What is dyspareunia?
From a medical point of view, dyspareunia is any type of pain that a woman can experience during sexual intercourse. This disease can be seen as a generic term that does not contain a precise definition of vaginal pain. In order to be able to decide more precisely what kind of complaint it is, it must be differentiated, for example, whether the cause of the condition is vaginismus or vulvodynia.
What is special about dyspareunia?
It is important to know that the respective vaginal pain can occur during complete intercourse. Of course, the penetration of the partner should be mentioned above all. However, the respective ailments can also occur during active penetration or after sex. A further distinction must be made as to how the symptoms of dyspareunia show up. Every woman is different, so there can be other complaints, but all of them have physical effects. Examples are:
- To cut
Finally, the areas that are primarily affected by dyspareunia must be named. In general, it can be stated that pain can occur in the entire genital area of the woman. Very often, however, this is reported by the affected women, the symptoms that especially in the vagina, on the clitoris, the vulva and perineal area show. Here, too, there can be differences from woman to woman. But the type of sex also determines which genital areas are affected.
What is the difference between vaginismus and dyspareunia?
As named, dyspareunia is the generic term to which vaginismus also belongs. Diagnostically, it is very often impossible to differentiate between these two diseases, even in gynaecology. One of the differences is that in vaginismus the pelvic floor muscles cramp so that the vagina becomes very narrow, which makes penetration by a penis, fingers or even tampon painful. With dyspareunia, it is exactly the other way around. In this case, the pain only leads to the pelvic floor muscles cramping.
In this case, a distinction can be made whether it is organic or non-organic dyspareunia. In the organic variant, the cause of the pain is not known, which makes therapy difficult. In the non-organic species, however, it can be expected that the vaginal pain is caused by a disease of the vulva, vagina or uterus. Infections, which can lead to inflammation, are particularly frequent.
What are the possible causes of dyspareunia?
The infections are usually just one of the causes that can trigger this physical pain. There are also many other possible reasons to consider. Very often to blame for the pain is the partner’s wrong sex practice. In particular, foreplay that is too short or listless can mean that the woman is not sufficiently moist. If the man should now want to penetrate the vagina with his penis, the sex partner quickly becomes tormented. Other reasons can of course also be vaginismus and vulvodynia. In addition to these very common reasons, there are other causes to be named such as:
- Interstitial cystitis (bladder pain)
- Birth injuries
- Uterus subsidence
- Genital tumours or cysts
- Endometriosis (lining of the womb in other tissues)
- Allergic reactions (condoms, clothes, or washing lotion)
- Irradiation of the genital area
- Inflammation in the genital area
- Too much stress in everyday life
In order to be able to clarify the exact cause, it is definitely worth having a gynaecological examination carried out if you often suffer from pain in the genital area. Often, however, you also know yourself what could be the cause and can then initiate appropriate treatment.
How can dyspareunia be treated?
It is very important to understand that the treatment options are as varied as the causes themselves. First of all, as already mentioned, you should be examined by a doctor. If no serious illnesses are found, such as a tumour, infection or uterine subsidence, self-help is a good option. First of all, the pelvic floor training should be named. In this case, the aim is to strengthen the pelvic floor and thus prevent the muscles from cramping during sexuality. This method is especially useful if you have vaginismus.
For example, a yoni egg (a small egg made of a precious stone that is inserted into the vagina) can be used for training. The egg has to be left in the vagina by the muscles, which trains them accordingly. It is also possible to lie straight on your back and bend your legs. Now it’s a matter of tensing your buttocks and pushing them up. The tension should then be held for several seconds and then released again. It is best to do this exercise for 5 to 10 minutes each day.
Vaginal training is also an option. This is about having sexual experiences in a safe environment with yourself. Many women use sex toys such as vibrators to help with this. This should be carefully inserted into the vagina to prepare it for later sexuality with a real partner. The use of lubricant gel to support the natural moisture of the vagina is also helpful with this method. It is important to distinguish here that vaginal training is basically not about masturbation is a therapy that should make sex easier for you. Nevertheless, you can of course feel pleasure and fun, which only makes the training more pleasant.
Finally, there are also partner exercises. In this case, too, the point is to get used to the penetration by penetrating the vagina, so that the symptoms become less and less over time until they completely stop. In this case, basically, the same exercises are performed as with vaginal training, only that your partner supports you. A relaxed atmosphere and that you both give each other a lot of time are particularly important here. Furthermore, either fingers or sex toys can be used for the exercises. It is also perfectly normal to feel arousal and lust during these exercises, which will help you overcome your fear of sex. This can lead to a blockage in the psyche which often leads to vaginal pain in the first place.
Conclusion – fight the dyspareunia reliably and finally!
If you experience vaginal pain during intercourse, it is not the end of the world. Thanks to advanced sexual medicine, the cause of the disease can quickly be found and medically treated. But you can also use the self-help presented here to ensure that the painful sensations no longer torment you. So you can certainly enjoy your sex life to the full in the future.