Urethritis and urethral syndrome: This can be congenital or due to childbirth injury to the ligaments supporting the uterus. Empty your bladder before sex. Endometriosis occurs when the lining of the uterus is found in ectopic locations outside the interior of the uterus. Painful spasms of muscles at the opening of the vagina may be an involuntary but appropriate response to painful stimuli. Intercourse pain, or dyspareunia, can cause problems in a couple's sexual relationship.
Whether recurrent or chronic, this problem is common despite the rise in the number of over-the-counter treatments. One option of treatment includes water-soluble lubricants for use with condoms , as other types of lubricants may damage wall of the prophylactic. In this case, the penis can reach the cervix at maximum penetration. The vaginal lining can lose its normal moisture and thickness and become dry and thin. Trying alternative medications may restore natural lubrication and reduce pain. This condition frequently requires gynecologic surgery for correction. In many cases, a woman can experience pain during sex if there is not sufficient vaginal lubrication. Pelvic adhesions tissue that has become stuck together, sometimes developing after surgery: This refers to chronic pain that affects a woman's external sexual organs -- collectively called the vulva -- including the labia, clitoris, and vaginal opening. Entrance introital pain caused by vaginal atrophy is common among postmenopausal women who do not take estrogen replacement medication. If so, these practices should be stopped to help determine whether a specific disease-causing organism is present. For a woman with vaginismus, her doctor may recommend behavior therapy, including vaginal relaxation exercises. Call a doctor if there are symptoms such as bleeding, genital lesions, irregular periods , vaginal discharge , or involuntary vaginal muscle contractions. However, painful intercourse is a common symptom. With PID, the tissues deep inside become badly inflamed and the pressure of intercourse causes deep pain. This can reduce the amount of pain women experience with sexual intercourse. Blood flow and lubricating capacity respond directly to estrogen replacement. These may include genital warts , herpes sores, or other STDs. This is a pregnancy in which a fertilized egg develops outside the uterus. Alternative therapies Your doctor may also recommend therapy. Introital pain may be treated when the cause is identified. A woman should talk with her health-care professional before attempting to use a vaginal dilator. In many cases, a woman can experience painful sex if there is not sufficient vaginal lubrication. With menopause , the vaginal lining can lose its normal moisture and become dry. Instruction in proper vaginal hygiene may be helpful. Endometriosis occurs when the lining of the uterus is found in ectopic locations outside the interior of the uterus.
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