Materiały źródłowe

• #1 Dyspareunia in Women | AAFP

  https://www.aafp.org/pubs/afp/issues/2021/0515/p597.html

  Dyspareunia is recurrent or persistent pain with sexual intercourse that causes distress. It affects approximately 10% to 20% of U.S. women. Dyspareunia may be superficial, causing pain with attempted vaginal insertion, or deep. Women with sexual pain are at increased risk of sexual dysfunction, relationship distress, diminished quality of life, anxiety, and depression. […] Dyspareunia, recurrent or persistent painful sexual intercourse, is common and can affect women’s mental and physical health and relationships. The prevalence of dyspareunia in the United States is approximately 10% to 20% and varies by age and population. Women with sexual pain are at increased risk of sexual dysfunction, relationship distress, diminished quality of life, anxiety, and depression. […] Determining which sexual activities are painful can suggest specific diagnoses. Patients who have pain with vaginal entry may have atrophy, inadequate lubrication, pelvic floor dysfunction, vaginitis, vulvodynia, or vaginismus, whereas patients who have deeper pain may have endometriosis or structural or anatomic abnormalities, such as uterine retroversion.

• #2 Dyspareunia (Painful Intercourse): Causes, Treatments, and More

  https://www.healthline.com/health/dyspareunia

  Dyspareunia is the term for recurring pain in the genital area or within the pelvis during sexual intercourse. The pain can be sharp or intense. It can occur before, during, or after sexual intercourse. […] Dyspareunia pain can vary. Pain may occur: in the vagina, urethra, or bladder; during penetration; during or after intercourse; deep in the pelvis during intercourse; after pain-free intercourse; only with specific partners or circumstances; with tampon use; along with burning, itching, or aching; with a feeling of stabbing pain, similar to menstrual cramps. […] Around 75 percent of women have painful intercourse at some time, according to the American College of Obstetricians and Gynecologists (ACOG).

• #3 Painful intercourse (dyspareunia) – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/painful-intercourse/symptoms-causes/syc-20375967

  Painful intercourse can happen for reasons that range from structural problems to psychological concerns. Many people have painful intercourse at some point in their lives. The medical term for painful intercourse is dyspareunia (dis-puh-ROO-nee-uh). It is lasting or recurrent genital pain that occurs just before, during or after sex. If you have painful intercourse, you might feel: Pain only at sexual entry, called penetration. Pain with every penetration, including putting in a tampon. Deep pain during thrusting. Burning pain or aching pain. Throbbing pain lasting hours after sex. Physical causes of painful intercourse differ, depending on whether the pain happens at entry or with deep thrusting. Emotional factors can be linked to many types of painful intercourse. Pain during penetration might be associated with a range of factors, including: Not enough lubrication. This is often the result of not enough foreplay. A drop in estrogen levels after menopause or childbirth or during breastfeeding also can be a cause. Certain medicines can affect sexual desire or arousal. That can decrease lubrication and make sex painful. Those medicines include antidepressants, high blood pressure medicines, sedatives, antihistamines and certain birth control pills. Injury, trauma or irritation. This includes injury or irritation from an accident, pelvic surgery, female circumcision or a cut made during childbirth to enlarge the birth canal, called episiotomy. Inflammation, infection or skin disorders. An infection in the genital area or urinary tract can cause painful intercourse. Eczema or other skin problems in the genital area also can be the cause. Vaginismus. These involuntary spasms of the muscles of the vaginal wall can make penetration painful. A problem present at birth. Not having a fully formed vagina, called vaginal agenesis, or having a membrane that blocks the vaginal opening, called imperforate hymen, could cause painful intercourse. Deep pain usually occurs with deep penetration. It might be worse in certain positions. Causes include: Certain illnesses and conditions. The list includes endometriosis, pelvic inflammatory disease, uterine prolapse, retroverted uterus, uterine fibroids, cystitis, irritable bowel syndrome, pelvic floor conditions, adenomyosis, hemorrhoids and ovarian cysts. Surgeries or medical treatments. Scarring from pelvic surgery, including hysterectomy, can cause painful intercourse. Medical treatments for cancer, such as radiation and chemotherapy, can cause changes that make sex painful. Emotions are deeply intertwined with sexual activity, so they might play a role in sexual pain. Emotional factors include: Psychological issues. Anxiety, depression, concerns about physical appearance, fear of intimacy or relationship problems can contribute to a low level of arousal and resulting discomfort or pain. Stress. Your pelvic floor muscles tend to tighten in response to stress in your life. This can contribute to pain during intercourse. History of sexual abuse. Not everyone with dyspareunia has a history of sexual abuse. But if you have been abused, it can play a role. It can be hard to tell whether emotional factors are associated with dyspareunia. Initial pain can lead to fear of recurring pain, making it difficult to relax, which can lead to more pain. You might start avoiding sex if you associate it with the pain.

• #4 Dyspareunia (Pain Having Sex). Medical Information

  https://patient.info/sexual-health/dyspareunia-pain-having-sex

  Dyspareunia is a term used for pain felt in the genital area or pelvis during or after vaginal sex. […] It’s also not uncommon for dyspareunia to remain after the cause has been treated, particularly if things have been left untreated for a while. […] Dyspareunia is the medical word for pain which is felt in the genital or pelvic area during or after vaginal sex. […] Superficial dyspareunia is pain felt in the lips (labia) of the vulva, at the vaginal entrance (introitus) and the lower part of the vagina. […] The causes of superficial dyspareunia causing painful intercourse (pain during penetration) are usually local problems of the labial, vaginal and perineal skin. […] Deep dyspareunia is usually caused by conditions deep within the pelvis. […] In fact, around a third of younger and half of older women have experienced pain during sex, according to the Sexual Advice Association.

• #5 Painful intercourse (dyspareunia) // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/painful-intercourse-dyspareunia

  Painful intercourse can happen for reasons that range from structural problems to psychological concerns. Many people have painful intercourse at some point in their lives. The medical term for painful intercourse is dyspareunia (dis-puh-ROO-nee-uh). It is lasting or recurrent genital pain that occurs just before, during or after sex. If you have painful intercourse, you might feel: Pain only at sexual entry, called penetration. Pain with every penetration, including putting in a tampon. Deep pain during thrusting. Burning pain or aching pain. Throbbing pain lasting hours after sex. If you have recurrent pain during sex, talk with your healthcare professional. Treating the problem can help your sex life, your emotional intimacy and your self-image. Pain during penetration might be associated with a range of factors, including: Not enough lubrication. This is often the result of not enough foreplay. A drop in estrogen levels after menopause or childbirth or during breastfeeding also can be a cause. Certain medicines can affect sexual desire or arousal. That can decrease lubrication and make sex painful. Those medicines include antidepressants, high blood pressure medicines, sedatives, antihistamines and certain birth control pills. Deep pain usually occurs with deep penetration. It might be worse in certain positions. Causes include: Certain illnesses and conditions. The list includes endometriosis, pelvic inflammatory disease, uterine prolapse, retroverted uterus, uterine fibroids, cystitis, irritable bowel syndrome, pelvic floor conditions, adenomyosis, hemorrhoids and ovarian cysts. If an infection or medical condition contributes to your pain, treating the cause might resolve your problem. For many postmenopausal women, painful intercourse is caused by too little lubrication resulting from low estrogen levels. Often, low estrogen levels can be treated with topical estrogen applied directly to the vagina. The Food and Drug Administration approved the medicine ospemifene (Osphena) to treat moderate to severe dyspareunia in women who have problems with vaginal lubrication. It can be hard to tell whether emotional factors are associated with dyspareunia. Initial pain can lead to fear of recurring pain, making it difficult to relax, which can lead to more pain. You might start avoiding sex if you associate it with the pain.

• #6 Advanced Gynecology – Dyspareunia

  https://www.advancedgynecology.com/conditions-symptoms/dyspareunia

  Dyspareunia is the medical term for painful intercourse. It is defined as persistent or recurring genital pain occurring just before, during or after sexual intercourse. While painful intercourse can affect both men and women, it is more common in women with up to 20 percent of American women experiencing dyspareunia at some point in their lives. This pain can result in dissatisfaction or disinterest with sexual intercourse. Pain associated with dyspareunia may occur at the vaginal opening or deep in the pelvis. The pain may be distinct and localized, or there may be a broader sense of discomfort. The pain can be described as sharp, burning, aching, or throbbing. Some sufferers of dyspareunia experience pain that feels like menstrual cramps while others report feeling something like a ripping sensation. Women often describe feeling as though something is being bumped deep inside the pelvis.

• #7 Dyspareunia (Painful Intercourse) Causes, Symptoms & Treatments | Women’s Health Partners

  https://www.toplinemd.com/myobgynoffice/dyspareunia-painful-intercourse-causes-symptoms-treatments/

  Understanding what causes pain during sex in females is crucial for effective management. Various factors contribute to dyspareunia, and they can be both physical and psychological. […] Dyspareunia can manifest through various symptoms, which may vary in intensity and duration. Common symptoms include: Sharp or Burning Pain: Sharp or burning pain during intercourse is a distinctive symptom of dyspareunia, signaling discomfort that can be felt during penetration or thrusting. This sensation, akin to a stabbing or scalding feeling, often arises from factors such as infections, inflammation, or issues with lubrication. […] Aching Pain: Persistent aching or soreness that lingers after sexual activity. […] Superficial Pain: Pain located near the entrance of the vagina, often associated with initial penetration. […] Deep Pain: Discomfort in the pelvic region during deep penetration, suggesting potential issues with internal structures. […] Throbbing Pain: Pulsating pain that persists after intercourse, possibly indicating underlying issues. […] Muscle Spasms: Involuntary contractions of pelvic floor muscles, contributing to pain during or after sex. […] Tenderness: Increased sensitivity and tenderness in the genital area, making sexual activity uncomfortable. […] Burning Sensation: A sensation of heat or burning, often related to inflammation or infection. […] Dryness: Insufficient vaginal lubrication, leading to friction and discomfort during penetration. […] Discomfort with Specific Movements: Pain associated with certain sexual positions or movements, indicating potential structural issues.

• #8 Dyspareunia – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK562159/

  Dyspareunia is defined by genital pain that can be experienced before, during, or after intercourse. Painful sexual intercourse is a common female health problem. In medical terminology, it is called dyspareunia. The prevalence of dyspareunia varies from 3 to 18% worldwide, and it can affect 10 to 28% of the population in a lifetime. Dyspareunia can be further categorized into superficial or deep, and primary or secondary. Superficial dyspareunia is limited to the vulva or vaginal entrance, while deep dyspareunia means the extension of pain into the deeper parts of the vagina or lower pelvis. Deep dyspareunia is frequently associated with deep penetration. Primary dyspareunia pain initiates at the start of sexual intercourse, while in secondary dyspareunia, pain begins after some time of pain-free sexual activity. Dyspareunia can also lead to sexual difficulties, such as lack of sexual desire and arousal, and can cause trouble in sexual relationships. It can have a significant impact on physical as well as mental health. It can lead to depression, anxiety, hypervigilance to pain, negative body image, and low self-esteem. The etiology of dyspareunia encompasses structural, inflammatory, infectious, neoplastic, traumatic, hormonal, and psychosocial conditions. The prognosis of dyspareunia depends on the causative factor of this pain. If the underlying cause is known and curable, then it has a better prognosis. Its prognosis is poor in idiopathic dyspareunia. Following treatment, patients with dyspareunia should receive counsel about the prognosis of the disorder. Treatment can last for several months, and complete resolution is also not guaranteed. Studies suggest that results start appearing after at least three months. After that, the patient’s distress starts decreasing with improved quality of life.

• #9 Evaluation and Differential Diagnosis of Dyspareunia | AAFP

  https://www.aafp.org/pubs/afp/issues/2001/0415/p1535.html

  Dyspareunia is genital pain associated with sexual intercourse. The location of the pain may be described as entry or deep. Vulvodynia, atrophy, inadequate lubrication and vaginismus are associated with painful entry. Deep pain occurs with the other conditions previously noted. Dyspareunia is genital pain experienced just before, during or after sexual intercourse. Patients with dyspareunia may complain of a well-defined and localized pain, or express a general disinterest in and dissatisfaction with intercourse that stems from the associated discomfort. Although dyspareunia is present in both sexes, it is far more common in women, with the pain initiating in several areas, from vulvar surfaces to deep pelvic structures. […] The most common pain with dyspareunia occurs during coitus, but some women experience pain afterward, while others report pain at both times. Pain before coitus may result from irritation of the external genitalia or the vasocongestion that occurs during the excitement phase. Patients with dyspareunia are more likely than the general population to report pain with insertion of a tampon or digit, or during a gynecologic examination.

• #10 Dyspareunia (Pain Having Sex). Medical Information

  https://patient.info/sexual-health/dyspareunia-pain-having-sex

  Dyspareunia is a term used for pain felt in the genital area or pelvis during or after vaginal sex. […] It’s also not uncommon for dyspareunia to remain after the cause has been treated, particularly if things have been left untreated for a while. […] Dyspareunia is the medical word for pain which is felt in the genital or pelvic area during or after vaginal sex. […] Superficial dyspareunia is pain felt in the lips (labia) of the vulva, at the vaginal entrance (introitus) and the lower part of the vagina. […] The causes of superficial dyspareunia causing painful intercourse (pain during penetration) are usually local problems of the labial, vaginal and perineal skin. […] Deep dyspareunia is usually caused by conditions deep within the pelvis. […] In fact, around a third of younger and half of older women have experienced pain during sex, according to the Sexual Advice Association.

• #11 Dyspareunia: Causes, Symptoms, and Treatment | Doctor

  https://patient.info/doctor/dyspareunia

  Dyspareunia is pain during or after sexual intercourse. It can affect men but is more common in women. This article concerns female dyspareunia. […] The prevalence of dyspareunia and vulvodynia varies by how they are defined and by geographic location. The World Health Organization reported a global prevalence of painful intercourse ranging between 8% and 21.1% in 2006, which varied by country. […] Superficial dyspareunia begins almost immediately or shortly after penetration. It is a sharp pain and felt at the vulva, introitus or lower vagina. […] Deep dyspareunia is felt deep within the pelvis during or after penetration and may spread to the front or inner thighs. It may be sharp or dull and may stop when penetration ceases but may continue for minutes or hours afterwards. […] The causes and complications of the condition take time and confidence to overcome.

• #12 Evaluation and Differential Diagnosis of Dyspareunia | AAFP

  https://www.aafp.org/pubs/afp/issues/2001/0415/p1535.html

  The pain must be persistent or recurrent, and cause marked distress or interpersonal difficulty. The earliest manifestations of dyspareunia occur with sexual contact, but the symptoms then increase to the point that the pain interferes with nonsexual activities. Pain may occur before entry, with entry or once the penis is in the vagina. The timing of the pain can provide clues to the etiology. In most studies, the majority of women report pain with vaginal entry. In another study of 248 women, deep pain accounted for more than one half of those presenting with dyspareunia, while pain at entry or pain at both sites were considerably less common. […] Entry dyspareunia may result from a variety of conditions affecting the labia or vestibule. A history of pain with entry is most commonly associated with vaginismus and inadequate lubrication from incomplete arousal. Entry pain is also suggestive of atrophy, vulvodynia and transient causes such as fungal or bacterial vaginitis and vulvar dystrophies. Atrophic changes from inadequate estrogen levels may also cause entry dyspareunia, although the pain typically extends into the vaginal area as well.

• #13 Dyspareunia (Pain Having Sex). Medical Information

  https://patient.info/sexual-health/dyspareunia-pain-having-sex

  Painful sex can lead to problems in relationships, loss of intimacy and even depression. […] Vaginal dryness can be caused by the menopause, medicines, pregnancy, breastfeeding and some auto-immune conditions. […] Deep dyspareunia can be caused by the genital organs themselves but may also be caused by other structures in the lower tummy (abdomen). […] Pelvic inflammatory disease also tends to make you feel unwell, and may cause a temperature and a vaginal discharge. […] Dyspareunia has many causes. Treatment options usually depend on the cause.

• #14 Evaluation and Differential Diagnosis of Dyspareunia | AAFP

  https://www.aafp.org/pubs/afp/issues/2001/0415/p1535.html

  The pain associated with deep thrusting is often described as something being bumped into. Etiologies include endometriosis, pelvic adhesions and pelvic congestion. The urinary system is also a source of dyspareunia. Cystitis or interstitial cystitis cause pain as the bladder fills. Dyspareunia may be part of the initial presentation, which then proceeds to a persistent chronic pain.

• #15 Painful intercourse (dyspareunia) – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/painful-intercourse/symptoms-causes/syc-20375967

  Painful intercourse can happen for reasons that range from structural problems to psychological concerns. Many people have painful intercourse at some point in their lives. The medical term for painful intercourse is dyspareunia (dis-puh-ROO-nee-uh). It is lasting or recurrent genital pain that occurs just before, during or after sex. If you have painful intercourse, you might feel: Pain only at sexual entry, called penetration. Pain with every penetration, including putting in a tampon. Deep pain during thrusting. Burning pain or aching pain. Throbbing pain lasting hours after sex. Physical causes of painful intercourse differ, depending on whether the pain happens at entry or with deep thrusting. Emotional factors can be linked to many types of painful intercourse. Pain during penetration might be associated with a range of factors, including: Not enough lubrication. This is often the result of not enough foreplay. A drop in estrogen levels after menopause or childbirth or during breastfeeding also can be a cause. Certain medicines can affect sexual desire or arousal. That can decrease lubrication and make sex painful. Those medicines include antidepressants, high blood pressure medicines, sedatives, antihistamines and certain birth control pills. Injury, trauma or irritation. This includes injury or irritation from an accident, pelvic surgery, female circumcision or a cut made during childbirth to enlarge the birth canal, called episiotomy. Inflammation, infection or skin disorders. An infection in the genital area or urinary tract can cause painful intercourse. Eczema or other skin problems in the genital area also can be the cause. Vaginismus. These involuntary spasms of the muscles of the vaginal wall can make penetration painful. A problem present at birth. Not having a fully formed vagina, called vaginal agenesis, or having a membrane that blocks the vaginal opening, called imperforate hymen, could cause painful intercourse. Deep pain usually occurs with deep penetration. It might be worse in certain positions. Causes include: Certain illnesses and conditions. The list includes endometriosis, pelvic inflammatory disease, uterine prolapse, retroverted uterus, uterine fibroids, cystitis, irritable bowel syndrome, pelvic floor conditions, adenomyosis, hemorrhoids and ovarian cysts. Surgeries or medical treatments. Scarring from pelvic surgery, including hysterectomy, can cause painful intercourse. Medical treatments for cancer, such as radiation and chemotherapy, can cause changes that make sex painful. Emotions are deeply intertwined with sexual activity, so they might play a role in sexual pain. Emotional factors include: Psychological issues. Anxiety, depression, concerns about physical appearance, fear of intimacy or relationship problems can contribute to a low level of arousal and resulting discomfort or pain. Stress. Your pelvic floor muscles tend to tighten in response to stress in your life. This can contribute to pain during intercourse. History of sexual abuse. Not everyone with dyspareunia has a history of sexual abuse. But if you have been abused, it can play a role. It can be hard to tell whether emotional factors are associated with dyspareunia. Initial pain can lead to fear of recurring pain, making it difficult to relax, which can lead to more pain. You might start avoiding sex if you associate it with the pain.

• #16 Dyspareunia – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK562159/

  Dyspareunia is defined by genital pain that can be experienced before, during, or after intercourse. Painful sexual intercourse is a common female health problem. In medical terminology, it is called dyspareunia. The prevalence of dyspareunia varies from 3 to 18% worldwide, and it can affect 10 to 28% of the population in a lifetime. Dyspareunia can be further categorized into superficial or deep, and primary or secondary. Superficial dyspareunia is limited to the vulva or vaginal entrance, while deep dyspareunia means the extension of pain into the deeper parts of the vagina or lower pelvis. Deep dyspareunia is frequently associated with deep penetration. Primary dyspareunia pain initiates at the start of sexual intercourse, while in secondary dyspareunia, pain begins after some time of pain-free sexual activity. Dyspareunia can also lead to sexual difficulties, such as lack of sexual desire and arousal, and can cause trouble in sexual relationships. It can have a significant impact on physical as well as mental health. It can lead to depression, anxiety, hypervigilance to pain, negative body image, and low self-esteem. The etiology of dyspareunia encompasses structural, inflammatory, infectious, neoplastic, traumatic, hormonal, and psychosocial conditions. The prognosis of dyspareunia depends on the causative factor of this pain. If the underlying cause is known and curable, then it has a better prognosis. Its prognosis is poor in idiopathic dyspareunia. Following treatment, patients with dyspareunia should receive counsel about the prognosis of the disorder. Treatment can last for several months, and complete resolution is also not guaranteed. Studies suggest that results start appearing after at least three months. After that, the patient’s distress starts decreasing with improved quality of life.

• #17 Dyspareunia – Hormonal Imbalance Symptoms | SheCares

  https://www.shecares.com/symptoms/dyspareunia

  Dyspareunia is defined as a persistent or recurrent genital pain that occurs before, during, or after sexual intercourse. It can be sensed either in the genital area or deep inside the pelvis and is described as sharp and burning, similar to menstrual cramps. […] About 25 – 45% of postmenopausal women find sex painful. […] Dyspareunia affects 8 – 22% of females, making it a very frequent issue in gynecologic practice. […] Primary dyspareunia is the classification of dyspareunia in which pain has always occurred during sexual activity. On the other hand, secondary dyspareunia is where the pain begins to occur after a period of pain-free intercourse. […] Dyspareunia can be caused by a variety of physical or psychological problems, making it difficult to pinpoint the exact cause of the symptom.

• #18 Dyspareunia (Painful Intercourse): Causes, Treatments, and More

  https://www.healthline.com/health/dyspareunia

  Dyspareunia is the term for recurring pain in the genital area or within the pelvis during sexual intercourse. The pain can be sharp or intense. It can occur before, during, or after sexual intercourse. […] Dyspareunia pain can vary. Pain may occur: in the vagina, urethra, or bladder; during penetration; during or after intercourse; deep in the pelvis during intercourse; after pain-free intercourse; only with specific partners or circumstances; with tampon use; along with burning, itching, or aching; with a feeling of stabbing pain, similar to menstrual cramps. […] Around 75 percent of women have painful intercourse at some time, according to the American College of Obstetricians and Gynecologists (ACOG).

• #19 Dyspareunia (Painful Intercourse) | Baylor Scott & White Health

  https://www.bswhealth.com/conditions/dyspareunia

  Dyspareunia is the medical term for pain during sex. You may experience discomfort in various ways; dyspareunia pain is often described as burning, cramping, sharp or throbbing. Along with painful intercourse, the condition can also cause discomfort when using a tampon. […] The primary symptom of dyspareunia is pain during intercourse, but you may experience the pain differently based on the type you have. Superficial dyspareunia causes pain upon entry, while deep dyspareunia pain may occur with deep penetration. While you may experience only superficial or deep dyspareunia, some people experience both. […] Pain during sex can also be a sign of underlying conditions, including infections, ovarian cysts and pelvic floor dysfunctions, so seeking treatment may help you find solutions to seemingly unrelated symptoms and health issues.

• #20 Dyspareunia: Symptoms, Causes, and Treatment

  https://www.verywellhealth.com/dyspareunia-symptoms-causes-and-treatment-7111754

  Some people develop pain in the genital area before, during, or after sexual intercourse. That pain is referred to medically as dyspareunia. […] The main symptom associated with dyspareunia is persistent or recurrent pain before, during, or after sexual intercourse. The pain for both males and females is similar but not exactly the same. […] The type of pain that develops in people with dyspareunia can present as intense feelings of: Burning, Dull throbbing, Sharp and stabbing, Resemble menstrual cramps, Muscle spasms or tightness. […] Dyspareunia is a common affliction that can affect all people. When the pain develops, it can feel dull and throbbing, stabbing and sharp, or resemble menstrual cramps. […] Having pain during sexual intercourse can reduce overall satisfaction in life and partnerships. Because of that, treatment addresses both the pain and the psychological consequences it can have on a person.

• #21 Dyspareunia – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK562159/

  Dyspareunia is defined by genital pain that can be experienced before, during, or after intercourse. Painful sexual intercourse is a common female health problem. In medical terminology, it is called dyspareunia. The prevalence of dyspareunia varies from 3 to 18% worldwide, and it can affect 10 to 28% of the population in a lifetime. Dyspareunia can be further categorized into superficial or deep, and primary or secondary. Superficial dyspareunia is limited to the vulva or vaginal entrance, while deep dyspareunia means the extension of pain into the deeper parts of the vagina or lower pelvis. Deep dyspareunia is frequently associated with deep penetration. Primary dyspareunia pain initiates at the start of sexual intercourse, while in secondary dyspareunia, pain begins after some time of pain-free sexual activity. Dyspareunia can also lead to sexual difficulties, such as lack of sexual desire and arousal, and can cause trouble in sexual relationships. It can have a significant impact on physical as well as mental health. It can lead to depression, anxiety, hypervigilance to pain, negative body image, and low self-esteem. The etiology of dyspareunia encompasses structural, inflammatory, infectious, neoplastic, traumatic, hormonal, and psychosocial conditions. The prognosis of dyspareunia depends on the causative factor of this pain. If the underlying cause is known and curable, then it has a better prognosis. Its prognosis is poor in idiopathic dyspareunia. Following treatment, patients with dyspareunia should receive counsel about the prognosis of the disorder. Treatment can last for several months, and complete resolution is also not guaranteed. Studies suggest that results start appearing after at least three months. After that, the patient’s distress starts decreasing with improved quality of life.

• #22 Dyspareunia – Wikipedia

  https://en.wikipedia.org/wiki/Dyspareunia

  The location, nature, and time course of the pain help to understand potential causes and treatments. […] Some describe superficial pain at the opening of the vagina or surface of the genitalia when penetration is initiated. Others feel deeper pain in the vault of the vagina or deep within the pelvis upon deeper penetration. […] Some patients have always experienced pain with intercourse from their very first attempt, while others begin to feel pain with intercourse after an injury or infection or cyclically with menstruation. Sometimes the pain increases over time. […] Pain may distract from feeling pleasure and excitement. […] Fear of being in pain can make the discomfort worse. […] Pain may continue despite the original source being removed, due to the learned expectation of pain.

• #23 Prosayla | Deep Pelvic Pain / Deep Dyspareunia

  https://www.prosayla.com/articles/deep-pelvic-pain-deep-dyspareunia

  Dyspareunia is a general term for pain with penetration during intimate sexual contact (fingers, toy, penis). […] Deep pelvic pain or deep pain with sex (dyspareunia) is the primary symptom. […] Deep pelvic pain typically results from one of the disorders noted above causing scar tissue or restriction of the movement of the top, or apex, of the vagina during sex. […] Because the depth of penetration can vary depending upon the sexual position, size of ones partner, and inherent length of the vagina, deep pelvic pain may occur only intermittently, e.g., only with sex in particular positions, with a particular partner, or with a particular partner in a particular position. […] The symptom of sexual pain with these disorders is far less common. […] Several medical treatments can reduce the size of fibroid tumors, shrink endometriosis, and reduce their associated pain, including deep sexual pain. […] If pain occurs only with deep penetration, reducing the depth of penetration can help prevent pain during sex.

• #24 Endometriosis and Pain During Sex (Dyspareunia)

  https://drseckin.com/painful-sex-and-endometriosis/

  Dyspareunia is the medical term used to define painful sex. It is one of the most common symptoms of endometriosis and yet the one many patients and doctors find most uncomfortable to discuss, causing emotional distress and strain on relationships. […] The painful sex experienced by women with endometriosis can range from mild to excruciating. They may describe the pain as a sharp stabbing or jabbing, or a deep abdominal ache. […] The intensity and duration of dyspareunia or painful intercourse depend on the location and spread of the endometrial lesions. […] However, not all women with endometriosis experience pain during sex, and for those who do, the pain may be very different. Some women may experience pain in any sexual position, while others may only feel pain with deep contact.

• #25 Endometriosis and Pain During Sex (Dyspareunia)

  https://drseckin.com/painful-sex-and-endometriosis/

  Moreover, while some women experience pain during sex only at certain times of the month, i.e., around the time of their period, others can have pain during sex at all times. Some women may experience pain only during intercourse. Others may experience pain up to 24 to 48 hours after intercourse, or only following intercourse. This may be a cramping sensation lasting for a few days afterward. […] Pain during sex can be the first sign of endometriosis, so it is crucial to speak to your doctor honestly to help them diagnose the disease early on. Additionally, speaking openly about your pain during sex can help avoid emotional distress in your relationships. […] Endometriosis treatments such as laparoscopic surgery performed by an expert endometriosis excision surgeon can help improve dyspareunia.

• #26 What is Dyspareunia? | Causes & Care

  https://www.theoriginway.com/treatments/dyspareunia

  Dyspareunia is pain in the vagina or lower pelvis, primarily with intercourse, that is unrelated to any organ disease. You can have symptoms before, during, or after penetration. So, you may experience pain during initial entry, pain throughout with every thrust, or pain that lasts for hours after intercourse. […] Dyspeurenia can also be caused by inadequate lubrication in the vagina due to estrogen deficiency. During breastfeeding, estrogen levels are low, which can lead to dryness and pain with penetration. […] Dyspareunia can be a side effect of oral birth control in women with no previous history of pregnancy, delivery, or pain. […] Other causes include chronic UTIs, repeated yeast infections, STIs, endometriosis, or skin disorders. […] Because treating dyspareunia involves downtraining and creating length in the pelvic floor, it can take months to resolve your symptoms. A typical course of treatment lasts anywhere from 4-12 months. […] Once your physical therapy is complete, we recommend that you continue the prescribed lengthening and relaxation exercises because your symptoms could come back at some point in the future, particularly if your symptoms are due to an underlying condition.

• #27 Female Painful Intercourse (Dyspareunia) – Diagnosis and Treatment

  https://urogynecology.in/painful-intercourse-dyspareunia/

  Inflammation or infection – UTI, Urinary Tract Infection can cause pain during intercourse. Skin infections can also lead to irritation and pain when attempting to have sex. […] Vaginismus – This is a case when a woman experiences muscle spasms without her knowledge in the walls of the vagina. This tightens the vagina making entry of the penis painful. […] Medical conditions inside the body such as: Endometriosis, Pelvic Inflammatory Disease, Uterine Prolapse, Retroverted Uterus, Uterine Fibroids, Cystitis, IBS – Irritable Bowel Syndrome, Pelvic Floor Dysfunction, Adenomyosis, Hemorrhoids / Piles, Ovarian Cysts. […] Emotions play an important part for sexual activities. Anxiety, depression, concerns about physical appearance (of the body and the vagina), fear can result in denting the arousal and not lubricating the vagina. […] If the urologist determines that an infection is the cause of the pain, he/she may put you onto medication. […] If the dryness is caused due to menopausal conditions, estrogen capsules / lubricants may be prescribed.

• #28 Dyspareunia (painful intercourse): Causes and treatment

  https://www.medicalnewstoday.com/articles/192590

  Some common emotional and psychological factors can play a role in painful intercourse. […] Anxiety, fear, and depression can inhibit sexual arousal and contribute to vaginal dryness or vaginismus. […] Stress can trigger a tightening of the pelvic floor muscles, resulting in pain. […] If sexual abuse, trauma, or other emotional issues are the root cause of the dyspareunia, counseling may help. […] Medication can treat pain due to an infection or medical condition. […] Topical estrogen may help women who experience vaginal dryness due to low estrogen levels. […] Pain experienced during intercourse can be reduced by using water-based personal lubricants. […] Practicing good genital hygiene and safe sex, and attending regular medical check-ups will help to prevent genital and urinary infections that can contribute to painful intercourse.

• #29 Dyspareunia (Painful Sex) – Your Pelvic Floor

  https://www.yourpelvicfloor.org/conditions/dyspareunia/

  The duration of the pain can be limited to the duration of intercourse but may last for up to 24 hours after intercourse has finished. The duration of symptoms varies widely and sometimes can be traced back to a specific time or event. […] Dyspareunia is common but probably under-reported. People experiencing sexual pain are encouraged to discuss it with their healthcare provider. […] Changes in vaginal tissue due to lack of estrogen leading to tissue irritation, vaginal dryness and thinning can make intercourse quite uncomfortable and painful. It is important to note that up to 50% of people will experience some dyspareunia after menopause due to these tissue changes. […] This is a chronic localized pain syndrome of the vulva, labia, and vaginal opening. […] There are several bladder pain syndromes which can cause chronic bladder and vaginal pain. These may not only cause dyspareunia, but also urgency, frequency of urination and pain with urination.

• #30 Painful Sexual Intercourse (Dyspareunia) – Harvard Health

  https://www.health.harvard.edu/a_to_z/painful-sexual-intercourse-dyspareunia-a-to-z

  Pain during or after sexual intercourse is known as dyspareunia. […] Women with dyspareunia may have pain in the vagina, clitoris or labia. […] Women with dyspareunia may feel superficial pain at the entrance of the vagina, or deeper pain during penetration or thrusting of the penis. […] Some women also may experience severe tightening of the vaginal muscles during penetration, a condition called vaginismus. […] How long your symptoms last depends on the cause. […] If you have vaginal dryness from inadequate lubrication, the symptoms will improve rapidly if you use a commercially available lubricant or if you are more aroused before intercourse. […] If you have vaginal dryness from atrophic vaginitis, your symptoms will improve with an estrogen cream placed in the vagina. […] If you have a urinary tract or vaginal yeast infection, the dyspareunia typically goes away within one week of antibiotic or antifungal therapy. […] Many causes of dyspareunia are rooted in a physical condition that can be cured or controlled with proper medical care. […] However, women with longstanding dyspareunia or a history of sexual abuse or trauma may need counseling to help manage the symptoms.

• #31 Painful Sexual Intercourse (Dyspareunia) – Harvard Health

  https://www.health.harvard.edu/a_to_z/painful-sexual-intercourse-dyspareunia-a-to-z

  Pain during or after sexual intercourse is known as dyspareunia. […] Women with dyspareunia may have pain in the vagina, clitoris or labia. […] Women with dyspareunia may feel superficial pain at the entrance of the vagina, or deeper pain during penetration or thrusting of the penis. […] Some women also may experience severe tightening of the vaginal muscles during penetration, a condition called vaginismus. […] How long your symptoms last depends on the cause. […] If you have vaginal dryness from inadequate lubrication, the symptoms will improve rapidly if you use a commercially available lubricant or if you are more aroused before intercourse. […] If you have vaginal dryness from atrophic vaginitis, your symptoms will improve with an estrogen cream placed in the vagina. […] If you have a urinary tract or vaginal yeast infection, the dyspareunia typically goes away within one week of antibiotic or antifungal therapy. […] Many causes of dyspareunia are rooted in a physical condition that can be cured or controlled with proper medical care. […] However, women with longstanding dyspareunia or a history of sexual abuse or trauma may need counseling to help manage the symptoms.

• #32 Dyspareunia – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK562159/

  Dyspareunia is defined by genital pain that can be experienced before, during, or after intercourse. Painful sexual intercourse is a common female health problem. In medical terminology, it is called dyspareunia. The prevalence of dyspareunia varies from 3 to 18% worldwide, and it can affect 10 to 28% of the population in a lifetime. Dyspareunia can be further categorized into superficial or deep, and primary or secondary. Superficial dyspareunia is limited to the vulva or vaginal entrance, while deep dyspareunia means the extension of pain into the deeper parts of the vagina or lower pelvis. Deep dyspareunia is frequently associated with deep penetration. Primary dyspareunia pain initiates at the start of sexual intercourse, while in secondary dyspareunia, pain begins after some time of pain-free sexual activity. Dyspareunia can also lead to sexual difficulties, such as lack of sexual desire and arousal, and can cause trouble in sexual relationships. It can have a significant impact on physical as well as mental health. It can lead to depression, anxiety, hypervigilance to pain, negative body image, and low self-esteem. The etiology of dyspareunia encompasses structural, inflammatory, infectious, neoplastic, traumatic, hormonal, and psychosocial conditions. The prognosis of dyspareunia depends on the causative factor of this pain. If the underlying cause is known and curable, then it has a better prognosis. Its prognosis is poor in idiopathic dyspareunia. Following treatment, patients with dyspareunia should receive counsel about the prognosis of the disorder. Treatment can last for several months, and complete resolution is also not guaranteed. Studies suggest that results start appearing after at least three months. After that, the patient’s distress starts decreasing with improved quality of life.

• #33 Dyspareunia in Women | AAFP

  https://www.aafp.org/pubs/afp/issues/2021/0515/p597.html

  Dyspareunia is recurrent or persistent pain with sexual intercourse that causes distress. It affects approximately 10% to 20% of U.S. women. Dyspareunia may be superficial, causing pain with attempted vaginal insertion, or deep. Women with sexual pain are at increased risk of sexual dysfunction, relationship distress, diminished quality of life, anxiety, and depression. […] Dyspareunia, recurrent or persistent painful sexual intercourse, is common and can affect women’s mental and physical health and relationships. The prevalence of dyspareunia in the United States is approximately 10% to 20% and varies by age and population. Women with sexual pain are at increased risk of sexual dysfunction, relationship distress, diminished quality of life, anxiety, and depression. […] Determining which sexual activities are painful can suggest specific diagnoses. Patients who have pain with vaginal entry may have atrophy, inadequate lubrication, pelvic floor dysfunction, vaginitis, vulvodynia, or vaginismus, whereas patients who have deeper pain may have endometriosis or structural or anatomic abnormalities, such as uterine retroversion.

• #34 SEXUAL PAIN (DYSPAREUNIA) – a patient’s guide – Family Doctor

  https://www.familydoctor.co.nz/categories/sexual-health/sexual-pain-dyspareunia-a-patients-guide/

  An estimated seven percent of women experience pain during intercourse. […] Dyspareunia is genital pain that may be from the vaginal entrance, or deeper in the pelvis. […] Deep pain may be due to pelvic thrusting irritating pelvic inflammatory disease, previous surgery, irritable bowel syndrome or endometriosis. […] Dyspareunia can lead to relationship problems, failure to reach orgasm and avoiding sexual activity. […] Vaginismus is an involuntary spasm of the muscles surrounding the vagina, causing it to close and making penetration difficult or even impossible. […] It may be caused by a traumatic or painful sexual experience. […] Treatment for dyspareunia involves treatment of any STDs present, treatment of conditions like pelvic inflammatory disease, and using lubrication during sex.

• #35 Painful intercourse (dyspareunia) – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/painful-intercourse/symptoms-causes/syc-20375967

  Painful intercourse can happen for reasons that range from structural problems to psychological concerns. Many people have painful intercourse at some point in their lives. The medical term for painful intercourse is dyspareunia (dis-puh-ROO-nee-uh). It is lasting or recurrent genital pain that occurs just before, during or after sex. If you have painful intercourse, you might feel: Pain only at sexual entry, called penetration. Pain with every penetration, including putting in a tampon. Deep pain during thrusting. Burning pain or aching pain. Throbbing pain lasting hours after sex. Physical causes of painful intercourse differ, depending on whether the pain happens at entry or with deep thrusting. Emotional factors can be linked to many types of painful intercourse. Pain during penetration might be associated with a range of factors, including: Not enough lubrication. This is often the result of not enough foreplay. A drop in estrogen levels after menopause or childbirth or during breastfeeding also can be a cause. Certain medicines can affect sexual desire or arousal. That can decrease lubrication and make sex painful. Those medicines include antidepressants, high blood pressure medicines, sedatives, antihistamines and certain birth control pills. Injury, trauma or irritation. This includes injury or irritation from an accident, pelvic surgery, female circumcision or a cut made during childbirth to enlarge the birth canal, called episiotomy. Inflammation, infection or skin disorders. An infection in the genital area or urinary tract can cause painful intercourse. Eczema or other skin problems in the genital area also can be the cause. Vaginismus. These involuntary spasms of the muscles of the vaginal wall can make penetration painful. A problem present at birth. Not having a fully formed vagina, called vaginal agenesis, or having a membrane that blocks the vaginal opening, called imperforate hymen, could cause painful intercourse. Deep pain usually occurs with deep penetration. It might be worse in certain positions. Causes include: Certain illnesses and conditions. The list includes endometriosis, pelvic inflammatory disease, uterine prolapse, retroverted uterus, uterine fibroids, cystitis, irritable bowel syndrome, pelvic floor conditions, adenomyosis, hemorrhoids and ovarian cysts. Surgeries or medical treatments. Scarring from pelvic surgery, including hysterectomy, can cause painful intercourse. Medical treatments for cancer, such as radiation and chemotherapy, can cause changes that make sex painful. Emotions are deeply intertwined with sexual activity, so they might play a role in sexual pain. Emotional factors include: Psychological issues. Anxiety, depression, concerns about physical appearance, fear of intimacy or relationship problems can contribute to a low level of arousal and resulting discomfort or pain. Stress. Your pelvic floor muscles tend to tighten in response to stress in your life. This can contribute to pain during intercourse. History of sexual abuse. Not everyone with dyspareunia has a history of sexual abuse. But if you have been abused, it can play a role. It can be hard to tell whether emotional factors are associated with dyspareunia. Initial pain can lead to fear of recurring pain, making it difficult to relax, which can lead to more pain. You might start avoiding sex if you associate it with the pain.

• #36 Dyspareunia (painful intercourse) and Vaginismus: When Sex Hurts

  https://www.mypelvictherapy.com/post/dyspareunia-painful-intercourse-and-vaginismus-when-sex-hurts

  When there is pain with sexual function, it is important to treat both the physical and psychological/emotional symptoms together. […] Pain with intercourse does not tend to go away on its own, and as we’ve discussed, can take a huge emotional toll on those who suffer from it, as well as on their partners. People with chronic unexplained pain during sex can often develop other sexual dysfunctions like lower drive, arousal, satisfaction, and ability to orgasm. […] It’s important not to ignore and just endure pain with sex. You are not alone, and there is help available. Speak up about sexual pain, and don’t stop until you get effective treatment.

• #37 Dyspareunia – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK562159/

  Dyspareunia is defined by genital pain that can be experienced before, during, or after intercourse. Painful sexual intercourse is a common female health problem. In medical terminology, it is called dyspareunia. The prevalence of dyspareunia varies from 3 to 18% worldwide, and it can affect 10 to 28% of the population in a lifetime. Dyspareunia can be further categorized into superficial or deep, and primary or secondary. Superficial dyspareunia is limited to the vulva or vaginal entrance, while deep dyspareunia means the extension of pain into the deeper parts of the vagina or lower pelvis. Deep dyspareunia is frequently associated with deep penetration. Primary dyspareunia pain initiates at the start of sexual intercourse, while in secondary dyspareunia, pain begins after some time of pain-free sexual activity. Dyspareunia can also lead to sexual difficulties, such as lack of sexual desire and arousal, and can cause trouble in sexual relationships. It can have a significant impact on physical as well as mental health. It can lead to depression, anxiety, hypervigilance to pain, negative body image, and low self-esteem. The etiology of dyspareunia encompasses structural, inflammatory, infectious, neoplastic, traumatic, hormonal, and psychosocial conditions. The prognosis of dyspareunia depends on the causative factor of this pain. If the underlying cause is known and curable, then it has a better prognosis. Its prognosis is poor in idiopathic dyspareunia. Following treatment, patients with dyspareunia should receive counsel about the prognosis of the disorder. Treatment can last for several months, and complete resolution is also not guaranteed. Studies suggest that results start appearing after at least three months. After that, the patient’s distress starts decreasing with improved quality of life.

• #38 Dyspareunia (Painful Intercourse) – ArriveAlive Ltd.

  https://arrivealiveltd.com/dyspareunia/

  Treatment of Dyspareunia: Depending on the source of the discomfort, different treatments are available. If an infection or other medical condition is the cause of your discomfort, treating the underlying issue may provide relief. Changing prescription drugs that have been linked to lubrication issues may potentially get rid of your symptoms. Low estrogen levels in many postmenopausal women result in insufficient lubrication, which leads to dyspareunia. Topical estrogen that is given directly to the vagina is frequently effective in treating this. Ospemifene (Osphena), a medication licensed by the Food and Drug Administration, is used to treat moderate to severe dyspareunia in females who have issues with vaginal lubrication. […] Other non-pharmacological treatments for dyspareunia include therapy for desensitization, sexual treatment or counseling, and lifestyle and home remedies.

• #39 Dyspareunia – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK562159/

  Dyspareunia is defined by genital pain that can be experienced before, during, or after intercourse. Painful sexual intercourse is a common female health problem. In medical terminology, it is called dyspareunia. The prevalence of dyspareunia varies from 3 to 18% worldwide, and it can affect 10 to 28% of the population in a lifetime. Dyspareunia can be further categorized into superficial or deep, and primary or secondary. Superficial dyspareunia is limited to the vulva or vaginal entrance, while deep dyspareunia means the extension of pain into the deeper parts of the vagina or lower pelvis. Deep dyspareunia is frequently associated with deep penetration. Primary dyspareunia pain initiates at the start of sexual intercourse, while in secondary dyspareunia, pain begins after some time of pain-free sexual activity. Dyspareunia can also lead to sexual difficulties, such as lack of sexual desire and arousal, and can cause trouble in sexual relationships. It can have a significant impact on physical as well as mental health. It can lead to depression, anxiety, hypervigilance to pain, negative body image, and low self-esteem. The etiology of dyspareunia encompasses structural, inflammatory, infectious, neoplastic, traumatic, hormonal, and psychosocial conditions. The prognosis of dyspareunia depends on the causative factor of this pain. If the underlying cause is known and curable, then it has a better prognosis. Its prognosis is poor in idiopathic dyspareunia. Following treatment, patients with dyspareunia should receive counsel about the prognosis of the disorder. Treatment can last for several months, and complete resolution is also not guaranteed. Studies suggest that results start appearing after at least three months. After that, the patient’s distress starts decreasing with improved quality of life.

• #40 Painful Intercourse (Dyspareunia) – University of Mississippi Medical Center

  https://umc.edu/Healthcare/Womens%20Health/Womens-Pelvic-Health-and-Reconstructive-Surgery/painful-intercourse-dyspareunia.html

  Dyspareunia or painful intercourse is defined as the complaint of persistent or recurrent pain or discomfort associated with attempted or complete vaginal penetration. It is a common problem for women at any age. […] Painful intercourse is described by when symptoms began and where pain is located: […] There are many potential causes of painful intercourse, so diagnosis begins by considering when symptoms began and the location of the pain. […] When all of the available information has been gathered, a diagnosis more specific than painful intercourse can almost always be made. Treatment will be focused on the suspected cause(s) of the painful intercourse. […] The emotional impact dyspareunia can have on a woman and/or her relationship will be addressed as well.

• #41 Endometriosis Symptoms: Painful Sex (Dyspareunia) | EndoFound

  https://www.endofound.org/painful-sex-dyspareunia

  The third predominant symptom of endometriosis is painful sex (dyspareunia). Patients with endometriosis often find themselves experiencing physical pain when engaging in sex, which is a very personal note for patients to express to their gynecologist. […] Pain with sex (dyspareunia) occurs due to fibrosis and inflammation forming around the posterior cul-de-sac. The mobility and expansion of the upper vagina that normally occurs during intercourse thus becomes much more painful and irritating. […] The pain caused by endometriosis during sex is deep; it comes from the inflammation and fibrosis fusing the front wall of the rectum to the back wall of the vagina. […] The pain can be more intense in certain sexual positions than in others, depending on exactly where the endometriosis is located and how advanced it is. If it is widespread, pain may be present no matter the position.

• #42 Endometriosis and Pain During Sex (Dyspareunia)

  https://drseckin.com/painful-sex-and-endometriosis/

  Dyspareunia is the medical term used to define painful sex. It is one of the most common symptoms of endometriosis and yet the one many patients and doctors find most uncomfortable to discuss, causing emotional distress and strain on relationships. […] The painful sex experienced by women with endometriosis can range from mild to excruciating. They may describe the pain as a sharp stabbing or jabbing, or a deep abdominal ache. […] The intensity and duration of dyspareunia or painful intercourse depend on the location and spread of the endometrial lesions. […] However, not all women with endometriosis experience pain during sex, and for those who do, the pain may be very different. Some women may experience pain in any sexual position, while others may only feel pain with deep contact.

• #43 Endometriosis and Pain During Sex (Dyspareunia)

  https://drseckin.com/painful-sex-and-endometriosis/

  Moreover, while some women experience pain during sex only at certain times of the month, i.e., around the time of their period, others can have pain during sex at all times. Some women may experience pain only during intercourse. Others may experience pain up to 24 to 48 hours after intercourse, or only following intercourse. This may be a cramping sensation lasting for a few days afterward. […] Pain during sex can be the first sign of endometriosis, so it is crucial to speak to your doctor honestly to help them diagnose the disease early on. Additionally, speaking openly about your pain during sex can help avoid emotional distress in your relationships. […] Endometriosis treatments such as laparoscopic surgery performed by an expert endometriosis excision surgeon can help improve dyspareunia.

• #44 Endometriosis and Pain During Sex (Dyspareunia)

  https://drseckin.com/painful-sex-and-endometriosis/

  Moreover, while some women experience pain during sex only at certain times of the month, i.e., around the time of their period, others can have pain during sex at all times. Some women may experience pain only during intercourse. Others may experience pain up to 24 to 48 hours after intercourse, or only following intercourse. This may be a cramping sensation lasting for a few days afterward. […] Pain during sex can be the first sign of endometriosis, so it is crucial to speak to your doctor honestly to help them diagnose the disease early on. Additionally, speaking openly about your pain during sex can help avoid emotional distress in your relationships. […] Endometriosis treatments such as laparoscopic surgery performed by an expert endometriosis excision surgeon can help improve dyspareunia.

• #45 When To Consult A Doctor If You’re Having Painful Sex

  https://www.healthline.com/health/dyspareunia/signs-to-see-your-doctor

  Painful sex, or dyspareunia, is common during and after menopause. A doctor can address symptoms by treating the underlying cause. […] Painful sex is a more common symptom during and after menopause than most people realize. The medical term for painful sex is dyspareunia. Its usually a result of declining estrogen levels. […] Here are six signs its time to see a doctor about painful sex. […] If youve already tried several products and still find sex too painful, consult your doctor to discuss treatment options. Your doctor may prescribe a vaginal cream, insert, or supplement to help reduce your symptoms. […] After menopause, vaginal bleeding at any time should be evaluated by a doctor. […] Symptoms include more frequent urination, a more urgent need to urinate, and a painful, burning sensation during urination.

• #46 Sex and Menopause: Treatment for Symptoms | National Institute on Aging

  https://www.nia.nih.gov/health/menopause/sex-and-menopause-treatment-symptoms

  Some women have vaginal dryness when their bodies experience the menopausal transition. This can make sex painful. […] Pain during sexual activity is called dyspareunia. […] However, some women experience severe dyspareunia that prevents them from engaging in any sexual activity without pain. […] The U.S. Food and Drug Administration has approved two nonhormone medications, called ospemifene and prasterone, to treat moderate to severe dyspareunia caused by vaginal changes that occur with menopause.

• #47 Top 11 causes of painful sex (dyspareunia) you need to know about – EZRA Clinic

  https://ezraclinic.sg/top-11-causes-of-painful-sex-dyspareunia-you-need-to-know-about/

  Vaginismus is a condition that is caused by involuntary clenching or contracting of the vaginal walls and muscles, hence making penetration or any attempt at penetration painful or difficult. […] Some common symptoms that a patient may experience will include: difficult or impossible penetration, entry pain or uncomfortable insertion, burning or stinging pain during sex, vaginal tightness during sex, partner feels like he is hitting a wall, difficulty with inserting tampons or with a medical vaginal examination, avoidance of sexual intercourse due to fear, pain or failure. […] Vaginal atrophy refers to the drying up of the tissues around the vagina due to ageing and menopause. […] As a result, many menopausal women may experience extreme vaginal dryness or painful sexual intercourse.

• #48 Dyspareunia – Hormonal Imbalance Symptoms | SheCares

  https://www.shecares.com/symptoms/dyspareunia

  Dyspareunia is defined as a persistent or recurrent genital pain that occurs before, during, or after sexual intercourse. It can be sensed either in the genital area or deep inside the pelvis and is described as sharp and burning, similar to menstrual cramps. […] About 25 – 45% of postmenopausal women find sex painful. […] Dyspareunia affects 8 – 22% of females, making it a very frequent issue in gynecologic practice. […] Primary dyspareunia is the classification of dyspareunia in which pain has always occurred during sexual activity. On the other hand, secondary dyspareunia is where the pain begins to occur after a period of pain-free intercourse. […] Dyspareunia can be caused by a variety of physical or psychological problems, making it difficult to pinpoint the exact cause of the symptom.

• #49 Vaginismus: Dyspareunia, Causes, Symptoms, Treatment

  https://my.clevelandclinic.org/health/diseases/15723-vaginismus

  Vaginismus can make intercourse painful (dyspareunia). […] The spasms may be mildly uncomfortable or very painful. […] Vaginismus symptoms may appear during the late teen years or early adulthood when a person has sex for the first time. […] Spasms or discomfort may occur anytime there’s vaginal penetration. […] Signs of vaginismus include: Discomfort or pain during vaginal penetration. […] Inability to have sex or have a pelvic exam due to vaginal muscle spasms or pain. […] Painful intercourse. […] You should see a doctor if you have painful sex or pain while inserting a tampon. These feelings aren’t normal. […] Vaginismus can affect your sex life and relationships with your partner. […] If you experience muscle spasms or pain that makes intercourse uncomfortable or impossible, don’t be embarrassed to talk to your healthcare provider. […] Many problems, including vaginismus, can cause painful intercourse.

• #50 Dyspareunia in Women | AAFP

  https://www.aafp.org/pubs/afp/issues/2021/0515/p597.html

  Postpartum sexual dysfunction, including dyspareunia, is common. Among women who have had their first vaginal delivery, approximately 40% report painful sex three months postpartum and 20% at six months postpartum. Breastfeeding can cause vaginal dryness and pain with penetration because of diminished estrogen. […] Vaginismus (involuntary contraction of the pelvic floor muscles with attempted vaginal penetration) is now combined with dyspareunia into the term genitopelvic pain/penetration disorder. Vaginismus leads to fear or anxiety about penetration, causing pelvic floor muscle constriction, which is distinct from causes of entry dyspareunia, such as infections, vulvodynia, or pelvic floor dysfunction.

• #51 Top 11 causes of painful sex (dyspareunia) you need to know about – EZRA Clinic

  https://ezraclinic.sg/top-11-causes-of-painful-sex-dyspareunia-you-need-to-know-about/

  Vaginismus is a condition that is caused by involuntary clenching or contracting of the vaginal walls and muscles, hence making penetration or any attempt at penetration painful or difficult. […] Some common symptoms that a patient may experience will include: difficult or impossible penetration, entry pain or uncomfortable insertion, burning or stinging pain during sex, vaginal tightness during sex, partner feels like he is hitting a wall, difficulty with inserting tampons or with a medical vaginal examination, avoidance of sexual intercourse due to fear, pain or failure. […] Vaginal atrophy refers to the drying up of the tissues around the vagina due to ageing and menopause. […] As a result, many menopausal women may experience extreme vaginal dryness or painful sexual intercourse.

• #52 Vaginismus: Dyspareunia, Causes, Symptoms, Treatment

  https://my.clevelandclinic.org/health/diseases/15723-vaginismus

  Vaginismus can make intercourse painful (dyspareunia). […] The spasms may be mildly uncomfortable or very painful. […] Vaginismus symptoms may appear during the late teen years or early adulthood when a person has sex for the first time. […] Spasms or discomfort may occur anytime there’s vaginal penetration. […] Signs of vaginismus include: Discomfort or pain during vaginal penetration. […] Inability to have sex or have a pelvic exam due to vaginal muscle spasms or pain. […] Painful intercourse. […] You should see a doctor if you have painful sex or pain while inserting a tampon. These feelings aren’t normal. […] Vaginismus can affect your sex life and relationships with your partner. […] If you experience muscle spasms or pain that makes intercourse uncomfortable or impossible, don’t be embarrassed to talk to your healthcare provider. […] Many problems, including vaginismus, can cause painful intercourse.

• #53 Female Pain During Sexual Intercourse (Dyspareunia): Causes & Treatments

  https://www.webmd.com/sexual-conditions/female-pain-during-sex

  Problems with the cervix (opening to the uterus). In this case, the penis can reach the cervix at maximum penetration. So problems with the cervix (such as infections) can cause pain during deep penetration. […] Problems with the uterus. These problems may include fibroids that can cause deep intercourse pain. […] Endometriosis. This is a condition in which the tissue similar to that which lines the uterus grows outside the uterus. […] Problems with the ovaries. Problems might include cysts on the ovaries. […] Pelvic inflammatory disease (PID). With PID, the tissues deep inside become badly inflamed and the pressure of intercourse causes deep pain. […] Ectopic pregnancy. This is a pregnancy in which a fertilized egg develops outside the uterus. […] Menopause. With menopause, the vaginal lining can lose its normal moisture and become dry.

• #54 Dyspareunia – Symptom Evaluation

  https://www.medindia.net/health/conditions/dyspareunia.htm

  Vaginal atrophy or atrophic vaginitis refers to the thinning of the inner lining of the vagina which occurs following menopause or other conditions where estrogen is deficient, for example, during breastfeeding, following early surgical removal of ovaries or use of certain hormonal medications. The woman complains of a feeling of dryness, burning and itching, along with pain during sex, which can result in loss of interest. […] Endometriosis is a condition where the tissue lining the uterus is also found in other parts of the pelvis. The tissue bleeds during menstruation and can cause pain and scar tissue formation. Dyspareunia particularly occurs if the septum that separates the vagina from the rectum (lower part of the large intestine) is affected by endometriosis. […] Pelvic inflammatory disease is an infection of the deeper structures of the reproductive system like the uterus, fallopian tubes or ovaries. The infection may follow an untreated sexually transmitted disease. Infection of the cervix (cervicitis) can itself cause dyspareunia or can travel upwards resulting in pelvic inflammatory disease.

• #55 Female Painful Intercourse (Dyspareunia) – Diagnosis and Treatment

  https://urogynecology.in/painful-intercourse-dyspareunia/

  Inflammation or infection – UTI, Urinary Tract Infection can cause pain during intercourse. Skin infections can also lead to irritation and pain when attempting to have sex. […] Vaginismus – This is a case when a woman experiences muscle spasms without her knowledge in the walls of the vagina. This tightens the vagina making entry of the penis painful. […] Medical conditions inside the body such as: Endometriosis, Pelvic Inflammatory Disease, Uterine Prolapse, Retroverted Uterus, Uterine Fibroids, Cystitis, IBS – Irritable Bowel Syndrome, Pelvic Floor Dysfunction, Adenomyosis, Hemorrhoids / Piles, Ovarian Cysts. […] Emotions play an important part for sexual activities. Anxiety, depression, concerns about physical appearance (of the body and the vagina), fear can result in denting the arousal and not lubricating the vagina. […] If the urologist determines that an infection is the cause of the pain, he/she may put you onto medication. […] If the dryness is caused due to menopausal conditions, estrogen capsules / lubricants may be prescribed.

• #56 Top 11 causes of painful sex (dyspareunia) you need to know about – EZRA Clinic

  https://ezraclinic.sg/top-11-causes-of-painful-sex-dyspareunia-you-need-to-know-about/

  Vaginal infection is another very common cause of painful or uncomfortable sexual intercourse. […] Common infections can include yeast infections, bacterial vaginosis or sexually transmitted infections such as chlamydia, gonorrhea, genital herpes or trichomonas. […] Inflammation of the cervix is most commonly associated with infections, especially sexually transmitted infections such as chlamydia, gonorrhea or trichomonas. […] As the penis comes into contact with the cervix during sexual intercourse, any contact with an inflamed cervix can cause pain. […] Endometriosis is a condition whereby the endometrium (inner lining of the uterus) grows outside of the uterus. This results in inflammation of the surrounding tissues, which can lead to pain during sexual intercourse. […] Pelvic adhesions are scar tissues that form as a result of a previous abdominal or pelvic surgery, or from previous radiation treatment or from PID. […] PID is a result of undiagnosed and untreated inflammation of the womb or pelvis organs.

• #57 Dyspareunia (Painful Sex) – Your Pelvic Floor

  https://www.yourpelvicfloor.org/conditions/dyspareunia/

  At times, people will describe a pain like being stabbed in the vagina or hitting a wall sensation. This can be related to increased tension of the pelvic floor muscles so that they cannot properly relax. […] Often caused by sexually transmitted diseases, PID can cause chronic pain and dyspareunia as well. […] Sometimes the definitive source of pain on examination is unclear, but there are other signs such as pain with menstrual cycles that is in excess to normal cramping. […] Vaginal cyst, polyp, growth, foreign body, and sometimes relaxation of the pelvic organs which may cause a vaginal bulge (prolapse) may be the underlying cause of sexual discomfort. […] Scarring and tenderness following an episiotomy or tear during childbirth is a common cause of dyspareunia. […] Treatment options vary widely based on the underlying cause(s) of the pain being experienced.

• #58 Dyspareunia (Painful Intercourse) – N Balance Physical Therapy

  https://nbalancept.com/dyspareunia-painful-intercourse/

  Dyspareunia is a common problem with women and affects approximately 10% to 20% of U.S. women. Women with dyspareunia have increased risk of sexual dysfunction, anxiety, depression, relationship problems, and diminished quality of life. Dyspareunia is pain with initial and/or deep penetration and is associated with pelvic floor dysfunction (PFD). Pain with intercourse is just one symptom of pelvic floor dysfunction. Dyspareunia describes a painful sensation during sexual intercourse (burning, searing, shooting pain) and may linger for hours or days afterwards. […] There are several conditions that cause dyspareunia: Overactive pelvic floor muscles (PFM): This is when the PFM do not relax or may even contract instead of relaxing. Your pelvic floor muscles need to functionally contract or relax for sexual intercourse, voiding urine, and having a bowel movement. Postpartum: After giving birth, either vaginally or via cesarean, many women report pain with intercourse. Most physicians recommend waiting at least six weeks to allow healing of the sensitive tissues in the vagina before engaging in sexual intercourse. One study describes almost 20% of women still reported pain with intercourse up to 8 months after giving birth and beyond with no difference between those who gave birth vaginally or via cesarean. Other issues that may contribute to dyspareunia postpartum include perineal tearing, scar tissue from episiotomy, and breast feeding. Vaginal dryness: This may be caused by menopause or breast feeding due to a decrease in estrogen levels. The insufficient levels of estrogen in a woman’s body can cause impaired vaginal lubrication which leads to pain with intercourse. Pelvic trauma: There are many types of pelvic trauma which can cause dyspareunia. The most common include episiotomy from childbirth, falling on your tailbone, and history of sexual abuse/rape.

• #59 Dyspareunia (Painful Sex) – Your Pelvic Floor

  https://www.yourpelvicfloor.org/conditions/dyspareunia/

  At times, people will describe a pain like being stabbed in the vagina or hitting a wall sensation. This can be related to increased tension of the pelvic floor muscles so that they cannot properly relax. […] Often caused by sexually transmitted diseases, PID can cause chronic pain and dyspareunia as well. […] Sometimes the definitive source of pain on examination is unclear, but there are other signs such as pain with menstrual cycles that is in excess to normal cramping. […] Vaginal cyst, polyp, growth, foreign body, and sometimes relaxation of the pelvic organs which may cause a vaginal bulge (prolapse) may be the underlying cause of sexual discomfort. […] Scarring and tenderness following an episiotomy or tear during childbirth is a common cause of dyspareunia. […] Treatment options vary widely based on the underlying cause(s) of the pain being experienced.

• #60 Dyspareunia in Women | AAFP

  https://www.aafp.org/pubs/afp/issues/2021/0515/p597.html

  Postpartum sexual dysfunction, including dyspareunia, is common. Among women who have had their first vaginal delivery, approximately 40% report painful sex three months postpartum and 20% at six months postpartum. Breastfeeding can cause vaginal dryness and pain with penetration because of diminished estrogen. […] Vaginismus (involuntary contraction of the pelvic floor muscles with attempted vaginal penetration) is now combined with dyspareunia into the term genitopelvic pain/penetration disorder. Vaginismus leads to fear or anxiety about penetration, causing pelvic floor muscle constriction, which is distinct from causes of entry dyspareunia, such as infections, vulvodynia, or pelvic floor dysfunction.

• #61 Dyspareunia (Painful Intercourse) – N Balance Physical Therapy

  https://nbalancept.com/dyspareunia-painful-intercourse/

  Other causes of dyspareunia are: Yeast and/or urinary infections Vulvodynia, or pain centered in the vulva area Vaginitis, or inflammation of the vagina Endometriosis Pelvic Inflammatory Disease (PID) Irritable bowel syndrome. […] 85% of women report pain during sex the first time after giving birth. 1 in 5 women continue to report pain with intercourse up to 12 months postpartum and beyond. One study estimates that up to 33% of women report decreased sexual satisfaction, likely due to insufficient vaginal lubrication. Vaginal dryness is common with menopausal women and those breast feeding. As a postpartum mother, you have a higher risk of dyspareunia if you experienced internal or external injuries during childbirth. For example, if you had an episiotomy you have a higher risk of experiencing pain and insufficient lubrication which may also contribute to the discomfort.

• #62 Dyspareunia (Painful Intercourse) – N Balance Physical Therapy

  https://nbalancept.com/dyspareunia-painful-intercourse/

  Other causes of dyspareunia are: Yeast and/or urinary infections Vulvodynia, or pain centered in the vulva area Vaginitis, or inflammation of the vagina Endometriosis Pelvic Inflammatory Disease (PID) Irritable bowel syndrome. […] 85% of women report pain during sex the first time after giving birth. 1 in 5 women continue to report pain with intercourse up to 12 months postpartum and beyond. One study estimates that up to 33% of women report decreased sexual satisfaction, likely due to insufficient vaginal lubrication. Vaginal dryness is common with menopausal women and those breast feeding. As a postpartum mother, you have a higher risk of dyspareunia if you experienced internal or external injuries during childbirth. For example, if you had an episiotomy you have a higher risk of experiencing pain and insufficient lubrication which may also contribute to the discomfort.

• #63 Painful intercourse (dyspareunia) – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/painful-intercourse/symptoms-causes/syc-20375967

  Painful intercourse can happen for reasons that range from structural problems to psychological concerns. Many people have painful intercourse at some point in their lives. The medical term for painful intercourse is dyspareunia (dis-puh-ROO-nee-uh). It is lasting or recurrent genital pain that occurs just before, during or after sex. If you have painful intercourse, you might feel: Pain only at sexual entry, called penetration. Pain with every penetration, including putting in a tampon. Deep pain during thrusting. Burning pain or aching pain. Throbbing pain lasting hours after sex. Physical causes of painful intercourse differ, depending on whether the pain happens at entry or with deep thrusting. Emotional factors can be linked to many types of painful intercourse. Pain during penetration might be associated with a range of factors, including: Not enough lubrication. This is often the result of not enough foreplay. A drop in estrogen levels after menopause or childbirth or during breastfeeding also can be a cause. Certain medicines can affect sexual desire or arousal. That can decrease lubrication and make sex painful. Those medicines include antidepressants, high blood pressure medicines, sedatives, antihistamines and certain birth control pills. Injury, trauma or irritation. This includes injury or irritation from an accident, pelvic surgery, female circumcision or a cut made during childbirth to enlarge the birth canal, called episiotomy. Inflammation, infection or skin disorders. An infection in the genital area or urinary tract can cause painful intercourse. Eczema or other skin problems in the genital area also can be the cause. Vaginismus. These involuntary spasms of the muscles of the vaginal wall can make penetration painful. A problem present at birth. Not having a fully formed vagina, called vaginal agenesis, or having a membrane that blocks the vaginal opening, called imperforate hymen, could cause painful intercourse. Deep pain usually occurs with deep penetration. It might be worse in certain positions. Causes include: Certain illnesses and conditions. The list includes endometriosis, pelvic inflammatory disease, uterine prolapse, retroverted uterus, uterine fibroids, cystitis, irritable bowel syndrome, pelvic floor conditions, adenomyosis, hemorrhoids and ovarian cysts. Surgeries or medical treatments. Scarring from pelvic surgery, including hysterectomy, can cause painful intercourse. Medical treatments for cancer, such as radiation and chemotherapy, can cause changes that make sex painful. Emotions are deeply intertwined with sexual activity, so they might play a role in sexual pain. Emotional factors include: Psychological issues. Anxiety, depression, concerns about physical appearance, fear of intimacy or relationship problems can contribute to a low level of arousal and resulting discomfort or pain. Stress. Your pelvic floor muscles tend to tighten in response to stress in your life. This can contribute to pain during intercourse. History of sexual abuse. Not everyone with dyspareunia has a history of sexual abuse. But if you have been abused, it can play a role. It can be hard to tell whether emotional factors are associated with dyspareunia. Initial pain can lead to fear of recurring pain, making it difficult to relax, which can lead to more pain. You might start avoiding sex if you associate it with the pain.

• #64 Dyspareunia (painful intercourse): Causes and treatment

  https://www.medicalnewstoday.com/articles/192590

  Some common emotional and psychological factors can play a role in painful intercourse. […] Anxiety, fear, and depression can inhibit sexual arousal and contribute to vaginal dryness or vaginismus. […] Stress can trigger a tightening of the pelvic floor muscles, resulting in pain. […] If sexual abuse, trauma, or other emotional issues are the root cause of the dyspareunia, counseling may help. […] Medication can treat pain due to an infection or medical condition. […] Topical estrogen may help women who experience vaginal dryness due to low estrogen levels. […] Pain experienced during intercourse can be reduced by using water-based personal lubricants. […] Practicing good genital hygiene and safe sex, and attending regular medical check-ups will help to prevent genital and urinary infections that can contribute to painful intercourse.

• #65 Painful intercourse (dyspareunia) – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/painful-intercourse/symptoms-causes/syc-20375967

  Painful intercourse can happen for reasons that range from structural problems to psychological concerns. Many people have painful intercourse at some point in their lives. The medical term for painful intercourse is dyspareunia (dis-puh-ROO-nee-uh). It is lasting or recurrent genital pain that occurs just before, during or after sex. If you have painful intercourse, you might feel: Pain only at sexual entry, called penetration. Pain with every penetration, including putting in a tampon. Deep pain during thrusting. Burning pain or aching pain. Throbbing pain lasting hours after sex. Physical causes of painful intercourse differ, depending on whether the pain happens at entry or with deep thrusting. Emotional factors can be linked to many types of painful intercourse. Pain during penetration might be associated with a range of factors, including: Not enough lubrication. This is often the result of not enough foreplay. A drop in estrogen levels after menopause or childbirth or during breastfeeding also can be a cause. Certain medicines can affect sexual desire or arousal. That can decrease lubrication and make sex painful. Those medicines include antidepressants, high blood pressure medicines, sedatives, antihistamines and certain birth control pills. Injury, trauma or irritation. This includes injury or irritation from an accident, pelvic surgery, female circumcision or a cut made during childbirth to enlarge the birth canal, called episiotomy. Inflammation, infection or skin disorders. An infection in the genital area or urinary tract can cause painful intercourse. Eczema or other skin problems in the genital area also can be the cause. Vaginismus. These involuntary spasms of the muscles of the vaginal wall can make penetration painful. A problem present at birth. Not having a fully formed vagina, called vaginal agenesis, or having a membrane that blocks the vaginal opening, called imperforate hymen, could cause painful intercourse. Deep pain usually occurs with deep penetration. It might be worse in certain positions. Causes include: Certain illnesses and conditions. The list includes endometriosis, pelvic inflammatory disease, uterine prolapse, retroverted uterus, uterine fibroids, cystitis, irritable bowel syndrome, pelvic floor conditions, adenomyosis, hemorrhoids and ovarian cysts. Surgeries or medical treatments. Scarring from pelvic surgery, including hysterectomy, can cause painful intercourse. Medical treatments for cancer, such as radiation and chemotherapy, can cause changes that make sex painful. Emotions are deeply intertwined with sexual activity, so they might play a role in sexual pain. Emotional factors include: Psychological issues. Anxiety, depression, concerns about physical appearance, fear of intimacy or relationship problems can contribute to a low level of arousal and resulting discomfort or pain. Stress. Your pelvic floor muscles tend to tighten in response to stress in your life. This can contribute to pain during intercourse. History of sexual abuse. Not everyone with dyspareunia has a history of sexual abuse. But if you have been abused, it can play a role. It can be hard to tell whether emotional factors are associated with dyspareunia. Initial pain can lead to fear of recurring pain, making it difficult to relax, which can lead to more pain. You might start avoiding sex if you associate it with the pain.

• #66

  https://www.thepelvichub.com/blogs/common-conditions/dyspareunia-symptoms-treatment?srsltid=AfmBOorSszMUf74kVOhEdFTQWWRw7N0DNsDjQqPXCjgl5Rhp5mNkmuL-

  Emotional and psychological factors can also impact pain and symptoms, including: Anxiety, Depression, Concerns about how your body looks, Fear of intimacy, Relationship problems, Stress, History of sexual abuse. […] If youre experiencing superficial or deep pain before, during or after sex you dont have to put up with it. […] With the right products, information and support, dyspareunia symptoms can be treated and your quality of life can improve.

• #67 Painful intercourse (dyspareunia) – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/painful-intercourse/symptoms-causes/syc-20375967

  Painful intercourse can happen for reasons that range from structural problems to psychological concerns. Many people have painful intercourse at some point in their lives. The medical term for painful intercourse is dyspareunia (dis-puh-ROO-nee-uh). It is lasting or recurrent genital pain that occurs just before, during or after sex. If you have painful intercourse, you might feel: Pain only at sexual entry, called penetration. Pain with every penetration, including putting in a tampon. Deep pain during thrusting. Burning pain or aching pain. Throbbing pain lasting hours after sex. Physical causes of painful intercourse differ, depending on whether the pain happens at entry or with deep thrusting. Emotional factors can be linked to many types of painful intercourse. Pain during penetration might be associated with a range of factors, including: Not enough lubrication. This is often the result of not enough foreplay. A drop in estrogen levels after menopause or childbirth or during breastfeeding also can be a cause. Certain medicines can affect sexual desire or arousal. That can decrease lubrication and make sex painful. Those medicines include antidepressants, high blood pressure medicines, sedatives, antihistamines and certain birth control pills. Injury, trauma or irritation. This includes injury or irritation from an accident, pelvic surgery, female circumcision or a cut made during childbirth to enlarge the birth canal, called episiotomy. Inflammation, infection or skin disorders. An infection in the genital area or urinary tract can cause painful intercourse. Eczema or other skin problems in the genital area also can be the cause. Vaginismus. These involuntary spasms of the muscles of the vaginal wall can make penetration painful. A problem present at birth. Not having a fully formed vagina, called vaginal agenesis, or having a membrane that blocks the vaginal opening, called imperforate hymen, could cause painful intercourse. Deep pain usually occurs with deep penetration. It might be worse in certain positions. Causes include: Certain illnesses and conditions. The list includes endometriosis, pelvic inflammatory disease, uterine prolapse, retroverted uterus, uterine fibroids, cystitis, irritable bowel syndrome, pelvic floor conditions, adenomyosis, hemorrhoids and ovarian cysts. Surgeries or medical treatments. Scarring from pelvic surgery, including hysterectomy, can cause painful intercourse. Medical treatments for cancer, such as radiation and chemotherapy, can cause changes that make sex painful. Emotions are deeply intertwined with sexual activity, so they might play a role in sexual pain. Emotional factors include: Psychological issues. Anxiety, depression, concerns about physical appearance, fear of intimacy or relationship problems can contribute to a low level of arousal and resulting discomfort or pain. Stress. Your pelvic floor muscles tend to tighten in response to stress in your life. This can contribute to pain during intercourse. History of sexual abuse. Not everyone with dyspareunia has a history of sexual abuse. But if you have been abused, it can play a role. It can be hard to tell whether emotional factors are associated with dyspareunia. Initial pain can lead to fear of recurring pain, making it difficult to relax, which can lead to more pain. You might start avoiding sex if you associate it with the pain.

• #68 Painful intercourse (dyspareunia) – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/painful-intercourse/symptoms-causes/syc-20375967

  Painful intercourse can happen for reasons that range from structural problems to psychological concerns. Many people have painful intercourse at some point in their lives. The medical term for painful intercourse is dyspareunia (dis-puh-ROO-nee-uh). It is lasting or recurrent genital pain that occurs just before, during or after sex. If you have painful intercourse, you might feel: Pain only at sexual entry, called penetration. Pain with every penetration, including putting in a tampon. Deep pain during thrusting. Burning pain or aching pain. Throbbing pain lasting hours after sex. Physical causes of painful intercourse differ, depending on whether the pain happens at entry or with deep thrusting. Emotional factors can be linked to many types of painful intercourse. Pain during penetration might be associated with a range of factors, including: Not enough lubrication. This is often the result of not enough foreplay. A drop in estrogen levels after menopause or childbirth or during breastfeeding also can be a cause. Certain medicines can affect sexual desire or arousal. That can decrease lubrication and make sex painful. Those medicines include antidepressants, high blood pressure medicines, sedatives, antihistamines and certain birth control pills. Injury, trauma or irritation. This includes injury or irritation from an accident, pelvic surgery, female circumcision or a cut made during childbirth to enlarge the birth canal, called episiotomy. Inflammation, infection or skin disorders. An infection in the genital area or urinary tract can cause painful intercourse. Eczema or other skin problems in the genital area also can be the cause. Vaginismus. These involuntary spasms of the muscles of the vaginal wall can make penetration painful. A problem present at birth. Not having a fully formed vagina, called vaginal agenesis, or having a membrane that blocks the vaginal opening, called imperforate hymen, could cause painful intercourse. Deep pain usually occurs with deep penetration. It might be worse in certain positions. Causes include: Certain illnesses and conditions. The list includes endometriosis, pelvic inflammatory disease, uterine prolapse, retroverted uterus, uterine fibroids, cystitis, irritable bowel syndrome, pelvic floor conditions, adenomyosis, hemorrhoids and ovarian cysts. Surgeries or medical treatments. Scarring from pelvic surgery, including hysterectomy, can cause painful intercourse. Medical treatments for cancer, such as radiation and chemotherapy, can cause changes that make sex painful. Emotions are deeply intertwined with sexual activity, so they might play a role in sexual pain. Emotional factors include: Psychological issues. Anxiety, depression, concerns about physical appearance, fear of intimacy or relationship problems can contribute to a low level of arousal and resulting discomfort or pain. Stress. Your pelvic floor muscles tend to tighten in response to stress in your life. This can contribute to pain during intercourse. History of sexual abuse. Not everyone with dyspareunia has a history of sexual abuse. But if you have been abused, it can play a role. It can be hard to tell whether emotional factors are associated with dyspareunia. Initial pain can lead to fear of recurring pain, making it difficult to relax, which can lead to more pain. You might start avoiding sex if you associate it with the pain.

• #69 Dyspareunia – Wikipedia

  https://en.wikipedia.org/wiki/Dyspareunia

  The location, nature, and time course of the pain help to understand potential causes and treatments. […] Some describe superficial pain at the opening of the vagina or surface of the genitalia when penetration is initiated. Others feel deeper pain in the vault of the vagina or deep within the pelvis upon deeper penetration. […] Some patients have always experienced pain with intercourse from their very first attempt, while others begin to feel pain with intercourse after an injury or infection or cyclically with menstruation. Sometimes the pain increases over time. […] Pain may distract from feeling pleasure and excitement. […] Fear of being in pain can make the discomfort worse. […] Pain may continue despite the original source being removed, due to the learned expectation of pain.

• #70 Dyspareunia – Wikipedia

  https://en.wikipedia.org/wiki/Dyspareunia

  The location, nature, and time course of the pain help to understand potential causes and treatments. […] Some describe superficial pain at the opening of the vagina or surface of the genitalia when penetration is initiated. Others feel deeper pain in the vault of the vagina or deep within the pelvis upon deeper penetration. […] Some patients have always experienced pain with intercourse from their very first attempt, while others begin to feel pain with intercourse after an injury or infection or cyclically with menstruation. Sometimes the pain increases over time. […] Pain may distract from feeling pleasure and excitement. […] Fear of being in pain can make the discomfort worse. […] Pain may continue despite the original source being removed, due to the learned expectation of pain.

• #71 Endometriosis Symptoms: Painful Sex (Dyspareunia) | EndoFound

  https://www.endofound.org/painful-sex-dyspareunia

  Painful sex is a very personal matter and it can be extremely difficult to discuss the physical challenges experienced during sex. […] By focusing on these areas, studies have found that upon removal of the endometriosis through excision surgery, patients experience improvements in dyspareunia symptoms as well as the quality of their sex life. […] However, it is important for patients to know that dyspareunia is a real symptom of the disease that must be taken into account and resolved. […] Even a couple who has had a strong relationship for several years can face struggles if the disease causes the frequency of sex to diminish.

• #72 Dyspareunia (Pain Having Sex). Medical Information

  https://patient.info/sexual-health/dyspareunia-pain-having-sex

  Painful sex can lead to problems in relationships, loss of intimacy and even depression. […] Vaginal dryness can be caused by the menopause, medicines, pregnancy, breastfeeding and some auto-immune conditions. […] Deep dyspareunia can be caused by the genital organs themselves but may also be caused by other structures in the lower tummy (abdomen). […] Pelvic inflammatory disease also tends to make you feel unwell, and may cause a temperature and a vaginal discharge. […] Dyspareunia has many causes. Treatment options usually depend on the cause.

• #73 Dyspareunia (painful intercourse) and Vaginismus: When Sex Hurts

  https://www.mypelvictherapy.com/post/dyspareunia-painful-intercourse-and-vaginismus-when-sex-hurts

  The pain might include burning, itching, stabbing, searing, cramping, and/or aching, and can be short-lived or last hours after intercourse. These symptoms can range from mild to severe, making intercourse difficult or impossible. […] In men, there might be pain with arousal, erections, ejaculation, and/or pain after sex. The pain can be in the genitals, perineum, lower abdomen, groin, buttocks and/or inner thighs. Just as in women, sexual pain in men can range from mild to severe and be short- or long-lasting. […] In addition to physical symptoms, there is often significant psychological and emotional distress related to sexual pain. Unmanaged dyspareunia can profoundly impact one’s body image, relationships, and mental health. It often leads to self-esteem issues, fertility challenges, intimacy issues, and significant distress.

• #74 Endometriosis Symptoms: Painful Sex (Dyspareunia) | EndoFound

  https://www.endofound.org/painful-sex-dyspareunia

  Painful sex is a very personal matter and it can be extremely difficult to discuss the physical challenges experienced during sex. […] By focusing on these areas, studies have found that upon removal of the endometriosis through excision surgery, patients experience improvements in dyspareunia symptoms as well as the quality of their sex life. […] However, it is important for patients to know that dyspareunia is a real symptom of the disease that must be taken into account and resolved. […] Even a couple who has had a strong relationship for several years can face struggles if the disease causes the frequency of sex to diminish.

• #75 Reddit – The heart of the internet

  https://www.reddit.com/r/Endo/comments/jmcobm/dyspareunia/

  My partner was diagnosed some years ago now, maybe as many as 7 years ago. It has impacted our lives in many ways. Low energy, depression, but also dyspareunia. […] But the pain during sex has caused our sex life to drop to basically to generally when I complain about not having had sex for X amount of time or something. […] Why Im here is to ask if anyone here has experienced this substantial drop in sex drive, and the anxiety that seems to come with it (ie where youre thinking oh I should have sex but it will hurt etc which then causes you to be tense when you do have it, which makes it hurt more… and on and on), and whether anyone has found any working resolutions to the problem? […] my partner just cringes at the idea of any kind of intimacy whatsoever. […] partner has anxiety around intimacy caused by endo, we dont do it very often, would like to help her be able to do so comfortably and confidently.

• #76 Dyspareunia – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK562159/

  Dyspareunia is defined by genital pain that can be experienced before, during, or after intercourse. Painful sexual intercourse is a common female health problem. In medical terminology, it is called dyspareunia. The prevalence of dyspareunia varies from 3 to 18% worldwide, and it can affect 10 to 28% of the population in a lifetime. Dyspareunia can be further categorized into superficial or deep, and primary or secondary. Superficial dyspareunia is limited to the vulva or vaginal entrance, while deep dyspareunia means the extension of pain into the deeper parts of the vagina or lower pelvis. Deep dyspareunia is frequently associated with deep penetration. Primary dyspareunia pain initiates at the start of sexual intercourse, while in secondary dyspareunia, pain begins after some time of pain-free sexual activity. Dyspareunia can also lead to sexual difficulties, such as lack of sexual desire and arousal, and can cause trouble in sexual relationships. It can have a significant impact on physical as well as mental health. It can lead to depression, anxiety, hypervigilance to pain, negative body image, and low self-esteem. The etiology of dyspareunia encompasses structural, inflammatory, infectious, neoplastic, traumatic, hormonal, and psychosocial conditions. The prognosis of dyspareunia depends on the causative factor of this pain. If the underlying cause is known and curable, then it has a better prognosis. Its prognosis is poor in idiopathic dyspareunia. Following treatment, patients with dyspareunia should receive counsel about the prognosis of the disorder. Treatment can last for several months, and complete resolution is also not guaranteed. Studies suggest that results start appearing after at least three months. After that, the patient’s distress starts decreasing with improved quality of life.

• #77 Dyspareunia in Women | AAFP

  https://www.aafp.org/pubs/afp/issues/2021/0515/p597.html

  Dyspareunia is recurrent or persistent pain with sexual intercourse that causes distress. It affects approximately 10% to 20% of U.S. women. Dyspareunia may be superficial, causing pain with attempted vaginal insertion, or deep. Women with sexual pain are at increased risk of sexual dysfunction, relationship distress, diminished quality of life, anxiety, and depression. […] Dyspareunia, recurrent or persistent painful sexual intercourse, is common and can affect women’s mental and physical health and relationships. The prevalence of dyspareunia in the United States is approximately 10% to 20% and varies by age and population. Women with sexual pain are at increased risk of sexual dysfunction, relationship distress, diminished quality of life, anxiety, and depression. […] Determining which sexual activities are painful can suggest specific diagnoses. Patients who have pain with vaginal entry may have atrophy, inadequate lubrication, pelvic floor dysfunction, vaginitis, vulvodynia, or vaginismus, whereas patients who have deeper pain may have endometriosis or structural or anatomic abnormalities, such as uterine retroversion.

• #78 Painful Intercourse (Dyspareunia) – Symptoms and Causes | Comprehensive OB/GYN of the Palm Beaches

  https://www.toplinemd.com/comprehensive-obgyn-palm-beaches/painful-intercourse-dyspareunia-symptoms-and-causes/

  There are many health issues that can show up after or during sex, and many of them can carry not only physical but also emotional symptoms. One of the most common problems is called dyspareunia, a medical condition affecting women of all ages. Painful intercourse can be caused by various factors, ranging from physical conditions such as injuries or infections to psychological ones such as depression and anxiety. Whatever the cause, dyspareunia can significantly affect a woman’s life and influence her relationships, confidence, and overall well-being. […] This medical term refers to pain during intercourse. It can affect both men and women and vary from mild to severe. Dyspareunia can occur at any point during sex and may be described as a painful, burning, or jabbing feeling in the genital region. Painful sex is a problem many people experience in their lifetime and can significantly affect a person’s sexual health and quality of life. It can cause anxiety, depression, a sense of embarrassment and frustration, and even lead to people completely avoiding sexual activity.

• #79 Dyspareunia (painful intercourse) and Vaginismus: When Sex Hurts

  https://www.mypelvictherapy.com/post/dyspareunia-painful-intercourse-and-vaginismus-when-sex-hurts

  When there is pain with sexual function, it is important to treat both the physical and psychological/emotional symptoms together. […] Pain with intercourse does not tend to go away on its own, and as we’ve discussed, can take a huge emotional toll on those who suffer from it, as well as on their partners. People with chronic unexplained pain during sex can often develop other sexual dysfunctions like lower drive, arousal, satisfaction, and ability to orgasm. […] It’s important not to ignore and just endure pain with sex. You are not alone, and there is help available. Speak up about sexual pain, and don’t stop until you get effective treatment.

• #80 Endometriosis Symptoms: Painful Sex (Dyspareunia) | EndoFound

  https://www.endofound.org/painful-sex-dyspareunia

  Painful sex is a very personal matter and it can be extremely difficult to discuss the physical challenges experienced during sex. […] By focusing on these areas, studies have found that upon removal of the endometriosis through excision surgery, patients experience improvements in dyspareunia symptoms as well as the quality of their sex life. […] However, it is important for patients to know that dyspareunia is a real symptom of the disease that must be taken into account and resolved. […] Even a couple who has had a strong relationship for several years can face struggles if the disease causes the frequency of sex to diminish.

• #81 Endometriosis and Pain During Sex (Dyspareunia)

  https://drseckin.com/painful-sex-and-endometriosis/

  Moreover, while some women experience pain during sex only at certain times of the month, i.e., around the time of their period, others can have pain during sex at all times. Some women may experience pain only during intercourse. Others may experience pain up to 24 to 48 hours after intercourse, or only following intercourse. This may be a cramping sensation lasting for a few days afterward. […] Pain during sex can be the first sign of endometriosis, so it is crucial to speak to your doctor honestly to help them diagnose the disease early on. Additionally, speaking openly about your pain during sex can help avoid emotional distress in your relationships. […] Endometriosis treatments such as laparoscopic surgery performed by an expert endometriosis excision surgeon can help improve dyspareunia.

• #82 Endometriosis and Pain During Sex (Dyspareunia)

  https://drseckin.com/painful-sex-and-endometriosis/

  Moreover, while some women experience pain during sex only at certain times of the month, i.e., around the time of their period, others can have pain during sex at all times. Some women may experience pain only during intercourse. Others may experience pain up to 24 to 48 hours after intercourse, or only following intercourse. This may be a cramping sensation lasting for a few days afterward. […] Pain during sex can be the first sign of endometriosis, so it is crucial to speak to your doctor honestly to help them diagnose the disease early on. Additionally, speaking openly about your pain during sex can help avoid emotional distress in your relationships. […] Endometriosis treatments such as laparoscopic surgery performed by an expert endometriosis excision surgeon can help improve dyspareunia.

• #83 Painful Intercourse (Dyspareunia) – University of Mississippi Medical Center

  https://umc.edu/Healthcare/Womens%20Health/Womens-Pelvic-Health-and-Reconstructive-Surgery/painful-intercourse-dyspareunia.html

  Dyspareunia or painful intercourse is defined as the complaint of persistent or recurrent pain or discomfort associated with attempted or complete vaginal penetration. It is a common problem for women at any age. […] Painful intercourse is described by when symptoms began and where pain is located: […] There are many potential causes of painful intercourse, so diagnosis begins by considering when symptoms began and the location of the pain. […] When all of the available information has been gathered, a diagnosis more specific than painful intercourse can almost always be made. Treatment will be focused on the suspected cause(s) of the painful intercourse. […] The emotional impact dyspareunia can have on a woman and/or her relationship will be addressed as well.

• #84 Dyspareunia (painful intercourse) and Vaginismus: When Sex Hurts

  https://www.mypelvictherapy.com/post/dyspareunia-painful-intercourse-and-vaginismus-when-sex-hurts

  When there is pain with sexual function, it is important to treat both the physical and psychological/emotional symptoms together. […] Pain with intercourse does not tend to go away on its own, and as we’ve discussed, can take a huge emotional toll on those who suffer from it, as well as on their partners. People with chronic unexplained pain during sex can often develop other sexual dysfunctions like lower drive, arousal, satisfaction, and ability to orgasm. […] It’s important not to ignore and just endure pain with sex. You are not alone, and there is help available. Speak up about sexual pain, and don’t stop until you get effective treatment.

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