My Blog

Posts for tag: Painful sex

By Dr. Stephanie Lee
November 07, 2019
Category: OBGYN
Tags: Painful sex  

If you are experiencing regular pain during sex this can be a source of embarrassment and concern. Something that is enjoyable and a source of pleasure has become uncomfortable. Painful intercourse, also known as dyspareunia, has many causes and affects nearly all women at some point during their lifetime. While it may be a fleeting issue for some, for others this problem may become long term.

Causes of Painful Sex

If you suddenly experience pain during sex this could be a sign of a gynecological problem such as fibroids, endometriosis, or ovarian cysts. Other causes of painful sex include:

  • Hormonal fluctuations (e.g. perimenopause)
  • Vaginitis: inflammation of the vagina
  • Vaginismus: tightening of the muscles near the opening of the vagina
  • Skin conditions
  • Urinary tract infections
  • Vulvodynia: a pain disorder that affects the vulva

Pain can take on many different forms. Some women experience deep vaginal pain, while others may notice muscle spasms or cramping during or after sex. While painful sex may often be physical, when there are no physical problems it’s also important to consider that the problem may be psychological.

The goal of your gynecologist is to pinpoint what’s causing pain during intercourse as soon as possible so that a treatment plan can be created. During your checkup, your OBGYN will ask you questions about your symptoms, as well as medical history. From there, a physical examination and pelvic exam is performed to check for signs such as cysts or fibroids, which could be leading to pain. Depending on your sexual history and the symptoms you are experiencing, your doctor may also recommend getting STD testing to rule out any sexually transmitted infections.

Sometimes an ultrasound or other diagnostic testing is needed to further evaluate the reproductive organs to pinpoint problems. There are some simple measures you can take to try and alleviate pain during sexual intercourse. Some of these options include:

  • Taking a warm bath prior to sex
  • Using a lubricant
  • Talking with your partner
  • Applying an ice pack to the area if burning occurs after intercourse

The treatment that your gynecologist will recommend will depend on the cause of your pain. For example, a urinary tract infection can easily be treated with medication. If women experience pain as a result of the effects of menopause they may be given an estrogen vaginal cream to treat atrophy of the vaginal walls. Vaginal relaxation exercises and behavioral therapy may be recommended for certain conditions such as vaginismus, to reduce muscle contractions and tightening around the vagina.

If you are experiencing persistent pain during sex that is taking the enjoyment out of being intimate with your partner it’s important that you turn to an OBGYN who can help you figure out what’s going on and how to best treat it.

By Elite Women's Health
October 17, 2018
Category: OBGYN
Tags: OBGYN   Painful sex  

Dyspareunia is the technical term for pain during intercourse. It's not uncommon for women to experience painful sexual intercourse at some point in their lives. It may be a sign of a gynecologic problem, a problem with sexual response, or simply a lack of arousal. If you are experiencing pain during sex, work with your OB/GYN to determine the root cause and devise a treatment plan. Read on to learn about treatment options for painful sex.


Lifestyle Changes

Painful sex can be treated with lifestyle modifications. There are a few ways to try to alleviate pain during sexual intercourse such as trying a slower pace or using more lubricant. Using lubricants can help make the sex more comfortable; different brands can be tried until you find one that is well suited to your needs, and remember communication is important! Talk to each other about what feels good and what doesn't. If your partner is going too fast, then tell them so.


Medication

Treatment options vary depending on the cause of the dyspareunia. Changing medications known to cause lubrication problems might also relieve your pain. For some women, pain during sex is caused by a lack of lubrication resulting from low levels of estrogen. This can be treated with topical estrogen applied to the vagina. Another medication to relieve dyspareunia is prasterone, which is a capsule you place inside the vagina every day.


Laser Therapy

If you’re looking for a non-invasive way to address painful sex brought on by low estrogen levels, MonaLisa Touch laser therapy is a highly effective long-term solution. Laser therapy eliminates vaginal dryness and helps prevent further complications, including vaginal atrophy. In just three treatment sessions, MonaLisa Touch revitalizes the vaginal mucosa and activates the production of new collagen to help restore normal functional and pain-free sexual intimacy.


Counseling

Painful sex can lead to relationship problems. It may be worthwhile to speak to a counselor if this is the case. If trauma, sexual abuse, or other emotional issues are the root cause of the dyspareunia, counseling could very well help. Counseling can also help you cope with the emotional consequences of painful intercourse. Couples may attend counseling together if painful sex is leading to communication or intimacy issues.


Pelvic Exercises

Painful sex can be treated with desensitization therapy. Pelvic floor exercises and vaginal relaxation exercises may be used in this treatment method as they will strengthen your pelvic muscles and ease your pain during intercourse. Strong pelvic floor muscles can go a long way toward warding off urinary incontinence.

 

Call Today!

You don’t have to live with sexual pain. Find an OB/GYN in your area and schedule a consultation today. Get your life back on track by receiving the best dyspareunia treatment available. You deserve to live your best life!