There are many types of pain namely:
- Primary pain during itercourse- appears after the first intercourse;
Secondary pain during intercourse – appears after a certain period, the woman had a sexual relationship but the pain is caused by psychological trauma;
Superficial pain during intercourse- appears at the beginning of penetration;
Deep pain during intercourse – occurs when the penetration is complete.
Superficial pain during intercourse is manifested by early discomfort, at the beginning of the intercourse, discomfort felt in the vulva, with burning and stinging sensations. The causes are vaginal infections, irritation, trauma, radiation therapy and in most of the cases insufficient lubrication.
There are many possible causes that can leat to pain during intercourse, which vary depending on the nature of the disease.
The superficial causes of pain during intercourse are:
- Lubrication failure – due to a short prelude, for women who have passed to menopause due to the low estrogen levels;
An inflammation or infection in the genital area – they can affect the vulva or vagina
Urinary tract infections;
Allergic reactions to latex condoms;
Antihistamines (drugs against allergies) – causes temporary dryness of the vagina;
Menopause – one of the most common causes as vaginal thinning and estrogen level decrease (this phenomenon is called atrophic vaginitis care)
Profound causes of pain during intercourse
Infection or inflammation of the cervix (cervicitis), uterus or fallopian tubes
Endometriosis (inflammation of the uterus);
Radiation – used in cancer treatment.
Psycho-social causes of pain during intercourse
All these factors must be made aware at first through a personal evaluation of the situation made by the person concerned, then by a discussion with a specialist. Untreated in time, pain during intercourse will make sexual activity to be associated strictly with pain, and interest in intercourse would drop dramatically.
Pain During Intercouse Treatment
Mild pain during intercourse, which usually occurs during penetration can be minimized by applying an ointment with anesthetic effect. It is also helpful to apply a water based lubricant before intercourse. Why water-based lubricants? Because oil-based ones can affect the quality of contraceptives such as condoms or diaphragms. For better lubrication of the vagina, enough attention to foreplay and deep pain can be lessened or eliminated by careful choice of positions during intercourse.
Pain during intercourse due to menopause and all that implies it can be treated with estrogen-based creams ( hormone replacement therapy). Inflammation and / or an infection is treated using antibiotics or antifungal drugs. In case of inflammation of the vulva, , wet compresses with aluminum acetate solution are verry effective. Surgery removes cysts or abscesses and can even repair some anatomical abnormalities relieving the pain during intercourse.
Last but not least, couple psychotherapy can be very effective in identifying negative or pessimistic attitudes about intercourse and improve communication between the couple, thus solving the problems that can cause the appearance of pain during intercourse.