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Dyspareunia - Pain During Intercourse
Dyspareunia is for persistent or recurrent pain during sexual intercourse. It can affect people of any age and may occur at the entrance to the vagina, deep inside the pelvis, or both. Dyspareunia can have a significant impact on wellbeing, relationships, and quality of life.
What are the symptoms of dyspareunia?
Pain may be sharp, burning, or aching, and can occur at the start of penetration, with deep thrusting, or linger after intercourse.
Some people also notice dryness, irritation, or muscle tightness around the vagina.
What causes dyspareunia?
There are many possible causes. These include vaginal dryness (often due to menopause, breastfeeding, or some medications), infections, pelvic floor muscle spasm, or scarring after childbirth or surgery.
Conditions such as endometriosis, ovarian cysts, fibroids, or pelvic infection can also cause deep pain. Emotional factors, including anxiety or past trauma, may contribute too.
Dyspareunia Treatment
Treatment depends on the underlying cause.
Dyspareunia is common and treatable. You should not feel embarrassed about seeking help, as effective treatments are available. Identifying the cause is the first step towards finding the right solution and improving comfort and intimacy.
Our specialist gynaecology team are experienced in assessing and treating painful intercourse. We will listen to your concerns, explain your options clearly, and support you in finding the best treatment to improve your comfort and quality of life.
Lubricants or Vaginal Moisturisers
Simple measures such as lubricants or vaginal moisturisers can help with dryness.
Oestrogen Treatment
If hormonal changes are responsible, local oestrogen treatment may be recommended.
Surgery
If pain is linked to a medical condition such as endometriosis or infection, your gynaecologist may recommend medication or surgery.
Other Treatment Options
Pelvic floor physiotherapy, relaxation techniques, or counselling can be helpful if muscle tension or emotional factors play a role.
Find A Specialist
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Dr Kate van Harselaar
Gynaecologist
