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60 minutes
There are many potential causes of painful sex (dyspareunia) for both men and women. These include illness and infection, physical problems, or psychological issues.
There are a number of possible causes of dyspareunia, including: Lack of lubrication, whether due to nervousness, lack of foreplay and arousal, or changes in hormone levels, especially post-menopause; operative childbirth (use of a forceps, vacuum extractor, or episiotomy during labour, or giving birth by C-section).
yspareunia as a result of operative childbirth tends to improve within a year of giving birth; vaginismus, a condition in which the muscles of the vagina tighten involuntarily when penetration is attempted, making it difficult or impossible.
This condition is caused by a spasm of the vaginal muscles, and often has an emotional root of fear, either due to ideas about sex learned during childhood, a history of vaginal infections, emotional issues related to your partner, or a history of sexual abuse or instances of sexual trauma; collision dyspareunia, when the mans penis hits the cervix (the opening of the womb, deep inside the vagina); endometriosis, which can make the tissues of the reproductive system very sensitive and tender, especially around the time of your period; cysts and fibroids; vaginal infections, such as PID (pelvic inflammatory disease), chlamydia, thrush, or bacterial vaginosis (BV); vulvitis, an inflammation of the opening of the vagina, which can be due to infection or allergic reaction; ectopic pregnancy, which can put pressure on the Fallopian tubes; cancer (in very rare cases).
Men may also suffer from dyspareunia, due to common skin disorders such as psoriasis or eczema, a thrush infection, a displaced IUD thread in the vagina, or Peyronies disease, which causes the penis to bend.
Call us and make an appointment with a specialist if you experience dyspareunia, as it can often can be resolved with medical help
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