Dyspareunia, i.e. pain felt in the genital area during vaginal penetration, a very common problem that mainly affects women
a pain that is difficult to communicate, for a sense of shame, sometimes even guilt.
Dyspareunia, a medical term that indicates pain felt in the genital area during vaginal penetration in sexual intercourse, a very widespread problem which mainly affects women: about 15 percent of those of childbearing age and over 40 percent after menopause, when the drop in estrogen causes an atrophy of the vaginal wall resulting in intimate dryness and loss of elasticity.
Sexual pain is defined as such if not occasional but persistent and recurrent.
And the fundamental thing to do, if you recognize yourself in this situation, ask for medical help. Not only to return to experiencing intimacy with serenity and pleasure but also because behind this symptom yes they can hide many pathologieswhich must be treated appropriately.
Inflammation from bacteria or fungi
These include, first of all, vaginitis, that is, inflammations of the vagina, which usually manifest themselves with white or yellowish and foul-smelling secretions and are caused by bad bacteria, such as Gardnerella, or fungi, such as Candida – explains Alessandro Bulfoni, head of the Obstetrics and Gynecology Unit of the Humanitas San Pio X hospital in Milan -. They must be ascertained with a swab and treated with the antibiotic or antifungal targeted against the identified microorganism, if the broad-spectrum drug returns the disorder.
Alterations of the ovary
Chlamydia and gonorrhea are two other sexually transmitted vaginal infections responsible for pain during intercourse. Since the vaginal mucosa is inflamed, rubbing the penis sharpens the burning sensation and produces muscle spasms, explains Bulfoni. Sexual pangs and discomfort can also be a sign of deep endometriosis, the most severe form of this disease, which involves the membrane that divides the rectum from the vagina. Or the cause could be due to ovarian cysts, polyps and fibroids (to remove): Any alteration in the size and weight of the ovary creates a strain of the uterine ligaments and blood vessels what a source of intense pain. In still other cases, the pain could be related to cervical or ovarian cancer.
What to do with the onset of menopause
Menopause can become a watershed for a woman’s sex life. Even when she arrives early, before the age of 40. One can be used to improve vaginal tone and tissue vascularity replacement therapy based on estrogen and progesterone
and use lubricating products explains the gynecologist. Sexual pain can also be associated with neuromuscular problems (pudendal neuralgia, for example) or anatomical. In congenital malformations of the genital system, to be corrected by surgery, the vaginal canal is not regular and affected by fibrous tissue that makes penetration difficult or painful, says the specialist. An example is Rokitansky syndromean anatomical condition in which the vagina does not exist or has a shortened length of 1-2 centimeters and therefore must be surgically reconstructed.
Psychological reasons should not be overlooked either. Such as, decreased libido, previous physical abuse, performance anxiety, depression, which cause contraction of the pelvic muscles hindering the pleasure of the sexual act. In this important case, a psychological consultation concludes the gynecologist.
June 10, 2022 (change June 10, 2022 | 11:31)
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