There are many health issues that can show up after or during sex, and many of them can carry not only physical but also emotional symptoms. One of the most common problems is called dyspareunia, a medical condition affecting women of all ages. Painful intercourse can be caused by various factors, ranging from physical conditions such as injuries or infections to psychological ones such as depression and anxiety. Whatever the cause, dyspareunia can significantly affect a woman’s life and influence her relationships, confidence, and overall well-being, 

If you need a gynecologist in Loxahatchee, FL, look no further than our professional team at Comprehensive OB-GYN of the Palm Beaches. Our experienced team of obstetricians and gynecologists is dedicated to making you feel at home and supporting you during these challenging times. We helped many women who felt discomfort during sex. In this blog post, we will explore the symptoms and causes of dyspareunia, as well as the treatment options that you may consider. Read on.

What Is Dyspareunia?

This medical term refers to pain during intercourse. It can affect both men and women and vary from mild to severe. Dyspareunia can occur at any point during sex and may be described as a painful, burning, or jabbing feeling in the genital region. Painful sex is a problem many people experience in their lifetime and can significantly affect a person’s sexual health and quality of life. It can cause anxiety, depression, a sense of embarrassment and frustration, and even lead to people completely avoiding sexual activity. 

Pain during intercourse should not be brushed under the carpet or considered normal. If you are experiencing this, we urge you to seek medical attention to determine the underlying cause and the next steps in your healing process. 

What Are the Possible Causes?

Worried Woman as Difficulties Strike Relationship and Frustration Is the Consequence in Sex

There are many potential causes of painful intercourse, such as vaginal dryness, infections like bacterial vaginosis or yeast infection, sexually transmitted infections like herpes, uterine fibroids, ovarian cysts, endometriosis, pelvic inflammatory disease, vaginismus, skin disorders, and others. Also, some medications, such as birth control or antidepressants, may cause vaginal dryness and, therefore, contribute to dyspareunia. Emotional factors can also play a role in painful intercourse. For example, anxiety, depression, or any form of abuse or trauma can lead to tension or fear during sexual activity, which can end in pain or discomfort. If you have relationship issues like communication problems with your partner, it may also be a potential reason. 

It is worth mentioning that dyspareunia can sometimes occur without any apparent physical or psychological reasons. In such cases, the pain may be related to an underlying health condition such as vulvodynia, which causes chronic pain and discomfort in the vulvar region. Although the exact trigger of vulvodynia is unknown, it’s thought to be related to irritation or nerve damage. Fortunately, it is treatable with pelvic floor therapy and patience.

What Are the Potential Symptoms?

The main symptoms of dyspareunia are pain and discomfort during sexual intercourse. This pain is usually located in the genital area, which includes the vagina, vulva, and perineum. Women typically describe the pain as throbbing and burning, which can appear during penetration or throughout intercourse. There may be other symptoms present, such as:

  • Cramping in the pelvis
  • Pain during or after orgasm
  • Vaginal itching
  • Pain during tampon insertion
  • Vaginal dryness and irritation
  • Spotting or bleeding after intercourse

In some cases, although rarely, dyspareunia is accompanied by other signs, such as urinary incontinence or pelvic pain. All of these symptoms can vary depending on the real cause of the condition, which is why it is crucial to not self-diagnose and see the gynecologist to get the proper diagnosis. 

Diagnosis and Treatment

If you are experiencing pain or discomfort during sexual activity, you should speak with your healthcare provider to determine the underlying cause and develop an appropriate treatment plan. A diagnosis of dyspareunia usually consists of a physical and pelvic exam, and you will need to talk about your medical history. Gynecologists generally recommend a Pap smear or other laboratory tests as well to rule out certain infections and other medical conditions. 

As for the treatment, it depends on the underlying reason for dyspareunia. For example, if the pain you feel is connected to vaginal dryness or infection, the doctor may recommend antibiotics, antifungal medication, or estrogen therapy to restore normal moisture levels in the vagina. 

If the pain is related to trauma or injury, your gynecologist may advise you to practice management techniques or physical therapy to alleviate the pain and help with the symptoms. 

For some women, therapy is a great way to address any psychological factors contributing to dyspareunia. This may include cognitive-behavioral therapy or other types of counseling to manage anxiety and depression. 

In addition to medical treatment and therapy, lifestyle changes are always welcome. You can try using a water-based lubricant during sexual activity to reduce friction and discomfort caused by vaginal dryness. Avoiding certain types of sexual activity, such as deep penetration, until you get better can also be helpful. In some cases, changing a sexual position or using props such as pillows can be beneficial. 


While there isn’t a sure way to prevent dyspareunia, there are some steps that you can take to minimize the risk of developing this health issue. These include practicing safe sex to reduce your chance of catching or spreading sexually transmitted infections, using water-based lubricants to avoid friction and discomfort, and seeking help from a professional as soon as you notice the first symptoms.

Some women are more prone to dyspareunia, such as those who are in menopause, have a medical history of infections, or have had pelvic surgery. It is beneficial to talk with your gynecologist about dyspareunia if you are concerned about it or experiencing pain during sex. 


Healthcare and Medical Concept - Male Doctor With Patient in Hospital

The recovery time for dyspareunia depends on the underlying cause and the treatment plan you get. For some women, the symptoms can be relieved quickly with simple lifestyle changes and over-the-counter treatments. In other cases, more complex medical treatment or counseling may be necessary to address the real causes of painful intercourse. 

The important thing is to seek medical attention if you are having painful sex and to work with your gynecologist to develop an appropriate treatment plan. With a strong support system and proper care, many women are able to manage the uncomfortable symptoms of dyspareunia and have a fulfilling sex life again. 

The Bottom Line

In conclusion, dyspareunia can be a difficult and distressing condition for many women. Fortunately, with the correct diagnosis and suitable treatment, it is possible to alleviate the pain and relieve the symptoms. If you are having trouble during sex and cannot enjoy it due to pain and discomfort, we encourage you to speak with a healthcare provider to determine the cause and the next step in your treatment plan. With the proper care and support, you can take control of your sexual health and have a healthy relationship with your sexual partner. Don’t let dyspareunia hold you back – seek help today and get in touch with us at Comprehensive OB-GYN of the Palm Beaches.