Pain during intercourse: Understanding dyspareunia and discovering solutions.

Pain during intercourse , also known by the medical term dyspareunia , is a reality for many women. It is a persistent pain experienced during sexual intercourse, affecting the quality of intimate and emotional life. Whether it is mild discomfort or severe pain, dyspareunia can have multiple origins, physical or psychological , and it is essential to understand its causes to find appropriate solutions.

What is dyspareunia?

Dyspareunia is defined as recurring pain during, during, or after intercourse. This pain can be felt at different levels:

• Superficial dyspareunia : Pain felt at the entrance to the vagina or vulva, often caused by vaginal dryness, infections, or irritation.
• Deep dyspareunia : Pain located deeper within the body, often linked to internal problems such as endometriosis, ovarian cysts or pelvic inflammation.

It's important to note that dyspareunia can occur at any age and for a variety of reasons. Some women may experience it early in their sexual life, while others may develop it after childbirth, menopause, or in response to medical conditions such as endometriosis.

Sexual pain can have different causes, both physical and psychological.

Common causes of dyspareunia:

Physical causes:

• Vaginal dryness : The most common cause of pain during intercourse is vaginal dryness, often linked to a lack of natural lubrication. This can be due to hormonal changes (menopause, breastfeeding, etc.), medications, or even a lack of sufficient foreplay.
• Endometriosis : This chronic disease, which affects approximately 10% of women of reproductive age, is characterized by the presence of tissue similar to the uterine lining outside the uterus. It causes deep pain, particularly during sexual intercourse.
• Vaginal or urinary tract infections : Infections such as vaginitis, yeast infection, or cystitis can cause inflammation of the tissues and make intercourse painful.
• Trauma and scars : Difficult deliveries, surgeries or medical interventions can leave painful scars or cause muscular hypertonia in the perineum.

Psychological causes:

• Stress and anxiety : Anxiety disorders or fears related to sexual intercourse can aggravate muscle tension, leading to pain during penetration.
• Desire disorders : A decrease in sexual desire or a conflicted relationship can make intercourse painful due to bodily tension.

Solutions to relieve dyspareunia

There are several solutions to relieve dyspareunia, ranging from medical treatments to practical tips to improve comfort during intercourse.

1. Use of lubricants Lack of lubrication is one of the main causes of superficial dyspareunia. A lubricant can help reduce friction and make intercourse more comfortable. Here are some types of lubricants to consider:

• Water-based : They are condom-compatible and do not irritate the mucous membranes. This type of lubricant is ideal for a natural sensation. They are known for their natural compositions and smooth, pleasant textures.

  We recommend My Lubie 's natural lubricants because they stand out for their body-friendly formula, made in France and 100% vegan. Formulated with a water base, they're compatible with sex toys, condoms, and oral sex.

• Silicone-based : These last longer and are often preferred by women suffering from persistent vaginal dryness. However, they are not compatible with some silicone sex toys.
• Oil-based : Although they provide long-lasting lubrication, they are not compatible with latex condoms.

It is important to avoid lubricants containing perfumes or irritating substances that can aggravate symptoms. Choose a natural composition, a French lubricant , such as My Lubie products, which will help you lubricate without irritation.

👉 I discover My Lubie lubricant

2. Perineal cryotherapy

An innovative option for relieving sexual pain associated with conditions such as endometriosis is perineal cryotherapy. Maholi, for example, offers specially designed perineal ice packs that provide relief from pelvic pain and reduce inflammation. These easy-to-use ice packs can be inserted into underwear before or after intercourse to reduce pain.

3. Relaxation and perineal rehabilitation exercises

For women who suffer from excessive contraction of the pelvic floor muscles, called hypertonia , perineal rehabilitation exercises may be recommended. These exercises aim to relax the muscles and improve blood circulation in the pelvic area, thus reducing pain during intercourse. It is possible to consult a specialized physiotherapist or use relaxation techniques such as meditation with cold.

4. Medical consultation

In cases of persistent dyspareunia, it is important to consult a healthcare professional to identify the underlying causes. The gynecologist will be able to perform a thorough examination, prescribe additional tests, and recommend appropriate solutions such as hormonal treatments, antibiotics, or surgery in the case of severe conditions.

5. Psychological therapy

If sexual pain is related to emotional or psychological factors, it may be helpful to consult a sexologist or psychotherapist. Sometimes, talking about blockages or anxieties can help reduce the tension felt during intercourse.

The role of partners: communication and support

A crucial element in overcoming dyspareunia is communication within the couple. It's essential to talk openly about your feelings with your partner so as not to let frustration or guilt set in. Partner support and adjusting the pace of intercourse can help create a more peaceful environment conducive to healing. Trying different positions or taking more time with foreplay can also reduce pain and make intercourse more enjoyable.

Conclusion

Dyspareunia, while often a source of suffering, can be alleviated with several solutions, from the simple use of lubricants to more specialized techniques such as cryotherapy. The important thing is not to hesitate to consult a professional and to listen to your body. Every woman deserves to experience a fulfilling, pain-free sexual experience.