These muscles can weaken as a result of aging, childbirth, excess weight, hormonal changes, and certain physical strains. Dyspareunia can start suddenly or develop gradually. For some women, simply thinking about intercourse can start a cycle of tightness, pain, and avoidance of sex. Other causes of pain with intercourse include skin diseases in the genital area, such as eczema and psoriasis; conditions such as endometriosis, pelvic inflammatory disease, bladder prolapse, and infections of the urinary tract, vagina, or reproductive organs; certain cancer treatments; injury to the pelvic area from childbirth; reconstructive surgery; damage to the pudendal nerve, which supplies the vaginal area; musculoskeletal complaints, such as arthritis or tight hip or pelvic muscles; and some kinds of male sexual dysfunction prolonged intercourse may increase vaginal friction and pain. Sexual techniques. Often, many are at work. Wash with mild soap or plain water, and pat dry. Irritate vulva, destroy latex condoms, stain fabric. This surgery is usually offered only after other medical approaches have failed. Talking with a professional counselor or sex therapist may help. Diagnosing dyspareunia Few physicians specialize in vulvar problems, and few medical schools provide much training in this area. Selected resources. It comes in a cream applied to the vulva or in the vagina , a small tablet inserted in the vagina Vagifem , and a flexible vaginal ring worn continuously and replaced every three months Estring. When sex gives more pain than pleasure Published: Another culprit is vestibulodynia also known as localized provoked vulvodynia , a chronic pain syndrome affecting the vestibule. Understandably, women with sexual pain often worry about having a pelvic exam. Comfort refers to your pleasure; the amount and staying power of the lubricant can make a difference in how good the sexual activity feels, and whether the lubricant irritates your genitals.













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