Groin Pain or Swelling

Painful Sex for Women

Important Details about Painful Sex for Women

Women of all ages may experience some degree of pain or discomfort prior to, during, or following sex. However, there are remedies out there, and you can ask for assistance. You should see your doctor to rule out any underlying problems if you find that having sex hurts a lot.

What is painful sex and what can cause it?

A pelvic pain experienced prior to, during, or following vaginal sex is referred to as dyspareunia. Physical or psychological issues might lead to painful sexual experiences. Excruciating sex might worsen due to psychological reasons (such as interpersonal issues, stress, and anxiety). There are two types of painful sex: deep pain and surface discomfort.
When your spouse thrusts you or when your fingers, penis, sex aid, or toy is completely inside of you, you can experience profound pain in your pelvic. The sensation of pain may be tearing, scorching, or aching.

Conditions like endometriosis, in which cells lining the uterus (womb) grow in other regions of the body, and adenomyosis, in which cells lining the uterus (womb) grow in the muscle around the uterus, are common causes of profound discomfort. Irritable bowel syndrome; fibroids; growths in the womb; ovarian cysts; fluid-filled sacs in the ovary; prolapsed uterus; when the womb falls down towards the vaginal entrance.

Other common causes of deep pain include urinary tract infections, chlamydia, gonorrhea, and pelvic inflammatory disease (PID), which is characterized by inflammation of the uterus, fallopian tubes, and ovaries; having a dry vagina; recent childbirth; ectopic pregnancy, in which the fetus grows outside of the womb; and previous pelvic surgery or radiation treatment.

When you experience discomfort before the penis, fingers, or sex toy have completely entered your vagina, it is known as superficial pain. For instance, at the opening rather than the interior of your vagina.
STIs like genital herpes or trichomoniasis, having a partner with a large penis, having an intact or thickened hymen, having a dry vagina (which often occurs around the time of menopause or after childbirth), not enough lubrication (this may be due to lack of arousal, hormone changes, or certain medicines), having an injury to part of your vagina, having a foreign body inside the vagina, and having an eczema or thrush are common causes of superficial pain.

The disorder known as vaginismus causes the muscles surrounding the vagina to automatically tense. Touching the genital area generally triggers it. This can happen when trying to put in a tampon, before or during a sexual encounter, or during a pelvic check-up.

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When should I see my doctor about painful sex?

If it hurts, you don’t have to have sex. See a physician with whom you feel at ease. Often, the issues that lead to uncomfortable sex can take time to resolve. It could hinder your healing if you continue to have sex even when it hurts. It’s crucial to consult your doctor to determine the reason of any uncomfortable sexual experiences you may have.

How is painful sex and its causes diagnosed?

Your physician will inquire about the nature and duration of your symptoms. They could enquire as to what causes the pain. Your past medical history and any additional symptoms you may have experienced may be questioned. Most likely, your doctor will perform a physical examination and may recommend certain tests. They might suggest that you get testing or treatment from a professional physician. You might also be sent to a psychologist, sex therapist, or pelvic floor expert, depending on the reason.

What treatments are there for painful sex?

The source of the pain will determine the best course of action. Advice on applying lubricant, engaging in prolonged foreplay, or altering sexual technique are examples of basic therapies. Consulting with a pelvic floor physiotherapist can be beneficial for certain ladies. For others, you can discuss potential contributory psychological disorders or relationship problems with a psychologist.

Any underlying medical problem that may be causing pain during sex will be recommended for treatment by your doctor. To address the underlying source of your discomfort, your doctor can recommend an ointment or prescription. They could advise switching to a different form of birth control. Consult your physician about the best course of action for you.

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