Injury, trauma or irritation. Print Overview Painful intercourse can occur for reasons that range from structural problems to psychological concerns. It can be difficult to tell whether emotional factors are associated with dyspareunia. Emotional factors Emotions are deeply intertwined with sexual activity, so they might play a role in sexual pain. History of sexual abuse. It might be worse in certain positions.
Symptoms If you have painful intercourse, you might feel: Print Overview Painful intercourse can occur for reasons that range from structural problems to psychological concerns. It can be difficult to tell whether emotional factors are associated with dyspareunia. Not every woman with dyspareunia has a history of sexual abuse, but if you have been abused, it can play a role. It might be worse in certain positions. History of sexual abuse. Many women have painful intercourse at some point in their lives. 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. These include antidepressants, high blood pressure medications, sedatives, antihistamines and certain birth control pills. These involuntary spasms of the muscles of the vaginal wall can make penetration painful. Emotional factors Emotions are deeply intertwined with sexual activity, so they might play a role in sexual pain. Treating the problem can help your sex life, your emotional intimacy and your self-image. Deep pain Deep pain usually occurs with deep penetration. Scarring from pelvic surgery, including hysterectomy, can cause painful intercourse. Injury, trauma or irritation. 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. Certain illnesses and conditions. Surgeries or medical treatments. Initial pain can lead to fear of recurring pain, making it difficult to relax, which can lead to more pain. This can contribute to pain during intercourse. Eczema or other skin problems in your genital area also can be the problem. Talk to your doctor if you're having painful intercourse. 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. 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. A drop in estrogen levels after menopause or childbirth or during breast-feeding also can be a cause. Certain medications are known to affect sexual desire or arousal, which can decrease lubrication and make sex painful. 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.
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Pregnant Woman Pain During Childbirth
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