Pain during deep penetration

Next Next post: Vaginal dryness and the menopause. Pelvic floor physical therapy, to help retrain muscles, may also be a consideration. Dyspareunia is a persistent or recurrent pain that can happen during sexual intercourse. Some women with vaginismus may find Kegel exercises useful to strengthen the pelvic floor muscles. The causes can range from minor to more serious. Reissing ED, et al. Treatment of pain at sexual activity dyspareunia with intravaginal dehydroepiandrosterone prasterone.

Insufficient lubrication can also be caused by lowered levels of estrogen, which can make vaginal tissue more fragile and affect the vaginal walls in such a way that less liquid is produced. This pain can be caused by tears and scarring known as adhesions in the ligaments that support the uterus caused by obstetrical mismanagement during childbirth, an improperly performed abortion, pelvic surgery, rape, or excessively rough penetration during sex ; infections of the cervix, uterus, and tubes such as pelvic inflammatory disease —the result of untreated sexually transmitted infection in many women ; endometriosis ; cysts or tumors on the ovaries; a vagina that has shortened with age; or a tilted pelvis. Archer DF, et al. Adhesions can also tighten the cervix, causing significant pain when impacted by deep penetration. The reasons for the pain are not always clear, but it is typically temporary. Insufficient lubrication may result in pain. You might start avoiding sexual intercourse if you associate it with the pain.

Treatments focus on the cause, and can help eliminate or lessen this common problem. Inflammation also causes adhesions to form in the uterus and cervix. Pelvic inflammatory disease : The tissues deep inside become badly inflamed, and the pressure of intercourse causes deep pain. Show references Rezaee R, et al.