Pain or discomfort in the labial, vaginal, or pelvic areas of a woman during or immediately after intercourse is known as dyspareunia....CONTINUE READING

Intimacy is supposed to be pleasurable and bring you and your spouse closer together. When intimacy becomes painful, however, you may find yourself trying anything to escape it.

While painful, intercourse can have a significant influence on your life and your connection with your spouse, it’s nothing to be ashamed of or agonize about. With the appropriate approach, this very frequent ailment — three out of four women suffer pain during intimacy at some point in their lives — can typically be remedied.

Women experience pain during intercourse for a variety of reasons, including physical disorders, gynecological ailments, and emotional ones.

Causes.

The following are some of the possible causes of pain during intimacy.

1. Intimately transmitted disease (STDs).

2. Pelvic floor muscle dysfunction, nerve damage, perineum trauma, and vaginismus

3. Menopause, due to the thinning and drying of their vaginal walls.

4. Vulvodynia: a condition in which chronic pain in the vulvar area occurs for no apparent reason. Women who have vulvodynia may endure pain during intimate activity.

When to see a doctor

If a woman experiences new or increasing discomfort, bleeding, or discharge after intercourse, she should always seek medical advice.

A primary health care provider or a women’s health expert should be consulted about the pain associated with intercourse (gynecologist). Depending on the underlying cause, other specialists such as a psychiatrist, psychologist, or urologist may be consulted.

In most cases, pain during intercourse is not a medical emergency. If a woman has any of the following symptoms, she should consult her doctor as soon as possible.

1. Severe pain or discomfort that is more intense during intimacy or immediately after it.

2. Bleeding after pain, especially if it is new or severe.

3. Nausea, vomiting, or rectal pain after intimate activity.

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To better understand both her anatomy and the site of her pain, a health care practitioner may conduct a thorough physical examination of the woman’s pelvis, abdomen, and lower back. The examination may also help the woman direct the doctor to the source of her suffering.

A rectal or rectovaginal exam should be included as part of this examination. A Pap smear, the collection of vaginal or cervical fluids for culture, a urine analysis (urinalysis), and other laboratory tests may be included in the exam.

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