A degree of intimacy is also part and parcel of well-being for many, even though it often brings discomfort or pain to them. Dyspareunia, or painful intercourse, happens to many females when it disrupts not only their physical intimacy but also their emotions. Understanding why it happens and recognizing the signs are important towards finding effective dyspareunia treatment and overcoming this hurdle.
Dyspareunia is the term for chronic or recurrent pain that occurs during sexual intercourse. The condition may present in both sexes, though it is more frequently reported by females. Pain might be located at the vaginal entrance, inside the pelvis, or all over the pelvic area.
• Infections: For example, a urinary tract infection, yeast infection, or sexually transmitted infection may cause pain with sexual activity.
• Vaginal Dryness: Typically associated with hormonal imbalances at menopause, after breastfeeding, or with specific medication.
• Pelvic Floor Dysfunction: Overactive or weak muscles in the pelvic floor contribute to pain upon penetration.
• Endometriosis: A disorder characterized by tissue growing outside the uterus, resulting in pain in the pelvis
• Anxiety or Stress: Psychiatric illness results in a condition of increased tension in muscles and failure to relax when intimate.
• Trauma: Psychological barriers to pain-free intercourse may result from a history of sexual abuse or trauma.
• Fibroids, ovarian cysts, or other pelvic abnormalities can cause pain.
• Previous surgeries or childbirth-related injuries can also cause discomfort.
• Pain at the vaginal opening, pelvis, or abdomen during or after coitus.
• Burning, throbbing, or stinging.
• Fear or avoidance of sexual relations because of pain.
• Tightness or spasm in the pelvic floor muscles.
Fortunately, there are dyspareunia treatments, and many people can find relief from the condition when treated appropriately.
• Lubricants and Moisturizers: There are over-the-counter products to treat vaginal dryness, thereby reducing friction and discomfort.
• Hormonal Therapies: Estrogen creams or pills are prescribed to patients who have hormonal imbalances.
• Medication: If the infection or other medical conditions are the cause of pain, antibiotics or other treatments will be prescribed.
Pelvic floor physiotherapy is the core treatment of dyspareunia. A skillful physiotherapist would diagnose and treat pelvic floor dysfunction through the following steps:
• Relaxation of muscles in the pelvic floor.
• Reducing muscle tension using manual therapy.
• Biofeedback to improve patient awareness and control of the muscles in the pelvic floor.
Therapy under a counsellor or sex therapist can help manage psychological issues leading to dyspareunia. The individual will find benefit in having CBT or trauma-focused therapy.
• Practice Kegels regularly to strengthen and relax the muscles in the pelvic floor.
• Eat healthy, hydrate to improve general vaginal and pelvic health.
• Avoid using irritating products such as soaps that can cause irritation and dryness or douches.
It may not be possible to prevent dyspareunia; however, few of the preventive measures can decrease its occurrence.
• Practice open communication with your partner about intimacy and any discomfort.
• Prioritize foreplay to enhance natural lubrication and relaxation.
• Seek medical advice at the first signs of discomfort to prevent worsening symptoms.
Persistent pain during intercourse should never be ignored. Consulting a healthcare professional specializing in pelvic health is vital for obtaining an accurate diagnosis and tailored treatment plan.
Understanding and addressing the issue of dyspareunia can help one reclaim comfort and intimacy. Whether pain is due to physical or psychological causes, dyspareunia treatment options range from pelvic floor physiotherapy to medical interventions and emotional support.
Painful intercourse can be challenging, so consult an expert if you have the condition. Countless people suffering from conditions like dyspareunia have found comfort and personal attention with the expertise of Dr. Leena Daware in pelvic rehabilitation. Check out Dr. Leena's website for how she can help you get your confidence and well-being back on track.
