What is dyspareunia? What do you know about the causes of painful intercourse?

Dyspareunia A medical term for pain during sex (or painful intercourse) and means feeling pain during penetration or before or after it. Many women face this problem at some point in their lives. Painful intercourse is caused by various reasons, from structural problems of the body to physiological problems.

Pain caused by dyspareunia (painful intercourse) may be described in different ways: burning, severe pain or throbbing pain in the vagina. If you have these symptoms, you should know that you are not alone. About half of menopausal women experience symptoms related to vaginal atrophy, including painful intercourse.

Dysparony or painful intercourse causes the following symptoms:

  • Pain only during penetration during intercourse
  • Pain when inserting any object into the vagina, even something like a tampon
  • Feeling sore after sex you recently had, but it wasn’t painful.
  • Burning sensation in the vagina
  • Feeling of throbbing pain in the vagina that lasts for hours after intercourse.

Causes of dyspareunia or painful intercourse

Physical reasons Painful intercourse, are very different and numerous. Determining the cause of painful intercourse depends on whether the pain is felt only during penetration during sex, or whether the pain is felt when any object is inserted into the vagina (even a tampon). In many cases, emotional factors are also involved in painful intercourse.

Pain during penetration (painful penetration)

Pain during penetration may be caused by various factors, including:

Not moistening the vagina enough:

Vagina not being wet may be because the person is not stimulated enough before penetration. But not being wet in the vagina may also be due to a decrease in estrogen secretion. A decrease in estrogen secretion may be caused by the following factors:

  • Breastfeeding the baby
  • Surgical removal of the ovaries
  • Chemotherapy to treat cancer
  • After hormone therapy to treat breast cancer
  • After radiation therapy in the pelvic area to treat cancer
  • Menopause (most common reason)

Physical injury or trauma to the vagina:

Physical trauma or inflammation may be caused by a variety of factors, including: car accidents, pelvic surgery, female circumcision, and incisions made in the vagina during natural childbirth to widen the birth canal.

Inflammation, infection or skin diseases:

If the vaginal area or urinary tract gets infected, this problem leads to painful sexual intercourse. Eczema or other inflammatory skin diseases also cause pain during intercourse.

Vaginal contraction:

Vaginal contraction, which means cramping and spasm of the muscles and internal tissue of the vagina, can cause severe pain during penetration during sex.

Congenital disorders:

Many genetic and congenital disorders can cause painful intercourse. Some of these disorders include the incomplete formation of vaginal tissue and the formation of mucous tissue that blocks the entrance to the vagina.

Severe and deep pain

Intense and deep pain in the vagina is usually felt when the penis fully penetrates the vagina, and this pain is usually felt more in certain positions during sex. The reasons for this pain are:

Some special diseases:

These diseases include pelvic inflammation, uterine prolapse, uterine deviation, uterine fibrosis, irritable bowel syndrome, hemorrhoids, and ovarian cysts.

Performing surgery and some medical treatments:

Ulcers caused by pelvic surgeries, such as hystectomy surgery, can sometimes cause painful intercourse and intimacy. Perform medical treatments for cancer Like chemotherapy and radiation therapy, they cause changes in the body that lead to painful intercourse.

Emotional factors

Emotions and mental factors play a very decisive role in The quality of sex and may be effective in the problem of painful intimacy. Mental and emotional factors include:

Physiological problems:

Depression or a person’s concern about his appearance and body, fear of getting close to the other party and problems in the relationship between the parties. These factors can cause a person to not be stimulated enough during sex, and as a result, penetration is painful and uncomfortable.


Being stressed during sex causes painful penetration because stress causes pelvic floor muscles to contract.

Having a history of sexual assault:

Of course, many women who have a problem with painful sexual intercourse have not had a history of rape in the past, but if someone has faced this problem in the past, this factor will affect the feeling of pain during intercourse. Sometimes saying that The cause of pain during sex is due to physical problems or emotional problems, it is very difficult. It is possible that the pain that a person feels at the beginning causes his fear and anxiety and this factor causes more pain.

In many cases, when people feel any pain in their body, they refrain from doing what caused this pain. But in this case, this is not a good solution.

Ways and methods of treating painful intercourse

The hormone therapy method can improve the symptoms of vaginal dryness and pain during intercourse by increasing the level of estrogen. Short-term use of hormones carries few risks, but research has shown that long-term use of hormones (more than 5 years) leads to the risk of breast cancer. Some alternative methods of hormone therapy include: using moisturizing gels vagina, use of contraceptive pills,

Testosterone consumption.

Despite the mentioned treatments, vaginal laser is a safe and effective method to treat vaginal dryness and pain during intercourse. Vaginal laser is a safe alternative for those who have already done chemotherapy or radiation therapy and cannot use hormone therapy methods. It has been proven that the vaginal laser method is much more effective than hormone therapy methods.

What is vaginal laser and how does it work?

The vaginal laser method is a completely non-invasive and non-surgical method that does not require anesthesia. Due to the non-invasive performance and mild effect of the laser on the vaginal wall, this procedure can be performed on an outpatient basis. In addition to being economical, this method also has significant effects. During the treatment session, the probe of the vaginal laser device is inserted into the vagina, and by irradiating the laser rays, the underlying layers of the vaginal wall are heated, and this increases blood flow and stimulates collagen production in these tissues, and thus begins the process of vaginal reconstruction. Patients can return to their daily activities immediately after a treatment session. After some time, with the completion of the vaginal reconstruction process, the vagina will gradually return to its normal state and the vaginal environment will be moist without the need for gel or hormone use.

To achieve ideal results, it is necessary to perform three treatment sessions, but patients will see significant changes even after the first treatment session. Each treatment session lasts only about 5 minutes. The interval between treatment sessions should be about six weeks, and it is enough to return for subsequent checkups only once a year. Of course, the mentioned schedule is approximate and this schedule is different for each patient according to his condition and the severity of vaginal atrophy.

Source: Shafa online

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