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Tuesday, May 13, 2025

When Sex Becomes Painful….Reasons

Severe pain during intercourse causes difficulty in a relationship in both partners. Sometimes a sustained occurrence of pain might be an indication of some serious medical dysfunction, so talk to your doctor about this issue.

Contrary to popular beliefs, sexual pain can occur in both male and female.

In female, the reasons behind the painful sexual intercourse can be:

• Vaginismus, a condition when the vaginal muscles tighten up mainly due to anxiety or fear and cause significant pain with a tearing sensation. Two types primary and secondary.

• The pain can arise due to vaginal infection due to yeast or any form of sexually transmitted disease or pelvic inflammatory diseases ( PID ).

• A severe injury in the vagina during childbirth or any other accident and psychological stress can also cause severe pain during sex.

• Sometimes, uterine or menopause problems (formation of fibroids in the uterus) can also cause pain.

• Cyst formation in the ovary or endometriosis (when the inner tissue lining of the uterus tends to grow outside) can also cause severe pain during intercourse.

For men:
• Some men can experience pain during intercourse because of allergy to the fluids of the vagina or the chemical content of certain contraceptives.

• You can experience pain because of undiagnosed sexually transmitted diseases like herpes or gonorrhea

• The pain might also occur due to urinary tract infections or side effects from certain medications.

• Severe pain just a few moments before ejaculation can be a result of inflammation of the prostate glands and should be immediately diagnosed as it might be a signal of prostate cancer.

For treating pain during sex:
A- In female, you should opt for the following procedures

• If the pain is caused due to vaginal dryness after menopause, you should consider the application of prescribed lubricants to reduce the pain.

• If the pain occurs due to severe anxiety or stress, sex therapy can help you improve physical intimacy.

• If there are other symptoms like severe bleeding or irregular periods in addition to the pain, a visit to your doctor is advise.

B- In Men

• If the pain occurs due to severe anxiety or stress, sex therapy can help you improve physical intimacy.

• If the pain results from side effects of certain medications, you should try changing your prescribed medication after doctor’s suggestion.

• In extreme cases, the doctors might suggest hormone replacement surgery.

In case you have any concern, you can always consult your doctor and get answers to your questions!

Dr Wunmi Omololu
about me Wunmi Omololu, is an expert sexology, with several years of training at the PFU Moscow. She is a founder of Bims health, which is an organization dedicated to helping couples build stronger relationships, improve their sex lives, and achieve a heightened level of intimacy. She is an author of many books on sexual health and pleasure and monthly columnist for the urban men online magazine. She is a wife and a mother. Wunmi also provides general and sex therapy to help couples build stronger relationships and improve their sex lives.

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