Sex May Be Painful, here are some Reasons

Sex May Be Painful, here are some Reasons

For an issue that affects nearly 75 percent of women, painful intercourse, sometimes called dyspareunia, can feel incredibly isolating. Thankfully, understanding the specific discomfort you’re experiencing can help you and your health care provider find the right treatment.

You might not be fully aroused — and therefore not fully lubricated.

There are many factors that contribute to lack of arousal. A big one? The undue amount of pressure women put on themselves in the bedroom.

The myth that men are always ready for sex can make women feel guilty about needing more time for foreplay, resulting in penetration that may feel too tight, or an almost chafing quality. If you’re feeling totally turned on but your vagina feels tight and dry, a silicone-based lubricant can be an incredible quick fix.

It could be vaginismus.

Vaginismus is involuntary hyper contractility of the pelvic floor muscles with either penetration or attempted vaginal penetration. In other words, the muscles in and around your vagina will tense up, making penetration extremely difficult and more painful.

The causes can vary, but there’s likely an emotional component at play here. If someone has experienced past trauma — be it sexual assault or a childhood injury of the groin — it can cause anxiety associated with penetration, and result in clenching as a protective measure.

Unfortunately, once someone perceives that something’s gonna hurt, they clench their muscles even more. Luckily, with cognitive therapy and/or pelvic floor physical therapy.

You might have an STI or another infection.

Sexually transmitted infections like chlamydia and gonorrhea can cause pelvic pain during intercourse. Or, if you’re experiencing external pain around the vulva, it may be due to a herpes outbreak. If you see lesions or sores, head to your doctor ― they can prescribe medicine to help control outbreaks. Your physician can also prescribe antibiotics for other STIs.

A yeast infection is not an STI, but that too can cause external itching and chafing or internal burning that can make sex feel uncomfortable. Over-the-counter medication or a prescription from your doctor can help clear it up ASAP.

Your partner’s technique is just all wrong for you.

Learning how to advocate for what feels good in bed can be challenging, but it’s incredibly important ― not only for your emotional intimacy, but for your physical comfort. To help you both figure out what’s best, gentle round of “This or That?”

Basically, have your partner touch the same area in two different ways and see which you respond to more favorably. Do you prefer a massage or a stroke? A flick or a tap? You don’t have to figure it all out at once, but taking baby steps can help you direct your partner into better sex for both of you.

It could be endometriosis.

Endometriosis is a condition where tissue that normally lines the inside of your uterus grows outside it, resulting in a painful buildup of scar tissue that especially hurts during intercourse.

Organs move around a bit during sex, and if scar tissue is making your pelvis and cervix less mobile, it’s going to feel painful. Additionally, endometriosis can result in cysts on your ovaries or you may have monthly cysts due to your menstrual cycle, which can cause discomfort.

Treatments including hormone therapy or surgery can help with endometriosis. And if an ovarian cyst is causing severe pain during intercourse, it may be large enough to warrant surgical removal.

It could be your birth control.

An intrauterine device that’s become dislodged could cause a deep, sharp pain during sex. Alternatively, your hormonal birth control could be at fault.

Some birth control options, like the pill, stop your natural production of hormones and replace them with the lower doses found in the medication. The result of those lower estrogen and testosterone levels is sometimes a thinning of the skin around the vulva, which can cause inflammation and irritation when stimulated.


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