Have Painful Sex? Causes And Treatment Options

Health & Medical Blog

If you have painful sex, this can affect your relationship. You likely do not want to have sex as often as you did before. To help you feel better, below are some reasons this may be happening to you, as well as the treatment options. 

Reasons for Painful Sex

The causes of painful sex will depend on where you are feeling the most pain.

Entry Pain

If you feel pain during entry, this is often due to not having enough lubrication. If you are an older woman or have just had a baby recently, this is often due to a drop in estrogen levels. For an older woman, this can be treated in different ways. The doctor may suggest lubrication products that you can purchase. They may put you on an estrogen cream that you insert into your vagina or put you on estrogen therapy if you are having many other symptoms. If this is caused by childbirth, your estrogen levels will go back to normal over time. 

Having an infection can also cause entry pain. If you feel pain when you urinate, you have some type of infection and should see a doctor. You also may have a skin problem in the genital area, such as eczema. A doctor can determine if any of these are the cause and give you treatment. 

Deeper Pain

If you have deep pain during sexual intercourse, this can be caused by different things. For example, you may have endometriosis. This is often treated with hormone medications, such as birth control pills. You may have uterine prolapse or a retroverted uterus, both of which are often treated with surgery. Other problems you may have include pelvic inflammatory disease, fibroids in the uterus, ovarian cysts, and more. A doctor will examine you to determine the cause and then give you the proper treatment.   

If you have recently had pelvic surgery, scarring can cause deep painful sex. This may be something like a hysterectomy. A hysterectomy also results in low estrogen levels, so this can also be the cause. If you are having chemotherapy, this may be causing your deep painful sex. This will depend on the type of cancer you have, however. Talk with your oncologist and they can give you more information about this. 

If you and your partner are having relationship problems due to your sex life, you should consider seeing a therapist. This is beneficial to do until you get treatment and start feeling better. 

Talk to a medical professional who offers painful sex therapy to learn more. 


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