Painful Penetration
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Painful Penetration
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Medically Reviewed by Traci C. Johnson, MD on September 06, 2021
Treatment of pain during intercourse depends on the cause.
Applying lubricating gels to the outer sexual organs, including the vulva and labia, and in the vagina, may be helpful to women and ease pain during intercourse. Intercourse position changes may also help." Sex toys, such as vibrators, may also be useful. A woman should talk with her healthcare provider before attempting to use a vaginal dilator.
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Medical Author:
John G McManus Jr, MD
Coauthor:
Richard D Warren, MD
Medical Editor:
Melissa Conrad Stöppler, MD
What to Know About Painful Intercourse (Sex)
What Are the Symptoms of Pain During Sex?
When to Seek Medical Care for Pain During Sex
How Is the Cause of Pain During Sex Diagnosed?
What Natural or Home Remedies Help Relieve Pain During Sex?
What Medical Treatments Are Available for Painful Intercourse?
Which Specialties of Doctors Treat Painful Intercourse?
Is It Possible to Prevent Painful Sexual Intercourse?
What Is the Outlook for a Person Suffering From Painful Sexual Intercourse?
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Bachmann, and Richard J. Santen. "Patient Education: Vaginal Dryness (Beyond the Basics)." UpToDate.com. Oct. 24, 2018. .
Heim, Lori J. "Evaluation and Differential Diagnosis of Dyspareunia." American Family Physician 63.8 (2001): 1535-1545.
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Painful intercourse or painful sex can be experienced as pelvic pain , vaginal pain, or pain in the labial or vulvar areas during sex. Pain may be experienced as deep pain, sharp pain, or a burning sensation.
Pain during intercourse is one of the most common causes of problems of sexual dysfunction. The prevalence of such pain seems to be increasing over time. Possible reasons for this apparent increased prevalence include the following:
Symptoms of pain related to sexual intercourse can occur when entry is attempted or during and/or immediately following sexual intercourse.
Pain during intercourse may be described as primary or secondary; as complete or situational; and as superficial-entrance or deep thrust types.
A woman may perceive pain during intercourse even without any physical cause. Sexual pain without an apparent physical cause may have a psychological origin.
A woman should always consult a health care professional if she is experiencing new or worsening pain, bleeding , or discharge following intercourse.
Pain related to intercourse is a condition most appropriately checked by a primary health care professional or a women's health specialist (gynecologist). Other specialists, such as a psychiatrist, psychologist or a urologist, may also be consulted depending on the underlying cause.
Pain during intercourse is generally not an emergency. A woman should seek care in a hospital's emergency department if she experiences any of the following symptoms:
A healthcare professional should ask about a woman's history of pain during intercourse. A thorough history and an extensive physical examination often reveal the most probable cause of this pain.
Applying lubricating gels to the outer sexual organs, the vulva and labia, as well as using lubricating products in the vagina may be helpful to some women and ease pain during intercourse. Sex toys, such as vibrators or dildos, may also be useful. A woman should talk with her health care professional before attempting to use a vaginal dilator.
Treatment of pain during intercourse depends on the cause. Introital pain may be treated when the cause is identified.
With an adequate history, physical examination, and laboratory testing, the doctor should be able to pinpoint the cause of dyspareunia. This will allow for the development of a plan of action that will afford the best possibility of resolution of the pelvic pain syndrome.
A woman may need to see the following specialists:
In an attempt to prevent painful intercourse, a woman might avoid or discontinue use of the following:
The causes of pain during intercourse are often discoverable and responsive to treatment. For best results, a team approach is recommended involving all of the specialists listed above.
A number of pelvic disorders in women can cause painful sex (intercourse), and thus decrease
sexual satisfaction, for example:
Please share your experience with painful intercourse or sex.
What was the cause of your painful intercourse?
What treatments were effective in treating your painful intercourse or sex?
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