relation is a primal human need. A source of pleasure, this activity satiates the need for intimacy. Yet, talking about relation is usually met with shame and embarrassment. This attitude can make people facing relationual issues hesitant about seeking solution and treatment for their problem. 

One such issue associated with relation, and seldom addressed is, painful relation. Medically known as Dyspareunia, this condition is remarked by pain before, after or during relation. Even though Dyspareunia can afflict men as well, but it disproportionately affects women. 

The pain from intercourse is not just an ordeal unto itself, but the emotional trauma that it yields is another issue women have to battle with. It can also be a grave source of strain in a relationship. 

Therefore, women experiencing pain during relation must consult Best Gynecologist in Islamabad and seek treatment for this issue. 

Symptoms of Dyspareunia :

The spectrum of pain associated with relation is slightly different. Some women experience it at penetration; whether it be relationual entry or even tampon, anything going in their nether region causes pain in their vagina, labia or clitoris. 

Moreover, Dyspareunia can also involve pain with thrusts. The nature of pain also varies; it can be a burning sensation, or an ache. At times, the pain is throbbing, and lasts for hours after relation as well. Some women also experience itching as well. 

Dyspareunia also can lead to pain or discomfort in the pelvic region during relation. It can also cause pain similar to menstrual cramps. 

Causes of Dyspareunia

There are different causes of Dyspareunia, that vary as per the symptom of the issue. 

Entry Pain 

One of the reasons for pain during relation is not enough lubrication. Women have different anatomy, and thus their needs are also different. There needs to be sufficient relationual stimulation, otherwise, penetration is painful for them. 

Some medical conditions can also cause lack of lubrication. Women have a drop in their estrogen levels during menopause, when they are breastfeeding or right after delivering baby. Thus, it results in lack of arousal and the consequent pain from dryness. 

Furthermore, any trauma or injury of the pelvic region can also result in this pain. These commonly stems from surgery of the region, female circumcision, or episiotomy –cut to vagina the during childbirth.  

Penetration is also made difficult due to vaginismus, which is a disorder that results in spasms of the vaginal wall. Likewise, any other abnormality of the groin region, like vaginal agenesis, a condition in which vagina is partially formed, or imperforate hymen, in which the opening to the vagina is blocked by a hard membrane, can also result in pain during penetration. 

Any infections of the region, like UTI, can also make penetration painful for women. Even skin conditions like eczema can also result in immense pain at penetration. 

Deep Pain 

This sort of pain results when the thrust is deeper into the body, especially when in certain positions. One reason for this pain is surgery of the region, like hysterectomy. Similarly, medical treatments like radiation and chemotherapy can also cause pain during thrust. 

However, some medical conditions can also lead to deep pain. Endometriosis, PID (Pelvic inflammatory disease), uterine prolapse, uterine fibroids, ovarian cysts, pelvic floor dysfunction etc. can also be responsible for this condition. 

Psychological issues 

relation is not just a physical act, but it also involves emotions as well. Without interest or mood as it is commonly referred to as, it is hard for women to enjoy relation, resulting in pain. 

Some women suffer from psychological factors like anxiety, depression etc. that can make it hard for them to enjoy relation. Women who are a part of strained relationships, or those suffering from hang-ups about relation have a hard time getting aroused, without which, relation is painful. 

Stress is another reason for relationual dysfunction, in men and women, both. Whereas in men, it can lead to erectile dysfunction, in women, it can cause the muscles of the pelvic floor to tighten, thereby making intercourse painful. 

Furthermore, history of relationual abuse, especially unresolved trauma, can also cause dyspareunia. 

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Treatment of Dyspareunia

The treatment of dyspareunia lies in the cause of the problem. In cases where painful penetration is the reason behind dyspareunia, some lubes can be helpful. 

Furthermore, desensitization therapy is also relief on by doctors. It helps in relaxing the muscles of the pelvic floor, thereby easing the discomfort. 

For women suffering from psychological issues that are making it painful for them to have relation, counselling is very helpful. Not only does it help to address the underlying cause, but also facilitates in addressing the emotional toll dyspareunia takes on their beings. 

A changed attitude towards relation can also help. Partners need to communicate with each other about relation; realizing what is mutually pleasurable, positions that are comfortable for both, deciding on foreplay etc. 

Medication is useful for infections that lead to painful relation. Moreover, medication can also help with vaginal dryness, which is especially common during menopause. Topical estrogen can also help remedy the dryness. 

In case you are suffering from dyspareunia, rather feeling ashamed about it, talk to the Best Gynecologist in Lahore. If the treatment is possible, there is absolutely no point in unnecessarily putting yourself through so much emotional and physical pain.


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