Painful Fucking

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Kingsberg S, et al. Approach to the woman with sexual pain. https://www.uptodate.com/contents/search. Accessed Oct. 29, 2019.
Frequently asked questions. Gynecologic problems FAQ020. When sex is painful. American College of Obstetricians and Gynecologists. https://www.acog.org/Patients/FAQs/When-Sex-Is-Painful. Accessed Oct. 29, 2019.
Dyspareunia. Merck Manual Professional Version. https://www.merckmanuals.com/professional/gynecology-and-obstetrics/sexual-dysfunction-in-women/dyspareunia?qt=dyspareunia&alt=sh. Accessed Oct. 29, 2019.
Barbieri R. Differential diagnosis of sexual pain in women. https://www.uptodate.com/contents/search. Accessed Oct. 29, 2019.
Kellerman RD, et al. Female sexual dysfunction. In: Conn's Current Therapy 2019. Elsevier; 2019. https://www.clinicalkey.com. Accessed Oct. 29, 2019.
Faubion SS, et al. Genitourinary syndrome of menopause: Management strategies for the clinician. Mayo Clinic Proceedings. 2017; doi:10.1016/j.mayocp.2017.08.019.
Ospemifene oral. Facts & Comparisons eAnswers. http://fco.factsandcomparisons.com/lco/action/search?q=Ospemifene%20oral&t=name&va=Ospemifene%20oral. Accessed Oct. 29, 2019.
Sauer U, et al. Efficacy of intravaginal dehydroepiandrosterone (DHEA) for symptomatic women in the peri- or postmenopausal phase. Maturitas. 2018; doi:10.1016/j.maturitas.2018.07.016.

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Painful intercourse can occur for reasons that range from structural problems to psychological concerns. Many women have painful intercourse at some point in their lives.
The medical term for painful intercourse is dyspareunia (dis-puh-ROO-nee-uh), defined as persistent or recurrent genital pain that occurs just before, during or after sex. Talk to your doctor if you're having painful intercourse. Treatments focus on the cause, and can help eliminate or lessen this common problem.
If you have painful intercourse, you might feel:
If you have recurrent pain during sex, talk to your health care provider. Treating the problem can help your sex life, your emotional intimacy and your self-image.
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Physical causes of painful intercourse differ, depending on whether the pain occurs at entry or with deep thrusting. Emotional factors might be associated with many types of painful intercourse.
Pain during penetration might be associated with a range of factors, including:
Not enough lubrication. This is often the result of not enough foreplay. A drop in estrogen levels after menopause or childbirth or during breast-feeding also can be a cause.
Certain medications are known to affect sexual desire or arousal, which can decrease lubrication and make sex painful. These include antidepressants, high blood pressure medications, sedatives, antihistamines and certain birth control pills.
Deep pain usually occurs with deep penetration. It might be worse in certain positions. Causes include:
Emotions are deeply intertwined with sexual activity, so they might play a role in sexual pain. Emotional factors include:
It can be difficult to tell whether emotional factors are associated with dyspareunia. Initial pain can lead to fear of recurring pain, making it difficult to relax, which can lead to more pain. You might start avoiding sex if you associate it with the pain.
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