Some women say the pain is mild while others describe it as sharp and stabbing. Anxiety, depression, concerns about your physical appearance, fear of intimacy or relationship problems can contribute to a low level of arousal and a resulting discomfort or pain. These involuntary spasms of the muscles of the vaginal wall can make penetration painful. If the misplaced endometrial tissue is behind the vagina and the lower part of the uterus, and affecting uterine nerves or ligaments, intercourse is likely to be more painful because thrusting during sex pushes and pulls at the growths. Many women with endometriosis say that intercourse hurts.
A problem present at birth, such as the absence of a fully formed vagina vaginal agenesis or development of a membrane that blocks the vaginal opening imperforate hymen , could cause dyspareunia. Your pelvic floor muscles tend to tighten in response to stress in your life. If you have endometriosis and sex hurts, you can also try these strategies: The authors from the analysis published in Reproductive Sciences say that ideally, women who experience pain during sex should get input and advice from a team of people that includes gynecologists, psychologists, and even sexologists. Pain with intercourse, or dyspareunia, is different for every woman. Petrozza, MD , an obstetrician-gynecologist and chief of reproductive medicine and in vitro fertilization at Massachusetts General Hospital Fertility Center in Boston. Medical treatments for cancer, such as radiation and chemotherapy, can cause changes that make sex painful. These involuntary spasms of the muscles of the vaginal wall can make penetration painful. If you feel embarrassed about discussing this topic, remember that your sexual function is part of your overall health as a human being. Injury, trauma or irritation. Request an Appointment at Mayo Clinic Causes Physical causes of painful intercourse differ, depending on whether the pain occurs at entry or with deep thrusting. Many women have painful intercourse at some point in their lives. Emotional factors Emotions are deeply intertwined with sexual activity, so they might play a role in sexual pain. History of sexual abuse. Inflammation, infection or skin disorder. Certain illnesses and conditions. Certain medications are known to affect sexual desire or arousal, which can decrease lubrication and make sex painful. Talk to your gynecologist and your other doctors. The medical term for painful intercourse is dyspareunia dis-puh-ROO-nee-uh , defined as persistent or recurrent genital pain that occurs just before, during or after intercourse. A drop in estrogen levels after menopause or childbirth or during breast-feeding also can be a cause. Not every woman with dyspareunia has a history of sexual abuse, but if you have been abused, it can play a role. Some report a deep, widespread aching. Entry pain Pain during penetration might be associated with a range of factors, including: Many women with endometriosis say that intercourse hurts. Talk to your doctor if you're having painful intercourse. And while some women say it only hurts during actual intercourse, others describe pain that lasts for hours after sex — sometimes even up to two days.
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