This is a common condition. These spasms may be due to several factors, including painful intromission, previous painful sexual experiences, prior sexual abuse, or an unresolved conflict regarding sexuality. In cases in which there is vaginal dryness or a lack of lubrication, try water-based lubricants. Variations, taking into account the needs of the individual patient, resources, and limitations unique to institution or type of practice, may be appropriate. Pain during intercourse is very common—nearly 3 out of 4 women have pain during intercourse at some time during their lives. Johnson, MD on September 08, Sources. A physician may ask a woman if she is using an antibiotic or antifungal medication or if she douches. Atrophy thinning of the vaginal walls due to menopause: In addition to the causes previously discussed, the patient may also have what is called uterine retroversion as a cause of their pain.
This is a common condition. Doctors commonly see vaginal strictures following pelvic surgery, pelvic irradiation, or menopause. The FDA also recently approved an oral medication called Osphena to decrease pain associated with intercourse. Treatment is usually instituted in a step-wise approach utilizing both hormonal and non-hormonal methods. In such cases there may be no evidence of bacterial infection on microscopic examination of the urine. Some individuals may need to resolve issues such as guilt, inner conflicts regarding sex , or feelings regarding past abuse. These may include genital warts , herpes sores, or other STDs. If adequate arousal does not take place, more extensive foreplay might be helpful in increasing vaginal moisture. If either is discovered, they should be treated with the appropriate antibiotics. But some women feel pain inside their pelvis, too. Water-soluble lubricants are a good choice if you experience vaginal irritation or sensitivity. Problems with the ovaries. But self-care combined with medical treatments can help bring relief. Newer non-estrogen products are also now available. The result may be a yellowish secretion that can be irritating. Research studies are also being conducted utilizing testosterone to help increase sexual desire, and Botox to help relax the vaginal support muscles. And those who do speak up are often told — incorrectly — that nothing can be done and that they must learn to live with the pain. They can dissolve the latex and cause the condom to break. Treatments include physical therapy, medications, or surgery. This condition frequently requires gynecologic surgery for correction. A pelvic exam or ultrasound exam often gives clues about the causes of some kinds of pain. As estrogen declines, there are huge environmental changes in the vagina. Treatment Is Possible It is important not to delay treatment: Ask for a referral to a certified sex counselor if there are other concerns that need to be addressed. Your ob-gyn or other health care professional also can help you address problems with sexual response. Vaginal dryness Atrophic vaginitis, a common condition causing thinning of the vaginal lining in postmenopausal women Side effects of drugs such as antihistamines and tamoxifen Nolvadex and other brands An allergic reaction to clothing, spermicides or douches Endometriosis, an often painful condition in which tissue from the uterine lining migrates and grows abnormally inside the pelvis Inflammation of the area surrounding the vaginal opening, called vulvar vestibulitis Skin diseases, such as lichen planus and lichen sclerosus, affecting the vaginal area Urinary tract infections, vaginal yeast infections, or sexually transmitted diseases Psychological trauma, often stemming from a past history of sexual abuse or trauma Symptoms Women with dyspareunia may feel superficial pain at the entrance of the vagina, or deeper pain during penetration or thrusting of the penis.
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