Painful Intercourse

Painful IntercourseMost women feel pain during intercourse at some point in life. For a man, it is rare. The cause is usually of physical nature in men, and in women often psychological. But, it does not matter which partner feels the pain; it affects both.

Painful intercourse in women

Dyspareunia (painful intercourse) occurs in women in two forms – superficial and deep. The surface type of pain – an irritation or burning sensation – occurs on a vulva or vagina, and is usually the result of the lack of sexual excitement. Namely, the vagina remains dry and hence the penetration of the male organ (penis) is painful (see loss of sexual desire in women). The cause of this can also be a rare condition called vaginismus. Vaginismus is an inadvertent spasm of the muscle around the entrance to the vagina, which practically closes the entrance, while simultaneously shrinking the thighs and bending the back into the bow. Women who suffer from vaginismus avoid penetration during the intercourse and vaginal examination.

Physical conditions or diseases that can cause superficial dyspareunia can be pruritus vulvae, cystitis, hemorrhoids, residual scars after a surgical procedure, as well as allergy to deodorant or spermicide.

Women suffering from deep dyspareunia, which is rarer than superficial dyspareunia h,ave the feeling that a male organ hits them on a sensitive place in the abdomen. They can also feel a pain after the intercourse, back pain, and dysmenorrhea. The most common causes of deep dyspareunia are pelvic infection, endometriosis or ovarian disorders.

If you can not determine and resolve the cause of painful intercourse yourself, go to your doctor. If it is a physical illness, he will refer you to a gynecologist. Otherwise, it is recommended that you (together with your partner) go to the Sexual Therapy Clinic (in countries where such facilities exist).

Self-help: if the discomfort is partly due to vaginal dryness, try applying some lubricant. Avoid positions that are unpleasant for you.

Professional help: gynecological treatment is focused on the underlying illness. If it is an infection, antibiotics will be applied; in case of absence of sexual excitement, sexual therapy is recommended.

Painful intercourse in men

Men usually feel pain in the penis. Pain can be a consequence of genital area infection. The chemical contraceptive and irrigation agents used by women may also cause inflammation, and some men are allergic to rubber preservatives. A man may feel problems if a partner has a dry vagina, or if she has an intrauterine contraceptive. Phimosis can also be a cause of peainful intercourse.

The man may feel pain, in the organ or deeper, during ejaculation, which is sometimes the resulting of urethritis, urethral stricture, or prostate disease.

If you are unable to solve the problem yourself, contact your doctor. If it is a sexually transmitted infection, your doctor will prescribe appropriate therapy. Tight foreskin can be removed. For other cases, your doctor will refer you to urology for specialist diagnosis and treatment or, if there is no physical cause, to sexual therapy (sexologist).