Painful Intercourse

Painful Sexual Intercourse (Dyspareunia)

It is the condition in which a woman feels pain, aching, stinging, or burning at the vaginal entrance (superficial) or in the deeper groin area during sexual intercourse. It is a common gynecological complaint in women.

Causes;

• Infections in the vagina and vulva,
• Congenital vaginal problems,
• Congenital hymen problems (imperforate hymen) or a hymen that is very thick and rigid,
• Vulvar vestibulitis syndrome,
• Vaginal dryness due to hormone (estrogen) deficiency during menopause,
• An insufficiently lubricated vagina in cases where foreplay is inadequate. In sexual intercourse where foreplay is kept long, vaginal secretions will be greater, so vaginal dryness will be less.
• Vaginal dryness in breastfeeding women due to hormonal changes (low estrogen)
• Poor healing of episiotomies (incisions) performed after vaginal delivery.
• Uterine prolapse, bladder prolapse, or prolapse of the posterior vaginal wall
• Endometriosis, pelvic adhesions
• Large fibroids
• Vaginismus
• Psychological conditions such as sexual abuse, relationship problems, and depression

• For women who have the problem of painful sexual intercourse (dyspareunia), it is first necessary to find the cause of the pain and eliminate it. Pain during sexual intercourse leads to a decrease in the frequency of sexual intercourse and, over time, sets the stage for decreased sexual desire in all these situations. Therefore, if you also have pain during sexual intercourse, do not postpone it any longer; talk to your doctor immediately.