Caresses, kisses, words spoken in privacy ... these moments that are the prelude to a pleasant act, for a part of the female population are not and can become a real torment.
One of the reasons that this happens is dyspareunia, a disorder that causes pain associated with intercourse, therefore women with this difficulty not only do not enjoy this part of sexual relations, but they live them with discomfort and displeasure and can cause you to even be afraid to keep them.
Dypareunia is kind of sexual dysfunction which turns sex into a nightmare. Dyspareunia is often difficult to diagnose.
WHAT IS DYSPAREUNIA?
Dyspareunia, also called coitalgia, is the demonization that occurs in pain that occurs during intercourse, which occurs more frequently in women than in men. In addition to pain, the symptoms can also be extended to the stinging, burning or itching sensation.
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WHAT CAUSES DYSPAREUNIA?
Very often it is associated with the following
- vaginismus, although it can also occur during the puerperium in the event of an episiotomy.
- Also pelvic diseases such as endometriosis, pelvic inflammatory disease, anovulation or hyperprolactinemia, among many others.
- Other causes are urogenital infections or the use of soap for vaginal washing or contact with spermicidal agents.
- vaginal infection,
- lack of lubrication due to menopause,
- tight vaginal muscle due to stress,
- Skin disorders or irritation
- Injury to the vagina
- A history of previous operations that leave scarring can cause pain
However, we must not forget the psychological causes: the lack of excitement during penetration, especially when it occurs without preparation (prelude), having received a bad sexual education, having anxiety or emotional problems or having lived through traumatic experiences.
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HOW DO I KNOW I HAVE DYSPAREUNIA?
Just as the name signifies, having pain during sex shows you have this problem. Other symptoms are;
- The pain may be distinct and localized, or there may be a broader sense of discomfort.
- There be an aching, burning, throbbing, or ripping sensation.
- Dissatisfaction with, or disinterest in, intercourse can result.
- Pain when inserting tampons
DIAGNOSIS
Pelvic examination
During a pelvic examination, a doctor checks for signs of infection or structural abnormalities.
- Speculum; this is used by inserting the instrument into the vagina to enable a visual examination.
- Telling the doctor when and where the pain occurs during the examination may help identify the cause.
- The doctor may also gently press on the genitals and pelvic muscles to determine the location of the pain.
- A pelvic ultrasound may help detect structural abnormalities, endometriosis, fibroids, or cysts.
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HOW CAN I Prevent pain DURING SEX?
Can dyspareunia really be totally prevented?
It would be risky to affirm it categorically, but what you can do is follow a series of recommendations that can help avoid it.
- It is almost obvious to emphasize that you must use safe sexual practices to avoid contracting a sexually transmitted disease that can cause pain or irritation.
- In some cases, dyspareunia is due to an excessive fear of becoming pregnant: in this case, you should always use very reliable contraceptive methods, to reduce anxiety and facilitate relaxation.
Did you know?
Dyspareunia is infrequent and punctual in men, and its main causes include inflammation and infections of the glans (balanoposthysis) and the prostate (prostatitis).
HOW TO TREAT DYSPAREUNIA
- Antibiotics, antifungal drugs, and topical corticosteroids or injections given to treat infections that occur.
- If caused by vaginal dryness, alternative treatments can help lubricate the vagina naturally.
- Tablets, creams, or flexible rings can also give a small, regular dose of estrogen to the vagina.
- The drug ospemifene can be used to reduce pain in women during intercourse.
- Laser treatment
HOME CARE TREATMENT
- Empty the bladder just before intercourse.
- Ice compresses on the vulva (pubic lips) to treat burning after sexual intercourse.
- Use water-soluble lubricants during sexual intercourse.
- Take a shower using warm water before intercourse.
Alternative therapies such as sex therapy that are made to learn vaginal relaxation techniques also help to reduce pain, learning to rebuild intimacy and communication with a partner is necessary.
WHEN TO CONSULT YOUR DOCTOR?
Consult your doctor if you feel recurring pain during intercourse. Doctors can help restore normal sexual activity, help revive emotional intimacy, and self-image.
What needs to be prepared before consulting a doctor?
Before consulting, make your symptoms first, medical information, personal information, medicines consumed, and questions that will be asked to the doctor, such as:
- Can labor cause pain?
- Can tampons be used if used too often can cause pain?
- What causes symptoms?
- What treatments can be done?
- What kind of lifestyle changes can improve the condition?
- Do you have print media recommendations?
What will the doctor do at the time of consultation
The examining doctor will usually ask several questions, including:
- What symptoms do you experience?
- How is your relationship with your partner?
- How long have you been in pain during sex?
- In which areas do you feel pain?
- Does pain occur only during intercourse?
- Are there non-sexual activities that cause pain?
- Do you experience vaginal irritation or itching?
- How badly do symptoms affect your life
Advice for dyspareunia
The main recommendation in case of suffering dyspareunia is to consult a doctor if the causes are physical or a psychologist or sexologist if they are due to emotional or psychological problems. They will assess the situation and decide what is the most appropriate treatment depending on the origin of the problem.
The way of approaching sexual intercourse is also important:
- Take the time for foreplay to achieve excitement and achieve adequate lubrication to facilitate penetration.
- Some sexual positions are more favorable when it comes to controlling penetration, such as the woman standing on top of the man or having him perform intercourse from behind or laterally.
- Avoid deep penetration.
- Use lubricants, especially if the woman suffers from vaginal dryness.
- That the woman learns to contract and dilate the vaginal and pelvic floor muscles at will.
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