pain with sex

Dyspareunia (Pain With Sex)

What is dyspareunia?

Dyspareunia is an umbrella term for “pain with sex.”  Women with dyspareunia may also have pain with tampon use and gynecological exams. Many women think experiencing pain is normal, but it’s not. Sex should never be painful so let’s stop normalizing it. 

What causes dyspareunia?

Some possible causes of dyspareunia include:

  • vaginismus (painful spasms of the vagina)
  • vulvodynia (chronic pain around the opening of the vagina, known as the vulva)
  • pelvic floor muscle tightness (check out our blog on tight vaginas)
  •  postpartum (pain with sex after having a baby)
  • endometriosis
  • scar tissue
  • stress and trauma
  • post cancer treatment
  • …and more!

How is dyspareunia diagnosed?

A typical examination starts with the women’s health physical therapist asking questions about your medical and sexual history. Then, an external pelvic exam will be done. If tolerated, an internal vaginal exam will follow. If warranted, the physical therapist can refer you to an appropriate medical professional for further testing or treatment. However, most cases of dyspareunia can be treated by the physical therapist conservatively.

How can I treat dyspareunia?

Most patients that experience pain with sex tend to have tight, overactive muscles. This can be worsened with stress and anxiety. The vagina is made up of muscles. So if the pelvic floor muscles within the vagina and the surrounding musculature are tight, it makes penetration very difficult. The goal is to learn how to relax the mind and body to allow for pain-free sex. 

1. Relaxing your pelvic floor muscles through breathing:

2. Lower body stretches:

lower body stretches

  1. deep squat position
  2. pigeon stretch
  3. hip flexor stretch
  4. happy baby
Hold each stretch for  30-60 seconds 3x each, making sure you’re breathing into the pelvic floor (as demonstrated in the video above).
 

3. Ohnut

We recommend the Ohnut to patients who complain of pain when penetration feels too deep. The Ohnut is a soft, compressible buffer made from 4 rings and can be used together or individually. It allows for pain-free sex without sacrificing sensation for you or your partner.

The Ohnut is FDA approved for body safe material, condom compatible, and silicon & water-based lube friendly.

Disclosure: This post contains affiliate links. We earn a small commission if you purchase the item through our link, at no additional cost to you. Please see our full disclosure to learn more. Thank you for your support!

To purchase Ohnut, click hereFor a discount on your order, use coupon code ELLA7.

ohnut

4. Vaginal Wands and Dilators

vaginal wand – The wand was created by a pelvic floor physical therapist to relieve trigger points in the pelvic floor muscles. It can be used for superficial as well as deep muscles of the pelvic floor that are hard to reach. We recommend this to patients with pelvic pain (any of the diagnoses listed above).  With this wand, patients are able to work on trigger points and tight muscles independently and in the privacy of their own home.

vaginal dilators (small pack)
vaginal dilators (medium pack)
vaginal dilators (large pack)

The dilators were created by a pelvic floor physical therapist. They are made of smooth silicone, making it more comfortable than plastic dilators. We recommend them to patients who complain of painful penetration – whether it is a penis, finger, dildo, tampon, speculum, or all of the above. The dilator sizes range from as small as your pinky to as big as you can imagine 😉 . Dilators do not stretch your pelvic floor muscles, but rather it trains the muscles to relax when something is inserted. It is a great way to prepare your vagina to relax and decrease tension for comfortable penetration. Tip: You can also use it as a sex toy or during foreplay.

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4. Lubrication

Slippery Stuff – This is the lubrication we use with patients in the clinic. I also recommend my patients to use this brand during intercourse as well as when using dilators. It is water based, water soluble, safe, hygienic, odorless, and non-staining. It is great for anyone who is sensitive to other lubricants.

Good Clean Love: Almost Naked – This is another lubricant I love and recommend. It is great for those who get irritated or have sensitivity from other lubricants.

To learn more about lubricants, check out this post.

Disclaimer: There are many other reasons why a woman may experience pain with sex such as infection, disease, hormonal changes, etc. Make sure to rule out these conditions with a medical professional. Or, contact us for an evaluation!

8 thoughts on “Dyspareunia (Pain With Sex)”

    1. Extremely helpful information for woman whom are looking into their issues before consulting a doctor out of embarrassment or what they think isn’t normal! Thank you for shedding light on this! Love your blog!!

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