Dyspareunia or Pain in the Relationship – How to Treat?

The lack of intimate lubrication can be one of the causes of female complaints for dyspareunia. Dyspareunia is nothing more than discomfort or pain during intercourse for various reasons and can affect both women and men, but women suffer much more from this problem.

In these situations, the vagina can become extremely dry, and intercourse becomes a torment! The woman starts to avoid her partner for fear of the pain in the relationship.

Age Range Reached

Dyspareunia can affect women of childbearing age, 20 to 45 years old for several reasons and one of them is low estrogen and sometimes testosterone. Estrogen is the main hormone responsible for women’s natural lubrication.

But the issue mainly covers women who go through menopause or even, during the climacteric phase (pre menopause), exactly by the sudden drop in estrogen.

After a certain age, the hormonal quantities of the reproductive system begin to decrease, this causes a thinning of the uterine cervix, which would also cause many pains during sexual intercourse. However, dyspareunia is a very serious problem for couples who want to become pregnant.

Pain during intercourse can disrupt plans. In addition to the pain in intercourse, there are burning problems after intercourse, pain in the belly after intercourse and other unpleasant symptoms. In addition, lack of sexual appetite , will make sex life strained by low libido of women.

Causes and Symptoms of Dyspareunia

Cystitis or Urinary Tract Infection

Women with recurrent urinary tract infection or even in isolated cases may experience pain in the bottom of the belly after intercourse. This is because the bladder is an organ very close to the uterus that is “poked” during sexual intercourse. Treatment for cystitis tends to end the pain during intercourse.

Vulvovaginites

Candidiasis and other fungi, cause uncomfortable symptoms for women, itching and burning after intercourse are quite common symptoms. The treatment for this problem is simple, but must be prescribed by a gynecologist. They are usually ointments or antifungals such as metronidazole for example.

Fissures

Fissure in the vagina is one of the main complaints of pain during intercourse. The friction during sex will become painful especially if there is not adequate lubrication and can even worsen the cracks.

These cracks can cause some infections and aggravate the problem. These infections can hinder couples of childbearing age to become pregnant so the ideal is to take care of the cracks according to medical advice and also use an appropriate gel to help with vaginal lubrication during sexual intercourse and even on a daily basis, to help with daily movements and practice of exercises.

Endometriosis

Endometriosis is nothing more than part of a clotted endometrium (menstrual blood) outside the uterus. This episode will cause severe pain during the penetration of sexual intercourse, but also during the menstrual period.

It is also common for women with endometriosis to have fertility problems, women with endometriosis, have the problem opposite to low estrogen, the excess of this hormone, will cause her to have an abnormal menstrual production that will cause pain during intercourse due to the accumulated blood outside the womb.

The treatment for endometriosis is medication, the doctor can choose to stop the woman’s menstruation with medication, and even, in more extreme cases, surgically remove the clots accumulated outside the uterus. Such treatments would make natural pregnancy easier to happen.

Infections

Infection of the uterus or of the tubes and ovaries can cause pain, this is the main symptom of this problem. This is because the infection alone will bring extreme sensitivity to the woman, especially if she has sex during this period.

The diagnosis of infections is made through exams such as pap smears , oncotic cytology and magnetic resonance imaging, and in more severe cases a biopsy. The treatment will be done through ointments and sometimes, with antibiotics specific to the type of bacteria that are causing the infection.

Low Vaginal Lubrication

The woman’s natural cervical mucus helps the relationship to be pleasurable for her and her partner. The stimuli that she undergoes in the preliminaries of sexual intercourse will make the vagina wet, swollen and able to receive penetration.

However, there are women who, due to low hormonal levels or for some other reasons, do not have this lubrication in sufficient quantity or even do not have this lubrication, leaving the vagina very dry and without the swelling that facilitates the penetration and the female orgasm.

This hormonal drop can happen at any time in reproductive life for several reasons, but mainly in women who have some propensity to not menstruate properly due to lack of fertility hormone stimuli:

  • FSH
  • Progesterone
  • Estrogens

Lowering these hormones will take away your partner’s sexual appetite and cause low lubrication and, consequently, cause pain during intercourse. There are some devices to circumvent problems with low lubrication for sexual intercourse.

How to Dodge Lack of Lubrication

Changing sexual position : the couple should seek a more comfortable position for the woman during sexual intercourse. Usually one in which the woman is more comfortable or can control the speed of penetration and the intensity.

Vagina elasticity exercises : pompoarism (vaginal musculature exercises) is a technique that helps in the elasticity of the woman’s vagina. There are several exercises, but among them, insertion of pompoar balls.
The work done with the balls, over time strengthens the musculature in addition to giving the woman the possibility to control vaginal elasticity during intercourse in order to avoid pain during intercourse.

Use of Proper Lubricants

the use of lubricants similar to a woman’s natural vaginal lubrication, will alleviate vaginal dryness and pain. Before intercourse or even on a daily basis, it will bring greater comfort to the woman. For sexual intercourse, the intimate lubricant brings comfort and also reduces the friction of penetration, consequently pain in the bottom of the belly after intercourse.

Lubricant to get pregnant

60% of couples who want to get pregnant and have a problem with dyspareunia, have difficulties with the woman’s lubrication. This is because the woman who wants to become pregnant can become tense and anxious for sexual intercourse to result in pregnancy , and therefore fail to have the ideal lubrication and conditions for sperm to survive until they reach the tubes and, consequently, feel pain in the relationship.

Women with a deficiency in the production of cervical mucus or egg white mucus during the fertile period, benefit greatly from fertility-friendly lubricants and avoid burning after intercourse. Lubricants specific for couples who want to get pregnant, must be used 5 minutes before penetration. It allows sperm to have greater vitality and mobility within the woman’s body, facilitating fertilization.

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My name is Dr. Alexis Hart I am 38 years old, I am the mother of 3 beautiful children! Different ages, different phases 16 years, 12 years and 7 years. In love with motherhood since always, I found it difficult to make my dreams come true, and also some more after I was already a mother.

Since I imagined myself as a mother, in my thoughts everything seemed to be much easier and simpler than it really was, I expected to get pregnant as soon as I wished, but it wasn’t that simple. The first pregnancy was smooth, but my daughter’s birth was very troubled. Joana was born in 2002 with a weight of 2930kg and 45cm, from a very peaceful cesarean delivery but she had already been born with congenital pneumonia due to a broken bag not treated with antibiotics even before delivery.

Dr. Alexis Hart

My name is Dr. Alexis Hart I am 38 years old, I am the mother of 3 beautiful children! Different ages, different phases 16 years, 12 years and 7 years. In love with motherhood since always, I found it difficult to make my dreams come true, and also some more after I was already a mother. Since I imagined myself as a mother, in my thoughts everything seemed to be much easier and simpler than it really was, I expected to get pregnant as soon as I wished, but it wasn’t that simple. The first pregnancy was smooth, but my daughter’s birth was very troubled. Joana was born in 2002 with a weight of 2930kg and 45cm, from a very peaceful cesarean delivery but she had already been born with congenital pneumonia due to a broken bag not treated with antibiotics even before delivery.

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