dyspareunian

Dyspareunia is the medical term for recurrent pain during sexual intercourse. It can affect women and men, though it is more commonly reported in women. The pain can occur at the beginning of intercourse, during penetration, or at any point during intercourse. It can be described as sharp, burning, or a dull ache.

There are various causes of dyspareunia. In women, it can be related to insufficient lubrication, infections, skin conditions, inflammation, pelvic floor muscle tension, endometriosis, or psychological factors such as anxiety or a history of sexual abuse. For men, causes can include infections, skin conditions, Peyronie's disease, or psychological factors.

Diagnosis typically involves a medical history and physical examination. A healthcare provider may ask detailed questions about the pain, its location, timing, and any associated symptoms. Further tests, such as urine tests, pelvic exams, or imaging, may be conducted to identify underlying causes.

Treatment for dyspareunia depends on the identified cause. For issues related to lubrication, over-the-counter lubricants or prescription estrogen creams may be recommended. Infections are treated with appropriate medications. Pelvic floor physical therapy can help with muscle-related pain. Psychological counseling or sex therapy can address emotional and psychological factors contributing to the pain. In some cases, surgical intervention might be considered for specific conditions like endometriosis. Open communication with a partner and a healthcare provider is crucial for managing dyspareunia effectively.