Pain during sex—medically known as dyspareunia—is a common issue that can affect both women and men, though it is more often reported by women. It may occur before, during, or after sexual intercourse and can range from mild discomfort to intense pain.
Types of Pain During Sex
1. Superficial Pain – Felt at the vaginal or penile opening during penetration
2. Deep Pain – Occurs deeper inside the pelvis or lower abdomen during thrusting
3. Post-sex Pain – Pain or discomfort that continues after intercourse
Common Causes in Women
– Lack of lubrication – Often due to insufficient arousal, menopause, breastfeeding, or medications (like antihistamines or antidepressants)
•Infections – Yeast infections, urinary tract infections, or sexually transmitted infections (STIs)
•Skin conditions – Such as lichen sclerosus or eczema
•Vaginal dryness – Especially common during menopause
•Vaginismus – Involuntary tightening of vaginal muscles
•Endometriosis – Tissue similar to the uterine lining grows outside the uterus
•Pelvic inflammatory disease (PID)
•Emotional factors – Anxiety, past trauma, stress, or relationship issues
Common Causes in Men
•Infections – STIs, prostatitis, or urinary tract infections
•Peyronie’s disease – Curved or painful erection due to scar tissue
•Uncircumcised issues – Tight foreskin (phimosis) or inflammation
•Erectile dysfunction – Can lead to discomfort or emotional distress
•Skin conditions – Dermatitis, sores, or allergic reactions
•Psychological causes – Performance anxiety, stress, or trauma
When to See a Doctor
You should consult a healthcare provider if:
•Pain is persistent or worsening
•It affects your sexual relationship or emotional well-being
•You experience bleeding, unusual discharge, or burning sensations
•Pain started after surgery, childbirth, or a new medication
Treatment Options
Treatment depends on the underlying cause and may include:
•Lubricants or moisturizers – For dryness or friction
•Medications – To treat infections or hormonal imbalances
•Physical therapy – Especially for pelvic floor muscle issues
•Counseling or sex therapy – To address psychological or emotional causes
•Surgery – In rare cases where structural issues are involved
Final Thoughts
Pain during sex is nothing to be ashamed of—and it’s often treatable. Open communication with your partner and a trusted healthcare provider can help identify the cause and restore comfort and confidence in your intimate life.
Disclaimer: This article is for educational purposes only and does not substitute professional medical advice.
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