Painful sex is not just for women! It's can happen to all genders

By Shannon Strauch, PTA, STMT-1 on 6/4/2024

Understanding and Addressing Painful Sex for All Genders

Painful sex, medically known as dyspareunia, can significantly affect physical, emotional, and relational well-being. The causes and symptoms of painful sex can vary based on gender and individual circumstances. This blog post will explore the causes, symptoms, and treatment options for both men and women.

Painful Sex in Women

Causes

1. Vaginal Dryness

   :

   • Hormonal Changes

     : Menopause, breastfeeding, and certain medications can reduce estrogen levels, leading to dryness.

   • Insufficient Arousal

     : Lack of foreplay or psychological factors can cause inadequate lubrication.

2. Infections

   :

   • Yeast Infections

     : Can cause itching, burning, and pain during intercourse.

   • Sexually Transmitted Infections (STIs)

     : Conditions like herpes or chlamydia can lead to painful symptoms.

3. Pelvic Floor Dysfunction

   :

   • Vaginismus

     : Involuntary muscle contractions can make penetration painful.

     

   • Pelvic Floor Myalgia

     : Chronic pain in the pelvic floor muscles can affect sexual activity.

4. Medical Conditions

   :

   • Endometriosis

     : Tissue growth outside the uterus causes severe pain.

   • Pelvic Inflammatory Disease (PID)

     : Infection of the reproductive organs can lead to pain.

5. Surgical Interventions

   :

   • Childbirth

     : Scarring, tears, or episiotomies during vaginal deliveries can cause pain.

   • Pelvic Surgeries

     : Procedures like hysterectomies can lead to painful scar tissue.

Symptoms

• Sharp, burning, or aching pain during penetration.

• Pain localized in the vagina, vulva, or lower abdomen.

• Discomfort lasting hours or days after intercourse.

• Difficulty achieving orgasm due to pain.

Treatment

1. Medications

   :

   • Hormone Therapies

     : Estrogen creams or hormone replacement therapy for vaginal dryness.

   • Antibiotics/Antifungals

     : For infections causing pain.

2. Pelvic Floor Therapy

   :

   • Physical Therapy

     : Pelvic floor therapists will assess whether the pelvic floor muscles need to be strengthened, lengthened, or if there is a coordination issue of pelvic floor muscles. They can also suggest lifestyle, postural or stress management modifications

   • Biofeedback

     : Techniques to improve muscle control.

3. Lubricants

   :

   • Water-based Lubricants

     : To reduce friction and dryness.

4. Counseling and Therapy

   :

   • Sex Therapy

     : To address psychological or relational issues.

   • Cognitive-Behavioral Therapy (CBT)

     : For anxiety or trauma-related pain.

5. Surgical Interventions

   :

   • Laparoscopy

     : To treat endometriosis or remove scar tissue.

Painful Sex in Men

Causes

1. Infections

   :

   • Prostatitis

     : Inflammation of the prostate causing pain during ejaculation and sex.

   • Urinary Tract Infections (UTIs)

     : Can cause burning and discomfort.

2. Pelvic Floor Dysfunction

   :

   • Pelvic Floor Myalgia

     : Chronic pain in the pelvic floor muscles affecting sexual function.

3. Medical Conditions

   :

   • Peyronie's Disease

     : Scar tissue in the penis causing painful erections.

     

   • Erectile Dysfunction (ED)

     : Difficulty in maintaining an erection leading to anxiety and pain.

4. Trauma or Injury

   :

   • Penile Injury

     : Physical damage can cause long-term pain.

5. Surgical Interventions

   :

   • Prostate Surgery

     : Can lead to changes in sexual function and pain.

Symptoms

• Sharp, burning, or aching pain during or after ejaculation.

• Pain localized in the penis, testicles, or lower abdomen.

• Discomfort lasting hours or days after intercourse.

• Difficulty achieving or maintaining an erection due to pain.

Treatment

1. Medications

   :

   • Antibiotics

     : For infections causing pain.

   • Pain Relievers

     : For conditions like prostatitis.

2. Pelvic Floor Therapy

   :

   • Physical Therapy

     : Pelvic floor therapists will assess whether the pelvic floor muscles need to be strengthened, lengthened, or if there is a coordination issue of pelvic floor muscles. They can also suggest lifestyle, postural or stress management modifications

3. Counseling and Therapy

   :

   • Sex Therapy

     : To address psychological or relational issues.

   • Cognitive-Behavioral Therapy (CBT)

     : For anxiety or trauma-related pain.

4. Surgical Interventions

   :

   • Correction of Peyronie's Disease

     : Surgery to remove scar tissue.

Conclusion

Painful sex is a complex issue that requires a comprehensive approach to diagnosis and treatment. Understanding the specific causes and symptoms for both men and women can help in seeking appropriate medical and psychological support. If you or someone you know is experiencing painful sex, reach out to us at Pelvic Health Center in Madison, NJ to set up an evaluation and treatment! Feel free to call us at 908-443-9880 or email us at receptionmadison@pelvichealthnj.com.

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