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“Wordspainful sex ” ring the bell, you have also experienced the amazing emotions that come with this difficulty health issue: Embarrassment, embarrassment, self-blame, being tough, or being aware of not being “fun in bed,” to name a few. You should know that it is something that you have just started having painful sex or that you have dealt with all your life, it is not normal and there are solutions! I would like to acknowledge that if this is something you are experiencing, you are not alone, it is common and it is never too late to find out what causes pain in the sexes.
It takes courage and confidence to set foot when sex is not pleasant and you need time to get health care and a good provider to get the correct diagnosis. They can deal with a number of people, and it’s a sensitive issue … so it’s no surprise that many people suffer quietly in painful sex or abstain from pleasure. Fortunately, times are changing, and it has not always been easy for people with vaginas to get a good diagnosis, general awareness, and general knowledge about treatment. disappear (painful sex) has been spreading like wildfire in the women’s health community for the past five years.
If you’re having painful sex, look at these common reasons and learn about the routes you need to take to find relief.
Childbirth
The most common cause of sexual pain is often caused by postpartum injuries to the muscles of the vagina, perineum, or pelvis. Although the majority of the vagina usually heals completely normally after birth, there can be complications that persist from birth to birth or can cause pain with sex. The good news is that they are often completely treatable! The integration of sex into life after childbirth usually occurs after the last postpartum appointment. This is why along with the general lack of study and education about painful sex, the situation is surprising to many people. This, in the postpartum period, coupled with a lack of education / discussion from providers, makes many people born wonder what is going on because they are “confused or scared” of the body, even though the pain is out of control. Below are some specific causes of postpartum pain and recommended providers to see.
Causes of painful sex after birth
- Vaginal dryness due to low estrogen levels as a side effect of breastfeeding
- Trigger points, according to the U.S. Physical Therapy Association, are “hyper-irritating points located in a narrow band of skeletal muscle,” which can cause inadequate postpartum healing that are often the culprits for pain during sex.
- Square tissue extracted from vaginal, perineal, or rectal lacerations or tears at birth
- A tissue or skin that does not completely close after receiving points
- Tissue or skin that is too tight after a tear
- Cover labels
- Badly sutured lacerations / tears
Common Treatment Options include:
- Due to the low levels of estrogen produced by breastfeeding, topical application of estrogen in the vagina may decrease atrophy of the vaginal tissue or should be stopped in conjunction with the cessation of breastfeeding pain.
- Midwives or doctors topically apply silver nitrate to a wife or doctor to close unhealed wounds / open tissue
- Pelvic floor physical therapy can assess trigger points, hyper tone and muscle weakness or pain in the bladder or rectum.
- Vaginal dry needle (performed by a pelvic floor physiotherapist)
- Vaginal and perineal massage to soften / break painful scars
- Removal of skin tags
- Surgical review of poorly healed tears
Who to see:
- Pelvic floor physiotherapy (often covered by insurance!)
- Practical Nurse Practitioner for Women’s Health or Certified Midwife
- OB-GYN
Vaginismus
Vaginismus is a painful condition classified as a disorder of the genital pelvis and pain that affects five to forty percent of women, with a clear incidence due to the absence of the complaint. People with this condition usually have great difficulty accessing or entering the vagina at any time, such as during sex, using tampons, or during smoking or biting during sex. This disorder is believed to be emotional and physical, with physical symptoms often causing emotional symptoms and conversely perpetuating the problem.
The cause of vaginismus it is specific to the affected person and is due to vaginal medical conditions (congenital conditions) that arise at birth, inflammation, changes in vaginal blood flow, atrophy of the vaginal tissue (shrinkage), loss of skin integrity, or problems with the nervous system. Difficulty can also arise from deep-rooted belief systems and socialization, from fear of sex, from thinking that sex is wrong or bad, or from having general discomfort with sex. Eventually, someone may treat this condition as a side effect of PTSD due to sexual assault or trauma. The treatment is different for each person, as the cause of the situation is very individual.
The usual treatment options are:
- Desensitization therapy
- Using a vaginal dilator to help someone adjust to the sensation of penetration
- Vaginal botox injections
- Pelvic floor exercises and relaxation techniques (reverse kegals)
- Pelvic muscles, myofascial release of abdominal and thigh muscles
- Hypnotherapy
- Discussion therapy
- Anxiety medications
- Gentle focusing exercises to help with vaginal relaxation and increase libido
Who to see:
- Pelvic floor physiotherapist (often covered by insurance!)
- Sex therapist
- Pelvic pain specialist
- Practical Nurse Practitioner for Women’s Health or Certified Midwife
- OB-GYN
Vulvodynia
According to the National Vulvodynia Association, “Vulvodynia, simply put, is a chronic vulvar pain with no identifiable cause. Pain location, constancy, and severity vary among patients, “smoking is the most commonly reported symptom. Details of where the pain occurs, how long it lasts, and if it is generalized to the entire bulb area, can be diagnosed located in the clitoris or bulb area. Most women who suffer from this condition have localized vulvodynia or, in other words, pain when the bulge is stimulated or touched in a particular place or place, such as intercourse, tampon insertion, gynecological examination, long sitting and / or fitted pants The cause of this condition is not entirely clear and further research is needed, but it is clear that this condition should be diagnosed as a result of no infection.
According to the Vulvodynia National Association, a few presumed causes of vulvodynia Listed below:
- Injury or irritation of nerves that transmit pain from the bulb to the spinal cord
- Increase the number and sensitivity of the nerve fiber volcano to detect pain
- High level of inflammatory substance in the bulk
- Abnormal response of different types of vulvar cells to environmental factors, such as infection or trauma
- Genetic clothing versus chronic inflammatory clothing, widespread chronic pain, and / or inability to cope with infection
- Weakness, spasm, or instability of the pelvic floor muscles
Treatment options include:
- Identify and cancel irritants
- Oral “Pain Blocking” Medications
- Tricyclic antidepressants
- Serotonin-Norepinephrine Recovery Inhibitors
- Anticonvulsants
- Opioids
- Topical hormone creams (estrogen and testosterone
- Thematic Anesthesia
- Topical convulsions or antidepressants
- Pelvic floor Physical therapy
- Nerve blocks
- Neurostimulation and Spinal Infusion Pump
- Surgery
Who to see:
- Gynecologist or Urogynecologist
- Pelvic pain specialist
- Pelvic floor physiotherapist
- Practical Nurse Practitioner for Women’s Health or Certified Midwife
- Neurologist
- Dermatologist
Menopause
According to the North American Association of Menopause (NAMS), between seventeen and forty-five percent of women experience painful sex throughout their lives in the post-menopausal period. Changes in hormone levels can lead to thin vaginal tissue, decreased natural vaginal lubrication, decreased vaginal blood flow and elasticity, which leads to severe dyspareunia (pain with sex.) In addition, someone may experience psychological falls after painful sexual interaction. anxiety, fear, and stage fright inhibit the ability to have sex both physically and mentally in the future. Aside from the physical barriers to enjoying sex, due to poor libido and inability to wake up, mental and emotional disinterest caused by hormonal changes are common complaints among postmenopausal patients.
Treatment options include:
- RX estrogen is topical for vaginal atrophy
- Vaginal moisturizers and lubricants (if these do not improve pain, see supplier)
- Perform regular intercourse as stimulation increases blood flow
- Vaginal dilators for painful sex
- Pelvic floor physical therapy for pain with sex
- Sex Therapy / Counseling to resolve low libido concerns
- Yoga to increase arousal and libido
Who to see:
- OB-GYN
- Gynecologist
- Practical Nurse Practitioner for Women’s Health or Certified Midwife
Infection: Yeast, urinary tract, or sexually transmitted infections
Infections of the bladder, vagina, urethra, uterus or uterus cause inflammation, irritation, itching, bright red or raw mucous tissue in the genitals, open wounds or itchy bumps and can very well cause pain with sex. Signs that you have an infection compared to chronic pain or hormonal imbalance can be malignant vaginal discharge, increased discharge, unexplained bleeding after sex, deep vaginal pain, urinary pain, severe clumpy white discharge, painful or itchy. wounds or injuries to the bulge or vaginal inflammation. If you are concerned that you may have an infection or have unprotected relationships, consider seeing a provider for proper diagnosis or STI testing.
Infections that can cause pain with sex:
- Gonorrhea
- Herpes
- Molluscum Contaigiosum (if the wounds become infected)
Pelvic Inflammatory Disease (a condition caused by an untreated STD) - Chlamydia
- Trichomoniasis
- Urinary tract infections
- Post-abortion infection
- IUD insertion after infection
Who to see: * Planned Parenthood providers are experts in this type of diagnosis
- OB-GYN
- Gynecologist
- Practical Nurse Practitioner for Women’s Health or Certified Midwife
To conclude, I hope this article can help you find answers to painful medical conditions! The way to go is that if you experience pain with sex, it’s something you don’t have to be normal, you need to live with, or you can’t heal. If you see a provider who is giving you an answer that is not enough or reduces your pain, look for someone else. It’s okay to tell your provider that you’ve done research and if you think you ____, fill in the blank. If your OB-GYN or professional is not well-informed or provides you with resources, consider finding a pelvic pain specialist or ask them to focus on pelvic floor physical therapy to continue looking for the answer. Don’t be afraid to ask for referrals from specialists as needed. Best of luck friends, and pass on this article – spread it! Sex shouldn’t be painful and you can find answers.
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