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Female Sexual Dysfunction

Dyspareunia (Painful Intercourse)

Dyspareunia is persistent or recurrent pain during or after sexual intercourse. It can significantly impact sexual function and quality of life.

75%
Success Rate
4-8 weeks for initial improvement; 3-6 months for full resolution
Duration
Multiple
Treatment Options
3+ Groups
May Affect

What is Dyspareunia (Painful Intercourse)?

Dyspareunia is persistent or recurrent pain during or after sexual intercourse. It can significantly impact sexual function and quality of life.

Prevalence: Affects 10-20% of women; increases with age

Symptoms and Signs

  • Pain during penetration (introitus or deep)
  • Pain after sexual intercourse
  • Burning or aching sensations
  • Muscle tension or spasms
  • Anxiety about intercourse
  • Avoidance of sexual activity

Causes and Risk Factors

Common Causes

  • Vaginal dryness or inadequate lubrication
  • Vaginismus (involuntary muscle contraction)
  • Endometriosis
  • Pelvic inflammatory disease
  • Vulvovaginitis or infections
  • Hormonal changes (menopause, postpartum)
  • Pelvic floor dysfunction
  • Sexual trauma or abuse
  • Surgical scarring
  • Medication side effects

Risk Factors

  • ⚠️Menopause
  • ⚠️Childbirth
  • ⚠️Pelvic surgery
  • ⚠️Infection history
  • ⚠️Sexual trauma

Treatment Options

Expected Outcomes: Good outcomes with physical therapy and education; 70-80% improvement

Available Treatments:

  • Adequate lubrication (water/silicone-based)
  • Vaginal moisturizers
  • Topical estrogen therapy
  • Pelvic floor physical therapy
  • Dilators and gradual penetration exercises
  • Medication for spasms
  • Treatment of underlying infections
  • Sex therapy and education
  • Couples therapy
  • Surgical intervention (if anatomical issues)

Prevention Tips

  • Adequate lubrication and foreplay
  • Treatment of infections
  • Pelvic floor exercises
  • Communication with partner

Ready for Professional Help?

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