Pain during sexual intercourse

The feeling of pain experienced during sexual intercourse is a condition that is relatively common . Especially in the first months of the start of sexual life most women will hear more or less of this pain . Especially at a time when women are not ready enough to be made ​​in the relationship of pain to reach the size can provide a source of discomfort .

The situation described above is the most common cause of pain during sexual intercourse . Besides a beginner or first sexual experience pain over the past despite being a long time to feel pain during intercourse is a condition that requires medical evaluation .

Existing pain medicine since the first sexual experience " primary dyspareunia ", emerged later pain "secondary dyspareunia " is called. This distinction is important to elucidate the possible cause .

" Superficial dyspareunia " at the entrance of the vagina , "deep dyspareunia " deep in the penis entering the vagina along with the resulting pain and this distinction is extremely important in terms of a diagnosis . " Deep dyspareunia " state widely felt pain in the lower abdomen .

Approximately 15% of women at some time in their life are confronted with such a pain . However, at 1 to 2% , the pain is severe enough to require treatment . Some women with this pain in the genital area more pressure , tearing or burning sensation described as shall .

Causes pain during intercourse ?

When examining causes of dyspareunia from the bottom upwards ( towards the entrance of the vagina from the internal genital organs ) make a distinction will contribute to a better understanding of the subject .

Connected to the input of the vagina causes:

Hymen - related problems: the hymen is structurally rigid is the most typical example of this situation .

Hymen >>

- Menopausal decline in connective tissue (" atrophy " ) and dryness during menopause genital tissues lose their elasticity and sexual intercourse is vaginal dryness can cause irritation and pain .

- When ready enough without having intercourse and consequent irritation

- Birth incision ( " episiotomy " ) scar : This is especially difficult birth after the entrance of the vagina and into the vagina greater number of stitches required or eastern part of the improvement during the infection occurs seams often scars heal with these scars in the relationship to feel pain causes .

- Infections: active herpes simplex infections ( genital herpes ) and sexual intercourse may cause pain at other times as well . Herpes simplex infections

Depending on the vagina causes:

- Infections: a severe infection of the vagina (vaginitis ) can cause the feeling of pain during intercourse .

vaginitis >>

- Mass and tumors: the vagina is very rare in the audience . Large masses can cause pain and bleeding in together .

- When ready enough without having intercourse and consequent irritation

- Rectocele ( prolapse of the posterior wall of the vagina ) , uterine prolapse and cystocele ( prolapse of the anterior wall of the vagina ) can cause stress -related pain .

Uterine prolapse

- Foreign bodies in the allergic response : in the structure of latex condoms substance may cause severe allergic reactions in some women . In such cases the entrance of the vagina and vaginal tissue edema and is sensitive to be touched to be heard can cause pain during intercourse .

- Congenital defects of the vagina : the vagina is narrow innate or severe pain during intercourse is short, may constitute cause is heard .

Reasons related to pelvic structures ( due to internal genital organs reasons) :

- Pelvic inflammatory conditions : acute pelvic infections and heal both in the period after period can cause pain during sexual intercourse .

Pelvic infections

- Endometriosis : endometriosis, adhesions, which cause genital organs in the region is a condition . These adhesions can cause pain during intercourse and stress .

endometriosis

- Malignant or benign tumors of the uterus

- Pelvic organs in the previous infections, surgery due to adhesions or endometriosis

- Revised pelvic fractures

Digestive system and urinary tract disorders: rarely become a cause of pain

- Inflammatory bowel disease ( Crohn's disease - diverticulitis )

- Constipation

- Hemorrhoids ( piles) , fistula and fissure in the anus and rectum diseases such as : may cause pain during and after defecation as they can also cause dyspareunia due to close proximity .

- Urethral or bladder problems related to

Psychological problems:

- The first woman to have been painful sexual intercourse related to fear and feel pain during intercourse may cause .

First importance of the relationship >>

Dyspareunia , vaginismus might interfere with the evaluation and differential diagnosis having been made ​​is extremely important .