Painful intercourse
Overview
Painful intercourse, also known as dyspareunia, is a condition characterized by persistent or recurring pain during sexual penetration or contact. This discomfort can occur before, during, or after intercourse and may affect the genital area, pelvis, or deeper internal structures.
Common Causes
Painful intercourse can result from insufficient lubrication, which may occur due to hormonal changes during menopause, breastfeeding, or certain medications. Stress, anxiety, and relationship issues can also cause physical tension that leads to discomfort. Common lifestyle factors include inadequate foreplay, certain positions, or using products that cause irritation. In some cases, underlying medical conditions such as infections, endometriosis, or pelvic floor dysfunction may contribute to this issue.
Severity Levels
Mild: Occasional discomfort during intimacy that doesn't significantly impact your relationship or quality of life. Pain may be brief and manageable with position changes or additional lubrication.
Moderate: Regular pain that interferes with sexual activity and causes distress for you or your partner. You may find yourself avoiding intimacy or experiencing anxiety about sexual encounters.
Severe: Intense, persistent pain that makes sexual activity extremely difficult or impossible. This significantly impacts your relationship, emotional well-being, and overall quality of life, often requiring immediate medical attention.
Medical Attention
Seek medical attention if pain during intercourse persists for more than a few occasions or interferes with your intimate relationships. Contact your healthcare provider if the discomfort is severe, worsening over time, or accompanied by bleeding, unusual discharge, or pelvic pain outside of sexual activity. Don't hesitate to schedule an appointment if the pain is causing emotional distress or affecting your quality of life, as effective treatments are available.

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