To the point that I balk at sex because of the initial pain. The discomfort goes away after the first minute and sex is then enjoyable. How do we make penetration less traumatic? Asked by Nicole You should see a provider who is knowledgeable about pain with sex, as there is very likely a medical condition causing your pain. The two most common with this description are vestibulodynia a nerve pain condition of the vaginal opening and pelvic floor muscle spasm vaginismus.
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The following situations and conditions can contribute to or cause pain during intercourse or other forms of penetration. Sexual Intercourse or Penetration for the First Time The first few times you have intercourse or experience vaginal penetration, you may feel a small to moderate amount of pain at the entrance to the vagina. There can be some bleeding or no bleeding at all—both are normal. The reasons for the pain are not always clear, but it is typically temporary. But not all hymens meet these criteria, and women without substantial hymens can also experience painful penetration.
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Soft tissue and vaginal massage Medications to reduce pain signals Relaxation skills Counselling Emotional causes Feeling stressed, self-conscious, depressed or afraid of intimacy can affect your libido and make sex painful Sometimes dyspareunia begins as a physical problem but also affects your mental wellbeing and relationships, causing stress and anxiety The stress and anxiety can then make the physical problem worse Some women with dyspareunia may have a history of trauma including sexual or emotional abuse How is dyspareunia diagnosed? Your doctor may ask questions such as: Your sexual history, surgical history and childbirth experiences may also be relevant. Pelvic examination This is a physical examination where your doctor will check for signs of infection, irritation or anatomical problems. This may involve gently touching the genital and pelvic area to locate the site of the pain and inserting a speculum a plastic instrument that allows the doctor to see into the vagina.
Print Overview Painful intercourse can occur for reasons that range from structural problems to psychological concerns. Many women have painful intercourse at some point in their lives. The medical term for painful intercourse is dyspareunia dis-puh-ROO-nee-uh , defined as persistent or recurrent genital pain that occurs just before, during or after intercourse. Talk to your doctor if you're having painful intercourse. Treatments focus on the cause, and can help eliminate or lessen this common problem.