Pain during intercourse - characteristics, causes, treatment, erotic fantasies about pain

Pain during sex is a condition that makes it difficult or even impossible for one of the partners to achieve sexual satisfaction. Pain during intercourse can significantly affect the quality of intimate life and even lead to serious misunderstandings, quarrels or breakups. The most important thing is to tell your partner about the symptoms you are experiencing and see a specialist. These are the necessary steps to take so that pain during intercourse does not affect the quality of sexual life.

1. What is pain during intercourse?

Pain during sex has its place in the International Classification of Diseases ICD-10, is classified as F52.6 and has the professional name "dyspareunia". Pain during intercourse is a sexual dysfunction that can affect both women and men, although it is more commonly reported by women. In addition to pain, other ailments may appear, such as

tingling, tightness, or a feeling of spasm.

Pain during sex may be due to too strong blows to the internal organs of a woman. They can also appear during intimate infections. Often the pain is caused by a lack of foreplay and insufficient vaginal lubrication, as well as a lack of appropriate delicacy on the part of the partner. Pain during intercourse can also signal more serious health problems, such as genital cancer. With a problem, you should immediately contact a specialist.

2. The most common causes of pain during intercourse

The most common causes of pain during intercourse are:

• inadequate hydration,
• infections,
• disease,
• allergy,
• mental factors.

Pain during intercourse causes a lack of moisture in the vagina, which may be caused by a lack of arousal, and this, in turn, may be the result of an underdeveloped prelude, excessive stress or fatigue. No desire for sex also appears after childbirth, in the postpartum period. If a woman is aroused and the vaginal moisture is still too low, this may be due to:

• age - in the perimenopausal period, many women complain of vaginal dryness;
• excessive effort - this problem appears in some women who are professionally involved in sports;
• Chemotherapy. Vaginal dryness can be one of the side effects of this form of treatment.
• problems with the endocrine system.

Problems with pain during intercourse due to the lack of vaginal lubrication are solved by moisturizing preparations based on water or glycerin. Water-based products are less irritating but dry fairly quickly. If the rules of hygiene are followed, preparations with glycerin should not cause additional problems.

Infections of various etiologies can cause pain during intercourse, primarily in women (men are most often carriers without experiencing symptoms). Infections vary in symptoms:

• thrush - causes not too abundant, thick, curdled discharge, without a characteristic odor, itching and flushing of the vagina;
• chlamydia - this bacterial infection causes itching, abdominal pain, thick vaginal discharge, intermenstrual bleeding;
• trichomoniasis- causes an unpleasant odor, gray, yellow-green, frothy discharge, itching, pain when urinating;

• genital herpes - Causes the appearance of itchy blisters on the genitals.

Pain during intercourse occurs in women who suffer from a disease called endometriosis. If a growing endometrium (that is, mucous tissue) appears around the walls of the vagina, this can cause pain and discomfort for a woman during intercourse. Then the pain during intercourse usually increases in certain positions.

Allergies can also cause pain during intercourse. Usually this type of pain during intercourse is referred to as burning during intercourse and it affects both men and women. Allergic reactions can be caused by the wrong detergent, soap, intimate or vaginal wash, or the latex used in condoms.

Vaginismus is a mental disorder that causes sexual problems. This causes the muscles around the entrance to the vagina to contract, preventing the penis from entering the vagina and causing pain during intercourse. Vaginismus is often caused by sexual harassment.

Pain during intercourse can also occur with deep penetration. Then the problem is usually anatomical anomalies. A retracted uterus causes discomfort during intercourse, fortunately usually only in certain positions. In men, anomalies that cause pain during intercourse are, for example, phimosis or too short a frenulum. Pain causing deep penetration may also indicate adnexitis, which must be treated as soon as possible.

3. Pain during intercourse and its treatment

First of all, it is impossible to continue sexual intercourse "forcibly" and despite the pain during intercourse. You must let your partner know about the discomfort you are experiencing. Sex problems they won't show up in a relationship because of an honest conversation - because they don't talk, avoid sex, don't explain what's going on.

After a frank conversation, an important step is to see a doctor to find out the causes of pain during intercourse. Often, several to ten days of treatment (usually for both partners) and simultaneous sexual abstinence are enough to get rid of unpleasant ailments. Psychotherapy may be needed when sexual problems are psychological.

4. How does sexual arousal affect pain?

Can sexual arousal affect pain? It turns out it is. Studies by specialists confirm that increased sexual arousal causes a decrease in pain sensitivity in people. The more aroused we are, the higher the pain threshold we can endure. A similar situation occurs in sports, when an athlete, for example, twists his leg or breaks a tooth and notices this only after the end of the competition or match.

During sexual intercourse, a painful stimulus can cause pleasure. However, it should be emphasized that the pain should not be too intense. However, exceeding a certain limit can lead to a decrease in arousal, as well as an unwillingness to continue sexual intercourse. In this case, further stimulation has the opposite effect.

Pain tolerance increases as you approach orgasm, but immediately after orgasm, your pain threshold drops rapidly. Therefore, uncomfortable postures or painful stimulation should not be prolonged for too long. So, let's remember that if our sexual behavior causes pain, it means that perhaps the stimuli we use are too strong or they are used in the wrong phase of arousal.

5. Erotic fantasies about pain

Erotic fantasies are completely normal. Sexual dreams can be sensual or a little more bizarre. Many men admit that in their fantasies there is a motive for dominating a partner. Such erotic fantasies put a man in the role of someone obedient, obeying orders.

Some men also admit that their dreams have the motive of a woman causing them physical pain. Desiring pain (mental or physical) as a stimulus for arousal may seem quite unusual to many of us.

Experts are asked to be careful in this topic. It turns out that what you imagine turns out to be exciting, in fact turns out to be much less pleasant. There have been times when men wanted their partner to beat them up because they found it incredibly "twirling" and then never wanted to do it again. So let's remember that pain should only be used to a limited extent and with a lot of common sense - to the extent that it is possible to feel pleasure.

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