Tuesday 21 August 2012

Dyspareunia

Many women suffer pain during
intercourse - known as dyspareunia -
at some point. For most, it's a
passing discomfort. But for some,
pain becomes a regular feature.
What is dyspareunia?
Lack of sexual arousal is by far the
most common cause of painful
intercourse. When a women's body
is ready for sex, the vagina expands
both lengthways and widthways.
While this is happening, it becomes
moist and lubricated to avoid any
friction. The vagina wasn't designed
to be penetrated in its unaroused
state.
If you're sure you're fully aroused
but still experiencing pain, check
with your GP that you aren't
suffering from an underlying
condition. These can include:
Childbirth. It's quite common for
women to suffer some discomfort
after childbirth, particularly if
there was an episiotomy - a cut to
make delivery easier.
The menopause. Intercourse may
be more painful during the
menopause as lower oestrogen
levels cause a thinning of the
vaginal wall. Ask your GP or local
menopause clinic about
oestrogen cream, which usually
resolves the problem quite
quickly.
Urinary infections. Cystitis or
vaginal irritations such as thrush,
vaginitis, and genital warts are
also likely to cause soreness. Once
the underlying condition has
been diagnosed, a course of
treatment should solve the
problem.
Sensitivity to condoms. You may
be irritated by certain makes of
condoms, contraceptive creams
or lubricants. Experiment with
different brands.
Causes and risk factors
The problem with pain is that it
blocks sexual arousal, which causes
further pain.
Many women find that they're
caught up in a pain cycle - having
experienced painful intercourse
before, they fear more pain which
blocks arousal, causing more pain
and so the cycle continues.
Treatment and recovery
There are a number of self-help
techniques wich may help:
Relax. This is the most important
thing you can do. Have a bath,
use deep-breathing techniques or
buy a relaxation tape from your
local health shop.
Work on relationship issues. You
need to be sure that your head
and heart are in the mood for sex
as well as your body. If you're
unhappy about something with
your partner then sort it out first.
Exercise your pelvic floor. This will
increase the blood flow to your
genital area and make you more
conscious of any sensations of
physical arousal.
Use lubrication to speed up the
process; keep a tube by the bed.
Stimulate your sympathetic
nervous system with exercise, or
anything that will speed up your
heart rate. Research suggests that
your body will be more sexually
responsive 15 to 30 minutes later.
Don't worry if none of the self-help
techniques work for you, it's likely
that whatever is causing the pain is
treatable once appropriate help has
been found.
If you've been suffering from painful
intercourse for a while, it's essential
to check that you're not suffering
from an underlying condition.
If the pain is in your lower abdomen
or to one side, you should see your
GP to rule out any gynaecological
disorder such as:
Endometriosis .
Prolapse .
Ovarian cysts.
Fibroids.
Pelvic inflammatory disease.
Another possible cause is uterine
retroversion, a natural condition
where the womb tilts towards the
back of the pelvis. In all these
conditions, you may find that a
different position, where thrusting is
not so deep, is more comfortable.
If you experience ongoing vulval
discomfort then you should check
with your GP to see whether you're
experiencing vulvodynia or vulval
vestibulitus. You can get more
information on these conditions
from the Vulval Pain Society.

4 comments:

  1. There's a new treatment for dyspareunia to cause stem cells to generate new healthy tissue. The procedure is called o-shot which has been very effective with my patients.
    More can be seen at OShot.info
    Hope this helps.
    Charles Runels, MD

    ReplyDelete
  2. There's a new treatment for dyspareunia to cause stem cells to generate new healthy tissue. The procedure is called o-shot which has been very effective with my patients.
    More can be seen at OShot.info
    Hope this helps.
    Charles Runels, MD

    ReplyDelete
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