is known as painful intercourse or pain during sex. The genital area is the source of the pain. In the vulvar region, women may experience discomfort externally at the vaginal opening or in the labia, or the lips of the vagina. Some have internal pain, such as in the lower abdomen, uterus, or cervix.
It’s a prevalent ailment with potentially detrimental psychological and emotional impacts. Couples may endure emotional stress or a loss of closeness in addition to the physical suffering.
Based on your symptoms and the underlying cause of your pain, your healthcare practitioner can advise on the best course of action.
Who is most likely to have painful intercourse?
In women, sex-related pain is more common. It can afflict people of all ages, both men and women, with male painful intercourse and female painful intercourse. Although physical or medical ailments are frequently the cause of the pain, psychological issues can also play a role.
How common is painful intercourse?
One of the more prevalent gynecologic issues that medical professionals treat is pain during intercourse. 10% to 20% of Americans will at some point in their lives experience it.
Are there different types of painful intercourse?
The kind of unpleasant sexual experience you are having can be inferred from the location of the pain:
Entry pain (intraorbital or superficial painful intercourse): During the first penetration, this discomfort is experienced at the vaginal opening. Infection, damage, and inadequate lubrication are some of the variables linked to entrance pain.
Deep pain (collision painful intercourse): This is a deep penetrate on type of pain that might get worse in specific sexual positions. This discomfort will be felt in the lower abdomen or cervix. Sexual pain that is deeper in most cases is caused by a medical issue or previous surgery.
Pain during intercourse can also be described as primary, secondary, complete or situational:
- Primary pain is pain you’ve had since becoming sexually active.
- Secondary pain develops after experiencing pain-free sex.
- Complete pain means you feel pain every time you have sex.
- Situational pain is when the pain only happens at certain times.
What causes painful intercourse?
In a lot of situations, inadequate vaginal lubrication might cause pain during sexual activity. In certain situations, using a sexual lubricant, relaxing more, or increasing foreplay can all help to relieve the pain.
Sometimes, having sex can be painful if one of the following circumstances is true:
Vaginal atrophy: The lining of the vagina may become dry, thin, and inflammatory, losing its natural moisture and thickness. Medication, menopause, or other hormonal changes may be the cause of this.
Vaginismus: The vaginal muscles spasm due to fear of injury or past damage.
Vaginal infections: Yeast infections are among these prevalent conditions.
Problems with the cervix (opening to the uterus):
The maximal penetration of the penis is into the cervix. Consequently, pain during deep penetration may result from cervix-related issues (such as infections).
Problems with the uterus: These could include fibroids, which can hurt deeply during sexual activity.
Pelvic inflammatory disease: The pressure of sexual contact produces severe inside tissue inflammation and agony.
Ectopic pregnancy: A pregnancy in which a fertilized egg develops outside of the uterus.
Sexually transmitted infections (STIs): These could be herpes sores, genital warts, or other STIs.
Vulvodynia: produces recurrent pain in the vulvar region.
Injury to the vulva or vagina: These wounds could be from a rip sustained during childbirth or from a cut (episiotomy) performed in the perineum, the region of skin between the vagina and the anus, during labour.
Psychological issues: Low self-esteem, anxiety, and depression can all inhibit sexual arousal. It may also make you more uncomfortable during sexual activity if you have experienced sexual abuse.
Foreskin damage: Pain can arise from rubbing or tearing damage to the foreskin, which is the skin covering the head of the penis.
Sexually transmitted infections (STIs): Sex can be uncomfortable if you have yeast infections, infections under your skin, or frequent sexually transmitted infections like gonorrhoea or genital herpes.
Penis deformities: Penis abnormalities such as Peyronie’s disease can make sexual contact uncomfortable.
Painful erections: A condition such as priapism can lead to persistent, painful erections.
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How is painful intercourse treated?
Medical intervention is not necessary for certain treatments of sexual pain. For instance, wait at least six weeks following childbirth before trying sexual activity if it hurts during pregnancy. Remember to be patient and compassionate with yourself. Try using water-based lubricants if your vagina is dry or lacking lubrication.
Sexual therapy may be beneficial for cases of sexual pain for which there is no underlying medical reason. Some people could have issues with forgiveness, sexual struggle inside themselves, or memories of prior abuse.
How can you treat painful intercourse naturally?
When dryness is the primary problem, some women find that using a water-based lubricant to their labia, vulva, and vagina is helpful. When having sex, those who experience pain frequently quit using scented toilet paper, sanitary pads, bubble baths, and vaginal scents.
How do I manage symptoms of intercourse?
There are some things you can do on your own to manage the pain you feel during or after sex:
- Use a water- or silicone-based lubricant to help with vaginal dryness.
- Try sexual activities or positions that do not cause pain.
- Take over-the-counter pain reliever before sex.
- Find time to relax and de-stress before having sex.
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