Pain in tener relationships (dyspareunia): 9 causes and what to do

Pain during sexual intercourse is a symptom that can appear in the intimate life of some couples at any time of sexual intercourse, as it may be related to physical or psychological causes, becoming a problem that can affect the relationship of pareja.

Dyspareunia, as you know scientifically, the pain during sexual intercourse has several causes, such as decreased libido, excess stress, use of some medications, conflicts in the relationship and even, health problems such as a sexual transmission.

That’s why it’s important to consult a gynecologist, in the case of a woman, or a urologist, in the case of the man; so that you can identify the cause of pain in the relationship and start the appropriate treatment, with the end of returning to the relationship.

Pain in sexual relationships can be caused by several factors, including the main ones:

1. Decreased libido

Decreased libido is one of the main causes of pain and burning during sexual intercourse, especially among women, which can lead to decreased vaginal lubrication, which makes penetration more painful. Decreased libido can occur due to several factors, including the main ones and excessive stress, which in addition to decreasing lubrication, makes arousal difficult; use of certain medications, mainly antidepressants and antihypertensives, and marital problems.

What to do: In these cases, it is recommended to consult a general physician so that the cause of the decrease in libido can be identified, and in case of deberse to the use of medication, the change or suspension of the mismo may be indicated. Asimismo, the support of a psychologist is fundamental, therefore it is possible to relieve stress or find strategies to resolve peer conflicts.

2. Allergy

Some skin problems, such as contact dermatitis caused by the use of intimate soaps or lubricants, can cause the appearance of heridases in the intimate region of the woman or the man, causing comezón, discomfort and pain during sexual intercourse.

What to do: In case it is determined that the pain during sexual intercourse is due to allergy, it is recommended to avoid the use of products that can be irritating to the intimate region and consult a dermatologist or gynecologist to start the proper treatment.

3. Sexually Transmitted Infections (STIs)

Sexually transmitted infections are the main causes of pain during sexual intercourse. In women, the main STI related to pain in sexual intercourse is caused by the protozoan Trichomonas vaginalis, responsible for trichomoniasis; I mean that in the men is more frequent the infection by him Mycoplasma hominis. Other sexually transmitted infections that can cause pain and discomfort in sexual intercourse are genital herpes and gonorrhea.

These infections, in addition to causing pain during sexual intercourse, cause the appearance of other signs and symptoms, such as comezón, burning sensation in the intimate region, presence of secretions and appearance of herids or spots in the genital region.

What to do: In these cases it is recommended to follow the indications of the gynecologist or the urologist, which should be based on the agreement with the microorganism responsible for the illness, being normally indicated the use of antibiotics. Also, it is important to keep the genital region always clean, to urinate after sexual intercourse and to avoid sexual contact without a condom.

4. Hormonal changes

Pain in sexual relationships due to hormonal changes is more frequent in women who are entering menopause what is the use of hormone replacement drugs, which causes a lack of control of estrogen levels in the body, decreases vaginal lubrication and facilitates the emergence of pain during intimate contact.

What to do: the pain caused by hormonal alterations, which has as a consequence the decrease in lubrication, can be solved through the use of intimate lubricants; however, it is important to consult a gynecologist in case you have entered menopause, in order to start the proper treatment and avoid other discomforts such as choking (heat strokes) or palpitations.

5. Urinary infection

Urinary infections, in addition to comezón in the genital region, burning and pain when urinating and the emergence of secretions, can cause pain during sexual intercourse both in men and in women, being more frequent in the female sex due to the anatomy of their genital organs, what makes them more susceptible to infections.

What to do: It is recommended to consult a urologist or a gynecologist so that the treatment can be started, which depends on the microorganism identified as the cause of the infection, and the use of antibiotics or antimycotics may be indicated. Also, it is important to maintain good intimate hygiene, drink plenty of fluids, avoid sexual intercourse without condoms and wear cotton underwear.

6. Postpartum

The postpartum period can be very uncomfortable for the woman, especially after a natural childbirth, due to the injuries that can arise in the intimate region. Asimism, the bleeding that occurs after childbirth can last several weeks, making intimate contact uncomfortable.

What to do: It is recommended to resume sexual relations after 3 weeks of postpartum, because there is less risk of infection and bleeding is less; without embargo, it is the woman who must decide when she feels more comfortable to have intimate contact again.

Asimism, another way to improve sexual intercourse is through the practice of Pompoarism, a technique that improves and increases sexual pleasure during intimate contact. Find out how to practice pompoarism to improve your sex life.

7. Erectile Dysfunction

Erectile dysfunction is a male sexual disorder that can cause deformities in the penis in certain men, which can cause pain during penetration in both the man and the woman.

What to do: a urologist should be consulted in case there are problems related to erection; however, to improve the results it is recommended to have a low diet in grease, sugar and alcohol, as they are substances that can worsen the problem.

8. Phimosis

The phimosis consists in the difficulty of exposing the glans of the penis when the skin that covers it does not have enough opening, causing intense pain during sexual intercourse. This problem usually tends to disappear in puberty, however, it can be maintained until adulthood.

What to do: it is recommended to consult a urologist to evaluate the problem and to have a small surgery to remove the excess of skin in the pene. Find out how the surgery for phimosis is performed.

9. Inflammation of the prostate

Inflammation of the prostate is a common problem that can arise during the life of the man and that, in addition to causing pain during intimate contact, especially in the eye, can also cause burning when urinating.

What to do: It is advisable to consult a urologist so that the cause can be identified and the most appropriate treatment can be started, which can be carried out with anti-inflammatories and, in the case of an associated infection, antibiotics according to the microorganism involved. Also, during the treatment, a good advice is to bathe with warm water or to perform a seat bath to relieve pain during sexual intercourse.