Dyspareunia is a medical term for painful sexual intercourse. The pain can occur during penetration or in the process of having sexual intercourse. It is quite common and occurs frequently in new, virginal brides. The pain can also occur during deep thrusting when the man’s penis hits against the cervical wall. There are several physical, psychological and emotional factors that can lead to dyspareunia. Here are some of them.
Causes Of Dyspareunia
Most women experience pain during entry. There are several reasons behind this.
Lack of arousal or insufficient lubrication is perhaps the number one reason behind painful intercourse. If the man is well endowed, he may not be able to enter the woman at all especially if she has not been fully aroused. Most men lack the patience and skill to sufficiently arouse a woman which leads to painful sexual intercourse for the woman.
Insufficient lubrication also happens due to pregnancy or menopause when hormones cause excessive vaginal dryness. Going on hormonal replacement therapy especially during menopause helps in some cases. There are some drugs too that can decrease lubrication.
Injuries And Trauma
If the woman has undergone significant vaginal trauma due to rape, injury or circumcision this can affect her ability to have successful and pleasurable intercourse. Pelvic surgery and episiotomy can further restrict or narrow the vaginal opening causing pain. Most women frequently suffer from painful intercourse especially after child birth. This of course remedies itself after some time.
Infections like a candida, yeast or urinary tract infection can lead to loss of desire, inadequate lubrication and in turn painful intercourse. Honeymoon cystitis or urinary infections that occur in the honeymoon period are frequently responsible for causing pain during sexual intercourse. Eczema or skin infections can also lead to dyspareunia.
One of the psychological factors behind painful intercourse is vaginismus. This is a condition in which the vagina gets involuntary spasms and the vaginal wall constricts which makes penile entry practically impossible. This can be easily dealt with psychological therapy and the use of vaginal dilators.
Some women have an unusually tight hymen which causes intense pain. This can be remedied through a surgical procedure called as a hymenectomy in which parts of the hymen are surgically cut or removed to facilitate easier intercourse.
At times the man is able to penetrate easily but the woman experiences pain as soon as the man thrusts deep into her vagina.
Certain diseases like endometriosis, pelvic inflammatory disease, uterine prolapse, fibroids and vaginal cysts can make deep intercourse very painful. This is also common after a woman has had a c-section.
Surgeries done to the vaginal wall or a hysterectomy can make sexual intercourse very painful. Cancer too can lead to a loss of libido, lack of lubrication and painful sexual intercourse. In most cases dypareunia is not a serious problem. It can be cured with therapy, skilled foreplay and sensitivity on part of the man. With time the woman becomes more comfortable with the idea of sex and experiences pleasurable intercourse.