“Painful intercourse can happen for reasons that range
from structural problems to psychological concerns.
Many people have painful intercourse at some point…”.1

Umbrella

What may the Sexual Health and Painful Intercourse Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • Dyspareunia
  • Pain With Intercourse
  • Painful Intercourse
  • Painful Sex
  • Painful Vaginal Intercourse

Dyspareunia

What is dyspareunia?

DotS the definition of dyspareunia may vary. The (United States) Mayo Clinic’s definition is:

“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”.2

The (Australian) Jean Hailes for Women’s Health’s (JH) definition is:

“‘Dyspareunia’ is the medical term used to describe pain before, during or after sex”.3

Symptoms

What may be symptoms of painful intercourse?

In Painful Intercourse (Dyspareunia): Symptoms & Causes – Symptoms the Mayo Clinic note:

“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 intercourse”.4

Cause

What may cause painful intercourse?

The Mayo Clinic explain:

“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”.5

In Painful Intercourse (Dyspareunia): Symptoms & Causes – Causes the Mayo Clinic also elaborate on:

“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.

  • Entry Pain…
  • Deep Pain…
  • Emotional Factors…”.6

In Painful Sex (Dyspareunia): What Causes Dyspareunia? (+ Image) the JH elaborate on some physical and psychological causes of dyspareunia.

Menopause

Is there an association between regular intercourse and menopause?

In Sexual Health & Menopause Online: Changes In the Vagina and Vulva – Vulvovaginal Atrophy the North American Menopause Society (NAMS) elaborate on:

Sexual Health and Painful Intercourse“When a woman doesn’t have intercourse or other vaginal sexual activity on a regular basis following menopause, her vagina may also become shorter and narrower. Then, when she does try to have intercourse, she is likely to experience pain, even if she uses a lubricant. That’s because dry, fragile vulvovaginal tissues are susceptible to injury, tearing, and bleeding during intercourse or any penetration of the vagina. The resulting discomfort can be so great that the woman avoids intercourse and the condition worsens. Sometimes, even women who are not sexually active are bothered by vaginal dryness and the irritation that may accompany it”.7

Improving Sexual Experience

What are some practical things to do to improve sexual experience?

In Painful Sex (Dyspareunia): What You Can Do the JH explain:

“There are practical things you can do to improve your sexual experience.

  • Tell your partner what you like or don’t like – and stop sex if you feel pain
  • Change sexual positions or techniques. If you experience pain during thrusting, sit on top of your partner so you can control the depth of penetration. You can also try different or longer foreplay to increase your arousal
  • Use lubricants to increase arousal and comfort during sex
  • Focus on yourself. Try to switch off any worries, tune in to your body and enjoy the moment
  • Be intimate in different ways. If you have a partner, try kissing, cuddling, massage, mutual masturbation and oral sex. This may enhance your sexual desire
  • Try a vaginal dilator (a tube-shaped device to stretch your vagina) or a small vibrator. These may help you to relax your pelvic floor muscles”.8

What is STIs?

STIs can be an abbreviation for Sexually Transmitted Infections.

Regular Intercourse

What can regular intercourse do?

In Menopause FAQs: Menopause Symptoms – Q. How can I counteract vaginal dryness during menopause? the NAMS note:

“A. …Regular sexual activity can help preserve vaginal function by increasing blood flow to the genital region and helping maintain the size of the vagina. Without sexual activity and estrogen, the vagina can become smaller as well as dryer”.9

Treatment

What are some treatment options for painful intercourse?

In Painful Intercourse (Dyspareunia): Diagnosis & Treatment – Treatment the Mayo Clinic elaborate on:

Sexual Health and Painful Intercourse

“Treatment options vary, depending on the cause of the pain”.

  • Medications…
  • Other treatments…
    • Desensitization therapy…
    • Counseling or sex therapy”.10

Health Care Provider

What if I have painful intercourse?

The JH explain:

“If you are experiencing painful sex, see your doctor. They will find and treat the cause or refer you to a specialist. It’s a good idea to seek help as soon as possible so you can resolve the issue and enjoy a healthy sex life”.11

The Mayo Clinic explain:

“If you have recurrent pain during sex, talk to your health care provider. Treating the problem can help your sex life, your emotional intimacy and your self-image”.12

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Sources

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Sources

  1. Painful Intercourse (Dyspareunia): Symptoms & Causes – Overview. 16 February 2024. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/painful-intercourse/symptoms-causes/syc-20375967 Accessed: 26 August 2024
  2. Painful Intercourse (Dyspareunia): Symptoms & Causes – Overview. 16 February 2024. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/painful-intercourse/symptoms-causes/syc-20375967 Accessed: 26 August 2024
  3. Painful Vaginal Sex (Dyspareunia): What Is Dyspareunia? Last Updated: 12 August 2024 | Last Reviewed: 12 December 2023. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/sex-sexual-health/painful-sex-dyspareunia/ Accessed: 26 August 2024
  4. Painful Intercourse (Dyspareunia): Symptoms & Causes – Symptoms. 16 February 2024. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/painful-intercourse/symptoms-causes/syc-20375967 Accessed: 26 August 2024
  5. Painful Intercourse (Dyspareunia): Symptoms & Causes – Overview. 16 February 2024. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/painful-intercourse/symptoms-causes/syc-20375967 Accessed: 26 August 2024
  6. Painful Intercourse (Dyspareunia): Symptoms & Causes – Causes. 16 February 2024. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/painful-intercourse/symptoms-causes/syc-20375967 Accessed: 26 August 2024
  7. Sexual Health & Menopause Online: Changes At Midlife – Changes In the Vagina and Vulva: Vulvovaginal Atrophy. North American Menopause Society https://www.menopause.org/for-women/sexual-health-menopause-online/changes-at-midlife/changes-in-the-vagina-and-vulva Accessed: 26 August 2024
  8. Painful Vaginal Sex (Dyspareunia): What You Can Do. Last Updated: 12 August 2024 |  Last Reviewed: 12 December 2023. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/sex-sexual-health/painful-sex-dyspareunia/ Accessed: 26 August 2024
  9. Menopause FAQs: Menopause Symptoms – Q. How can I counteract vaginal dryness during menopause? North American Menopause Society https://www.menopause.org/for-women/menopause-faqs-menopause-symptoms Accessed: 26 August 2024
  10. Painful Intercourse (Dyspareunia): Diagnosis & Treatment – Treatment. 16 February 2024. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/painful-intercourse/diagnosis-treatment/drc-20375973 Accessed: 26 August 2024
  11. Painful Vaginal Sex (Dyspareunia): Seeking Help. Last Updated: 12 August 2024 | Last Reviewed: 12 December 2023. Jean Hailes for Women’s Health https://jeanhailes.org.au/health-a-z/sex-sexual-health/painful-sex-dyspareunia/ Accessed: 26 August 2024
  12. Painful Intercourse (Dyspareunia): Symptoms & Causes – Symptoms: When to See A Doctor. 16 February 2024. Mayo Clinic https://www.mayoclinic.org/diseases-conditions/painful-intercourse/symptoms-causes/syc-20375967 Accessed: 26 August 2024
Topic Last Updated: 27 August 2024 – Topic Last Reviewed: 26 August 2024