Dyspareunia In Women- Meaning, Causes, and Treatment

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Dyspareunia In Women- Meaning, Causes, and Treatment


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What is dyspareunia?

The word dyspareunia is derived from the Greek language, and the meanings include "difficulty in mating" or "badly mated." 

Dyspareunia or pain during sexual intercourse can occur both in men and women but is more common among women. The pain can range from moderate to severe and occurs in a woman's labial or vulvar areas, during or immediately after sex. The pain may also be experienced as a pelvic pain or vaginal pain and is often accompanied by a burning or throbbing sensation.

What are the causes of dyspareunia?

There are a variety of causes that can lead to dyspareunia:

The psychological causes include:

The medical factors that can lead to dyspareunia include:

The other causes that can lead to dyspareunia include:

What are the symptoms of dyspareunia? How is dyspareunia diagnosed?

The symptoms of dyspareunia include:

Diagnosis

A medical evaluation for dyspareunia includes:

What are the complications of dyspareunia?

Dyspareunia does not usually cause any form of severe health complications. However, it can affect the sexual life of the person. With the right intervention and treatment, dyspareunia can be managed and even cured.  

What is the treatment for dyspareunia?

Medical Treatment for Dyspareunia

The treatment of dyspareunia varies according to the cause:

Exercising for Managing Dyspareunia

Stretch exercises which strengthen the pelvic floor can help immensely in doing away with the symptoms of dyspareunia. Practicing yoga regularly can help in strengthening and removing the tightness of muscles that can cause the pain associated with dyspareunia. Yoga can also decrease stress levels, anxiety, depression and boost your self-image and self-confidence.

Doing The Kegel Exercise

Doing the Kegel exercise can help with the symptoms of dyspareunia. The Kegel exercise was named after Dr. Arnold Kegel, who has popularized them in the ‘50s.This exercise initially was meant to cure patients suffering from urinary incontinence (often after childbirth).

Gradually the efficacy of Kegel’s exercise was discovered for patients who suffer from conditions like dyspareunia and vaginismus


You can easily identify the vaginal muscles which play an active part during sex with this simple exercise. 

Go to the bathroom and urinate a little, then stop the flow of your urine. Then start urinating again, retain the flow of urine, and stop again and then start again. Do so until you have emptied your bladder. 

The muscles which just acted according to your wishes are the same ones involved in dilating and contracting during sex especially during vaginal penetration. 

Once you identify these muscles it is important to exercise them in order to be able to contract and relax these muscles at will. This will help you gain control over the vaginal muscles keeping pain at bay during sexual penetration. This is known as Kegel’s exercise. 

The exercise of alternatively stopping and letting the urine flow is only for test purposes to identify the muscles which need to be exercised while performing the Kegel's exercises.

Warning: Please do not do the Kegel exercise while urinating. When you are still at the stage of practicing the Kegel exercise, do not attempt a sexual intercourse with penetration.


The Kegel Exercise

 Practice the Kegel exercise for a week or two. 

Find a quiet suitable place to do the exercise. You can do it after waking up in the morning and just before bedtime while lying on your bed. 

Follow the steps given below:

  1. Contract your pelvic muscles. Squeeze and hold for 3 seconds
  2.  Then relax for another 3 seconds.
  3. Repeat the exercise for as many as 10 times each session, until you can do around 15 repetitions.

Initially, a certain effort of concentration will be needed to contract the pelvic muscles only, without contracting the abdominal and gluteal muscles. When you get used to it, it will become automatic.

Once you become comfortable doing these sessions quietly in bed, you can do the Kegel exercises anytime while doing some other activities for example, watching TV, working on your computer, in your car, etc. 

Syncing the Kegel Exercises with Breathing Exercises

Once you are comfortable doing Kegel’s exercise anywhere, sync it with breathing exercises: 

  1. Focus on your breathing for a few minutes. Breathe in and out deeply a couple of times to relax yourself.

  2. Then inhale deeply and hold your breath for a few seconds while strongly contracting your pelvic floor muscles.

  3. Then exhale deeply and relax these muscles.

Repeat several series of this exercise. 

You can do this exercise in front of a mirror in order to visualize your vaginal muscles at work. This can immensely help to improve your mental awareness of this part of your body and help boost your performance when you resume your sex life.

Would you like to consult a doctor for Dyspareunia In Women- Meaning, Causes, and Treatment ?

Questions answered by trusted doctors

Verified User
I feel pain during sex and after sex I feel itchy inside.sometimes even after bathing I feel itchy
Dr. Astha Agarwal
Gynecologist, Ghaziabad
U probably hv vaginal infection or ur partner has some infection due to which this happens..
Poor hygiene and less lubrication cn also be one of the reasons..
Verified User
I feel pain while having sex inside my vagina even when I pee after sex I feel irritation inside vagina. It pains only when having sex.
Dr. Panchani
Gynecologist, Surat
Hi
Good evening
Thnxs for your question
I think u have vaginitis with urinary track infection.
It's common after sexual intercorse.
So better to consult Gynecologist for further treatment plan. Complete examination necessary to diagnose problem
Dr. Mithil Patil
Gynecologist, Pune
Try clindamycin + clotrimazole pessary for 3_5 days.
It's most commonly mixed bacterial vaginitis.
Dr. Mohini Vachhani
Gynecologist, Mumbai
This could be due to vaginal infection. Please get examined by gynaecologist and get the vagina seabed for culture and sensitivity.
Ask health queries and get free answers from doctors in 24 hrs
Did you know?

Dyspareunia in Women

Dyspareunia affects 8 - 22% of females, making it a very frequent issue in gynecologic practice. Even without this disorder a significant proportion of women – between 6.5% and 15% – experience varying levels of pain in their genital areas particularly during sexual intercourse at some point in their life.

Dyspareunia in India

Dyspareunia is 12.6%, with a higher prevalence in the central region of India, among newly married and younger women. It is more prevalent.

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