Treatment of pain during intercourse depends on the cause. Painful intercourse is also common after childbirth. Further evaluation, sometimes involving a procedure called a laparoscopy, may be needed. The period before menopause that usually extends from age 45 years to 55 years. A physician may perform a cystoscopy a procedure to look inside the bladder and distend stretch the bladder wall in order to attempt treatment of the condition. Doctors commonly see vaginal strictures following pelvic surgery, pelvic irradiation, or menopause. Occasionally, vaginal reconstructive surgery is necessary.
Irritation or allergic reactions to clothing, laundry detergents, or personal hygiene products may also cause pain. Scarring that binds together the surfaces of tissues. Vaginal burning is one possible result of these changes, especially during sex. Call a doctor if there are symptoms such as bleeding, genital lesions, irregular periods , vaginal discharge , or involuntary vaginal muscle contractions. One option of treatment includes water-soluble lubricants for use with condoms , as other types of lubricants may damage wall of the prophylactic. Pain with intercourse caused by pelvic adhesions can be relieved by removing or cutting free the adhesions. The laparoscope is used to view the pelvic organs. Diagnosis A physician will also ask about the patient's medical history and carry out a pelvic examination, to try to identify the cause of the pain. Treatment is based on the presence of bacteria or other organisms. It involves an involuntary spasm in the vaginal muscles, sometimes caused by fear of being hurt. Lifestyle and home remedies Some lifestyle changes can address painful intercourse. The pain may be distinct and localized, or there may be a broader sense of discomfort. Your medical and sexual history, signs and symptoms, and findings from a physical exam are important factors in determining the cause of your pain. The following reasons are among the most common: If adequate arousal does not take place, more extensive foreplay might be helpful in increasing vaginal moisture. Medication or surgery may be needed in some cases. Pain can range from moderate to severe. Inflammation around the vaginal opening is called vulvar vestibulitis. It may also be due to pelvic adhesions which pull the uterus backward into an abnormal location. This refers to chronic pain that affects a woman's external sexual organs -- collectively called the vulva -- including the labia, clitoris, and vaginal opening. The most rapid reversal of vaginal atrophy occurs when topical estrogen vaginal cream is applied directly to the vagina and its opening. Take pain-relieving steps before sex: Some treatments for painful sex in women do not require medical treatment. For example, if intercourse is painful, you and your partner may want to focus on oral sex or mutual masturbation. Skin disorders—Some skin disorders may result in ulcers or cracks in the skin of the vulva.
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