PAINFUL INTERCOURSE

The quality of your sex life is important at every age. One problem that can be difficult to talk about is painful sex. Sex should never be painful. When it is, it indicates that something is wrong. In many cases, simple things such as a lack of natural lubrication in the vagina or an awkward position can be the cause. There are many physical and emotional factors that can cause painful intercourse.

Some women feel pain at the vulva, the tissue at the opening of the vagina. Even a touch in this area can cause pain. An infection of this area causes the skin to be very sensitive. Pain in the vulva can also be caused by dryness. Dryness to the vulva is a common problem while breastfeeding, as well as during and after menopause. There are many water-based lubricants that can be used routinely or with sex to decrease any discomfort. These can be purchased at your local drug store. A pharmacist can assist in selecting a product.

If left untreated, vulvar pain can be so frightening that another form of pain occurs. The anticipation of pain can cause the muscles at the opening to tighten before the pain happens. There are exercises that can help to relax these muscles. Even if there is minor pain, it should be evaluated by a healthcare provider.

Pain can also be felt deep within the vagina during sexual intercourse. This can be caused by many problems, such as:

having sex for the first time
too forceful movements
irritating condom materials
bladder infections, or a full bladder
infection in the birth canal or in the female reproductive organs
endometriosis, a painful disease affecting the uterus and other organs
tipped or fallen (prolapsed) uterus
skin thickenings that can divide the female opening or
injury to the vulva or vagina from childbirth, rape, or sexual abuse

Treatment for pain during intercourse will depend on the cause of the pain. Treatment can include counseling, medications, or surgery. If you have any questions or concerns about painful intercourse, contact your provider.

Disclaimer: This content is reviewed periodically and is subject to change as new health information becomes available. The information provided is intended to be informative and educational and is not a replacement for professional medical evaluation, advice, diagnosis or treatment by a healthcare professional.

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