Dyspareunia: Pain during sex

Good sex should lead to a distinct pleasure for those who do. However, if there is pain when having sex, of course it is not very good. Dyspareunia, pain that is persistent or recurrent genital happened just before, during or after sexual intercourse and that causes depressed patients personally.

Symptoms can feel pain every time the penetration, the pain only under certain conditions, and new pain after having previously not sick.

Pain during penetration can be attributed to various factors, namely:

• Lack of lubricant or lubrication. Often caused by a lack of foreplay. Lack of lubrication is also commonly caused by a decrease in estrogen levels after menopause, after childbirth or during breastfeeding. Certain drugs to inhibit arousal can decrease lubrication and make sex so painful. Including antidepressants, hypertension drugs, tranquilizers, antihistamines and certain birth control pills.
• Injury, trauma or irritation, or irritation may include injuries caused by accident, pelvic surgery, female circumcision, episiotomy or a congenital abnormality.
• Inflammation, infection or skin disorder. Infections of the genital area or urinary tract can cause Dyspareunia. Eczema or other skin problems in the genital area can also be a problem.
• Reaction to the birth control products.
• Vaginusmus, ie muscle spasms of the vaginal wall uncontrollably.
• Vestibulitis, characterized by a sense of stinging or burning around the vagina.

If the pain feels very deep, may be caused by:

• Some diseases such as endometriosis, pelvic inflammation, uterine prolapse, retroverted uterus, uterine fibroids, cystitis, irritable bowel syndrome, hemorrhoids and ovarian cysts.
• Infection of the uterus or cervix fallopian tubes can cause deep pain.
• Surgery or medical treatment. Injury from surgery in the pelvic area can sometimes cause Dyspareunia. Medical treatments for cancer, such as radiation and chemotherapy, can cause changes in the body that make sex so painful.

The emotional factor is also very influential, which include:

• Psychiatric problems such as anxiety, depression, concerns about physical appearance, and discomfort.
• Stress. Pelvic floor muscles are very sensitive to stress. So stress can cause painful intercourse.

Sometimes it is difficult to know whether any psychological factors associated with dyspareunia. Initial pain can lead to fear of pain will recur, making it difficult to relax and can cause more pain.

To minimize the pain of the couple can make some changes in sexual routine:

• Switch positions. If the pain experienced during the drive penetration, the penis may hit the cervix or the pelvic floor muscles, causing pain or abdominal pain. Changing positions may help regulate the depth of penetration is good.
• Communicate. Talk to your partner about what feels good and what is not.
• Longer foreplay can help stimulate natural lubrication. The pain can be reduced by delaying penetration until women actually feel aroused.
• Use a lubricant. In some women, lubricants containing glycerin may cause yeast infections. Read the label carefully or ask your doctor to recommend a product that's worth a try.

Drugs and therapy

• Estrogen Therapy. For most postmenopausal women, dyspareunia is caused by inadequate lubrication due to low estrogen levels. It can be treated with a prescription cream, tablet or flexible vaginal ring.
• Desensitization Therapy. During therapy, patients learn vaginal relaxation exercises can reduce pain. The therapist may recommend pelvic floor exercises (Kegel exercises) or other techniques to reduce pain during sexual intercourse.

Counseling or sex therapy. If sex has been painful for a long time, patients may experience a negative emotional response to sexual stimulation. If the patient and spouse to avoid intimacy because of painful intercourse, the patient may need to improve communication with your partner and restoring sexual intimacy. Talking with a sex therapist or counselor can help solve this problem.