Managing Dyspareunia – Painful Intercourse for Women

Dyspareunia Most women often experience Dyspareunia at least once during their lifetime. Dyspareunia meaning pain during sexual intercourse is a sensitive problem and given the sensitivity of the issue many women hesitate to discuss the problem with their health care providers and suffer in silence.

However, Dyspareunia can be successfully managed and treated if the reasons for the pain are correctly evaluated by the health care provider and suitable treatment options are followed.


Among the common causes for Dyspareunia are vaginal dryness and lack of arousal in the woman during intercourse. This is especially prevalent in menopausal and post-menopausal women due to fall in female sex hormones. Use of lubricating gels during sexual intercourse can help relieve this problem.

Yeast and bacterial infections of the vagina are also common causes of Dyspareunia. Once diagnosed by the doctor, antibiotics are prescribed to treat these infections.

Among the more serious causes of Dyspareunia are endometriosis, ovarian cysts, Pelvic inflammatory Disease (PID) and in very cases vaginal tumors.

Dyspareunia is also at times caused by the severe spasms of vaginal muscles known as Vaginismus. This condition is caused by the psychological fear of sex as women tend to get into the viscous circle of thoughts when they anticipate pain each time during sex causing the involuntary contraction of the vaginal muscles, making sex painful and penetration impossible.

Seeing Your Health Care Practitioner

If painful sex is troubling you must see your doctor and explain to him/her your symptoms. The doctor may seek your medical history and perform a complete pelvic exam, feeling your cervix, vaginal and ovaries with two fingers. Additionally, the doctor may conduct a Pap smear test and some other tests to rule you any infections or other serious conditions.


If diagnosed with any physical problems during the pelvic exam, the doctor may prescribe suitable treatment to eliminate the root cause of pain during intercourse. However, if no physical problems are detected, you will be advised on how to relax yourself to better enjoy your sex life.