Having sex is a pleasurable experience, but what if it causes pain? Pain during sex not only impacts the individual in pain, but it also affects his or her partner and ruins the sex life of both parties. The worse thing is that the affected persons move from one physician to another but they cannot get an obvious reason or a workable solution to their anguish. In this article, we shall elaborate on a urologist’s point of view about the most widely recognized reasons for this discomfort a few ladies may encounter during intercourse. If possible kindly share this information with other females in your acquaintances about whom you know that she is suffering from pain during intercourse.
In ladies below the age of fifty years, vulvodynia is the most common reason for painful intercourse and it is a disorder in which, when something makes direct contact with the vulva, how gentle it might be, it causes pain. Now vulva is a female genital area representing the exterior of the vagina. It is the inner side of the lips of the vagina and not the outer lips of it. Vulvodynia can occur for several reasons. For instance, disorders of the nerves, muscles, inherited traits, and hormones all are included in the main reasons. So there are so many distinct reasons for this issue, yet luckily remedies also exist. The main remedy is the standard or traditional one which all the ladies may undertake easily and it can put you more at ease than anything else. The first remedy is to wear undergarments made of pure cotton since undergarments made of other fibers might be painful for the vulva. Similarly, do not wipe or wash excessively and use warm water to wash it instead of too hot or too cold water. You may allow the lather with water to flow over however, please avoid vigorous washing as this might create dermatitis or skin disorders in that region and cause itching or discomfort. Also do not use highly fragrant cleansers and shampoos, since they might also cause discomfort in sensitive places. To sum up, please ensure that you put off and replace your swimwear promptly after swimming. Keeping on wearing a moist swimming outfit for hours to go is also a reason for causing too many skin disorders or itching whether the water is ordinary or chlorinated. More remedies for vulvodynia are also there for example pelvic floor muscle exercises and hormonal lotions containing estrogen and testosterone. They significantly reduce the vulva's sensitivity to painful stimuli. Some types of treatments, such as Botox in injection form and medicines to reduce or eliminate inflammation also prove to be successful to deal with the problem. Another medicine namely Lidocaine cream or a similar medicine containing Prilocaine and Lidocaine, such as Emla can also be used. These medicines are used to desensitize the region so these medicines are like a kind of dressing rather than a cure but these may have a strong influence to get relief from continuing discomfort. Another medicine is the delay sprays. Generally, guys use it as they contain similar components such as Prilocaine or Lidocaine that might be useful to overcome the irritation.
The genitourinary problem of menopause and painful intercourse is the most prevalent cause of discomfort during intercourse in women over 50. This affects more than half of all women going through menopause. The symptoms of menopause or around menopause can appear after 45 years of age. The genitourinary problem of menopause pain during intercourse occurs when the production of female hormone synthesis, which also includes testosterone and estrogen drops while vaginal ph rises, causing many disorders. Due to this change, the vaginal epithelium gets thin, leading to a dry vagina as well as discomfort during intercourse. If the vaginal tissues are dry, it will certainly be irritating. Due to a rise in vaginal ph, the chances of UTI or bladder infection also increase since high ph cannot effectively protect the tissues from the germs which trigger UTI. The dryness of the vagina occurred due to the menopausal genitourinary problem can also create a feeling of burn as well as bleeding or discharge. What is more, it can cause frequent bladder infections while you're having this condition. Occasionally it can also cause urinary urgency which indicates a strong and frequent feeling of urination that cannot be suppressed even briefly. The most common therapy for this is to use an estrogen vaginal pill or maybe an ointment, loop, or suppository. It contains a dosage of a small quantity of estrogen with incredibly few adverse effects. It's quite different from the estrogen taken by mouth. A very small quantity of this medicine is absorbed in the blood or body and consequently has very negligible side effects like thrombosis or clotting of the blood, breast pain or malignancy, and similar side effects. Instead, it is safe from causing thrombosis and breast cancer. Hence, in a nutshell, anyone who requires it owing to their symptoms should do it without hesitation. (@ chhanno blogspot com 08012022)
One more issue that causes pain during sexual intercourse is insufficient lubrication. There are several unique reasons for insufficient oiling. Your spouse who isn't stimulating you may not be responsible for that but more likely your nervousness to have sex may be playing a role in this condition. Other reasons may be that you and your spouse may be lacking in foreplay activities or some unpleasant incident of sexual violence and injury may have happened to you that interfere with your strength to gain natural lubricating. Numerous lubricating agents are widely accessible at low cost and in a variety of compositions, for instance, lubricants based on water or silicone. Alternatively, just the coconut oil or olive oil from your kitchen cabinet can be utilized. You only have to apply it, the rest is done by it quite very well to give relief to a majority of people with this discomfort. In reality, a multitude of factors might contribute to insufficient lubrication. A few of these factors are, for example, irregularities of hormones, and anti-conception medications containing progestin and estrogen which can be a reason for dryness of the vagina and discomfort during intercourse. Furthermore, the reasons for dryness of vaginal tissues may also include high blood sugar, malfunctioning nervous system, undergone treatment for cancer like radiation and cancer medicines in the past, and taking medicines used for the treatment of urinary incontinence known as anticholinergics and lastly, the anti-allergic medicines.
Another typical problem is the malfunctioning of the pelvis muscles which can be one of the causes of pain during intercourse. It indicates highly tense pelvis muscles and there are several reasons for that. It might be due to a high level of tension or distress. Also, it might be related to the malfunctioning of the system on which the human body is oriented known as musculoskeletal disability otherwise it could be due to positional abnormalities. It might occur because of remaining in one posture for hours without a break. Moreover, many persons were noticed with pelvis muscle disorder during Covid-19 since they spent a lot of time doing work-from-home tasks for longer periods than normal, which can generate excessive stress and strain on the muscles of the pelvis. Typically, you do not feel pain, round the clock, it is triggered due to other things for instance when you do too many physical activities or games things get worse. Similar is the condition when you are expecting or have kids or give birth to a kid the problem worsens. Its therapy consists mostly of pelvic floor muscle training. As you conduct pelvic floor muscles exercises, you get to know the proper way of relaxing tense pelvic floor muscles and pinpoint the region that forms the trigger points. You can thus reduce your discomfort more easily when you can locate those spots causing discomfort and loosen them up.
Pudendal neuralgia is another cause of pain while having intercourse. It’s a major nerve in the pelvic region and serves several organs there like the genitals or vagina, perineum, clitoris, buttocks, etc. Patients with pudendal nerve pain may have discomfort in any of these areas. This is a type of nerve problem that can be induced by things like sitting in one position for an extended length of time, riding a bicycle, riding a horse, and having gone through a previous medical treatment. This type of discomfort may be highly stressful during which you may get a scorching, or tingling, feeling. It might be more intense when sitting on the ground, and it can seem like it comes and goes. Such type of pain may be a greater discomfort than certain other days. Some people may develop a feeling that they have gone more sensitive to the discomfort or pain. In such a condition doing quite easy things like getting dressed might trigger anxiety. Sometimes this is caused by the primary sensitizing system. In the case of prolonged pain, the entire body might consider everyday reflexes as excruciating. This is because our mind-science evolves interpreting commonplace actions viz., touching the body to be unpleasant. This condition can be treated with pelvis muscles physical exercises or a medicine that kills pain and reduces inflammation. It can also be treated through blocking or anesthetizing the pudendal nerve which more often than not proves successful.
There is a fold of skin that surrounds and protects the clitoris and it is called the clitoral hood. Sometimes adhesions can form around that hood and the skin above the clitoris stick together and it becomes difficult to pull back. These adhesions can cause clitoral discomfort either during intercourse or perpetually. Genital mutilation in women can also cause a variety of discomforts depending on the procedure a woman might have undergone. Other typical reasons for pain when having intercourse include UTI or bladder infection, venereal diseases, and skin diseases that produce discomfort due to changes in the skin. If you are experiencing postpartum symptoms, this is quite normal. According to data, between seven to thirty percent of ladies experience discomfort in the pelvis or during intercourse, one year after having a kid. Patients with urethral diverticulum wherein an unwanted sac forms alongside the urethral tube and out of the body, also have to face pain during penetration. A recurrent UTI or incontinence, having previously undergone a medical procedure of the pelvis, or insertion of mesh in the vagina can also cause pelvic pain during intercourse. (@ chhanno blogspot com 08012022)
Pelvic pain with intercourse has been associated with a variety of pregnancy-related aberrations, in addition to fibrosis, endometriosis, and various disorders of the ovaries. In case of any doubt please consult your specialist doctor to verify that you don’t have such a disease and symptoms. It’s only an outline of a plethora of causes of discomfort during sex and an informational message for you. Please ensure to get help in case you or your spouse is facing such discomfort. Assistance is always available and you should fetch for it since you are worthy of a sexual relationship that must be good and excellent.
Alright, God bless you and please take care everywhere and always.
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(Updated on 06-02-2023)
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