The pain can range from mild to excruciating; sufferers describe it as burning, stinging, sharpness, or extreme tenderness. This surgery is usually offered only after other medical approaches have failed. Lifestyle and self-care Here are some ways to manage vulvar discomfort and increase sexual pleasure. Dyspareunia pronounced dis-pah-ROO-nee-uh can happen at any age, but it's particularly common among women who've reached menopause. This numbing agent may help ease sexual discomfort when applied as an ointment to the vestibule before and after sex. But if intercourse hurts, practice masturbation or different ways of being sexually intimate that don't involve penetration. Often, many are at work.
For postmenopausal women, dyspareunia may also raise concerns about aging and body image. She or he will also want to know about your gynecologic history e. Lifestyle and self-care Here are some ways to manage vulvar discomfort and increase sexual pleasure. Physical therapy can help reduce tightness and improve muscle function. But your primary care provider or gynecologist may be able to refer you to someone with experience in treating dyspareunia. Experiment with different ways of being intimate. Pain may occur every time with sex, or only occasionally. If your clinician identifies any vaginal infections, skin ailments, or other treatable conditions, she or he will prescribe the appropriate antibiotics, topical corticosteroids, or other medications. That is unfortunate, because treatments are available for many of the problems that underlie this vexing condition. Frequently prescribed strategies for managing dyspareunia include the following: In treating vaginal atrophy, vaginal estrogen is preferred to systemic hormone therapy, which is taken in pill and other forms, with or without a progestin. Nonhormonal vaginal lubricants and moisturizers may help reduce friction and pain during intercourse. You can also search online or contact the gynecology department of the nearest medical center or teaching hospital. Women with stubborn and severe vestibulodynia may want to consider an outpatient procedure called vulvar vestibulectomy, which removes some vestibular tissue. Treating dyspareunia Treatment often requires a multifaceted approach that includes medications, other therapies, and self-care see "Lifestyle and self-care". But discuss the pros and cons of vaginal estrogen treatment with your physician—especially if you have a history of breast cancer, since its safety in this population isn't yet clear. Other causes of pain with intercourse include skin diseases in the genital area, such as eczema and psoriasis; conditions such as endometriosis, pelvic inflammatory disease, bladder prolapse, and infections of the urinary tract, vagina, or reproductive organs; certain cancer treatments; injury to the pelvic area from childbirth; reconstructive surgery; damage to the pudendal nerve, which supplies the vaginal area; musculoskeletal complaints, such as arthritis or tight hip or pelvic muscles; and some kinds of male sexual dysfunction prolonged intercourse may increase vaginal friction and pain. Depending on its cause, pain may be located in the outer genitals vulva , within the vagina, or deep in the pelvis. Vaginal atrophy, the deterioration of vaginal tissue caused by estrogen loss, is a major source of painful intercourse for women at midlife. Your physical therapist will use hands-on techniques such as massage and gentle pressure to relax and stretch your tissues and promote blood flow, including when you're ready the interior of the vagina. She felt ashamed, anxious, and inadequate as a wife, and she dreaded having sex. The pain can range from mild to excruciating; sufferers describe it as burning, stinging, sharpness, or extreme tenderness. Avoid perfumed, multi-ingredient products such as bubble bath, douches, and some panty liners. Inside the labia majora are the thinner flaps of skin called the labia minora, which join at the top to enclose the clitoris. Pelvic floor physical therapy.
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