Dyspareunia

Dyspareunia is painful sexual intercourse, due to medical or psychological causes. The term is used almost exclusively in women, although the problem can also occur in men. The causes are often reversible, even when long-standing, but self-perpetuating pain is a factor after the original cause has been removed

When pain occurs, the woman experiencing dyspareunia may be distracted from feeling pleasure and excitement. Both vaginal lubrication and vaginal dilation decrease. When the vagina is dry and undilated, thrusting of the phallus is painful

What are some of the causes of dyspareunia?

Any part of the genitals can cause pain during sex. Some conditions affect the skin around the vagina. The pain from these conditions is usually felt when a tampon or penis is inserted into the vagina, but pain can also occur even when sitting or wearing pants. Inflammation or infection may be the cause (such as a yeast infection

We know that the mind and the body work together. This is also seen with sexual problems. Often the problem that first caused the pain may go away, but you have learned to expect the pain. This can lead to further problems because you may be tense during sex or you may be unable to become aroused. The problem can then become a cycle and you are caught in the middle.

Negative attitudes about sex, misinformation about sex and misinformation about the functions of the woman's body are often associated with some types of pain. Is painful sex all in your head? No! But it is important to discuss feelings and difficulties with your partner and your doctor.

How can my doctor tell what is causing my pain?

Your doctor may ask you to describe your pain, where it is located and when it began. He or she may also ask you to describe what you have tried in the past. For example, have you tried a sexual lubricant or more foreplay? Is it painful every time you try to have sex? Are there other problems associated with sex? These are some of the questions that your doctor will need to discuss with you. Your doctor may want to examine your genital area or give you a pelvic exam