Why does it hurt when I have sex?
Painful sex is a taboo topic that affects many individuals but often goes unaddressed.
In this blog post, I will discuss dyspareunia, a condition characterised by painful intercourse before, during, or after penetration. I will explore its causes and various treatment options available, emphasising the importance of seeking help and finding relief.
Q: What is dyspareunia?
A: Dyspareunia is a common condition that refers to the experience of pain during sexual intercourse. This pain can occur before, during, or after penetration, and it may vary in intensity and duration. It is important to note that painful sex is not normal and should not be ignored.
Q: What are the causes of dyspareunia?
A: Dyspareunia can have multiple causes, both physical and psychological. Some common factors contributing to this condition include:
Hypertonic (tight) pelvic floor muscles.
Insufficient foreplay leading to inadequate arousal and lubrication.
Hormonal changes affecting the vaginal tissues.
Skin infections in the genital area.
Past surgeries that may have resulted in scar tissue formation.
Conditions like vulvodynia, which causes chronic pain in the vulva.
Vaginismus, a condition where the muscles around the vagina involuntarily tighten, making penetration painful.
Endometriosis or adenomyosis, which can cause pain during intercourse.
Conflict within the partnership or relationship.
Anxiety, stress, or other psychological factors.
Negative or painful associations and thoughts related to penetration.
Q: What are the treatment options for dyspareunia?
A: Treating dyspareunia often requires a multidisciplinary approach. Here are some common treatment options:
Assessing and treating pelvic floor dysfunction: Pelvic floor physiotherapists can help identify and address issues with the pelvic floor muscles, such as muscle tension or weakness.
Massage, release, and down-training therapy: Techniques like manual therapy, myofascial release, and relaxation exercises can help relieve muscle tension and reduce pain.
Prescription of exercises: Specific exercises targeted at strengthening or relaxing the pelvic floor muscles may be recommended.
Dilator or pelvic wand therapy: Gradual use of vaginal dilators or specialized devices can help desensitize the area and improve comfort during penetration.
Hormonal treatment: In some cases, hormonal treatments prescribed by a general practitioner or gynecologist may be beneficial to address hormonal imbalances contributing to dyspareunia.
Referral to a sexologist or psychologist: Addressing any psychological factors related to dyspareunia may require the expertise of a sexologist or psychologist who can provide counseling and therapy.
Education and advice on changing sexual positions: Learning about alternative sexual positions and techniques that minimize discomfort can be helpful.
Q: What is the bottom line regarding dyspareunia?
A: The bottom line is that sex should not cause pain. Dyspareunia is a treatable condition, and no one should suffer in silence. Seeking professional help from passionate and supportive pelvic floor physiotherapists can lead to significant improvement and the restoration of pain-free and enjoyable sexual experiences.
Painful sex, known as dyspareunia, can significantly impact an individual's well-being and relationships. It is crucial to understand the causes and treatment options available for this condition. Remember, you don't have to endure dyspareunia alone—help is available. At MPPP, our dedicated physiotherapists are experienced in treating dyspareunia and have achieved great success in helping patients regain pain-free and enjoyable intimacy.
Melis Abdulovski is a Pelvic Floor Physiotherapist with a real passion helping women to achieve pain free intimacy.