Entry pain Pain during penetration might be associated with a range of factors, including: Talk to your doctor if you're having painful intercourse. Your pelvic floor muscles tend to tighten in response to stress in your life. Not every woman with dyspareunia has a history of sexual abuse, but if you have been abused, it can play a role. Symptoms If you have painful intercourse, you might feel: Treating the problem can help your sex life, your emotional intimacy and your self-image. Initial pain can lead to fear of recurring pain, making it difficult to relax, which can lead to more pain. 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.
It might be worse in certain positions. History of sexual abuse. Many women have painful intercourse at some point in their lives. 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. These include antidepressants, high blood pressure medications, sedatives, antihistamines and certain birth control pills. An infection in your genital area or urinary tract can cause painful intercourse. Symptoms If you have painful intercourse, you might feel: This is often the result of not enough foreplay. Injury, trauma or irritation. Print Overview Painful intercourse can occur for reasons that range from structural problems to psychological concerns. The list includes endometriosis, pelvic inflammatory disease, uterine prolapse, retroverted uterus, uterine fibroids, cystitis, irritable bowel syndrome, hemorrhoids and ovarian cysts. Entry pain Pain during penetration might be associated with a range of factors, including: Initial pain can lead to fear of recurring pain, making it difficult to relax, which can lead to more pain. These involuntary spasms of the muscles of the vaginal wall can make penetration painful. It can be difficult to tell whether emotional factors are associated with dyspareunia. Deep pain Deep pain usually occurs with deep penetration. Eczema or other skin problems in your genital area also can be the problem. Treating the problem can help your sex life, your emotional intimacy and your self-image. Treatments focus on the cause, and can help eliminate or lessen this common problem. 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. A drop in estrogen levels after menopause or childbirth or during breast-feeding also can be a cause. 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. Not every woman with dyspareunia has a history of sexual abuse, but if you have been abused, it can play a role. This includes injury or irritation from an accident, pelvic surgery, female circumcision or a cut made during childbirth to enlarge the birth canal episiotomy. Request an Appointment at Mayo Clinic Causes Physical causes of painful intercourse differ, depending on whether the pain occurs at entry or with deep thrusting. 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. You might start avoiding sexual intercourse if you associate it with the pain.
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