08 April 2013

Dyspareunia SXT 113



Young couples often come to the clinic complaining about unpleasurable sex because of pain. This usually puts considerable strain on  relationships .


Most women cope with the pain and rarely complain while others find the pain unbearable and have to stop during sexual intercourse. Most men are caring enough to maintain eye contact during sex so they know a woman in pain. Others just shag away not bothered, especially when they have used "opa eyin" or alomo (lol). 

Painful sexual disorders include dyspareunia and Vaginismus (SXT 110, in Older Posts). Dyspareunia is considered here as painful sex. It is seen mostly in women and  is relatively rare in men. It  is often missed in clinics not because the question isn't asked but because women especially are not likely to volunteer this information and thus require more persuasive questioning if the doctor suspects sexual tension.

What is dyspareunia?
Dyspareunia is pain that occurs only during shagging and may persist for a few minutes afterwards. The pain can be mild or severe and is felt in the genitals, the pelvic region, or the lower back. Worthy of note is that dyspareunia is not a disease, but merely a symptom of another physical or psychological disorder that may be present.  Usually if the pain is severe, the movie would have to end sharp sharp (lol), if moderate she may still continue and if mild, the pain might even be referred to as sweet pain.

Physical causes of dyspareunia
In women, common physical causes of painful sex  include genital infections, lower urinary tract infections, menstrual cycle cervix changes, ovarian cysts and tumors, estrogen deficiency after menopause, vaginal dryness in lactating women and during radiotherapy for some cancers.

In men, pain is sometimes experienced in the testicules (a.k.a balls, lol) or cap area of the penis immediately after ejaculation. The following are possible physical causes: gonorrhea; urethritis; prostatitis; also in some uncircumcised males due to the painful retraction of a too-tight foreskin which can cause some tear and thus pain on ejaculation; vigorous intercourse or masturbation cause small tears around the cap of penis (so abeg do am jeje o, lol).

Psychological causes of dyspareunia
Psychological causes of painful sexual intercourse in women has been discussed in SXT 110 where I gave different scenarios. One interesting psychological cause of male dypareunia is the psychogenic postejaculatory pain (PPP) syndrome (relax, don't Google it yet, lol). This simply means a recurrent sharp pain after "coming" due to contraction of some muscles in the penis. The cause is unknown but usually starts after if the man probably has guilt about shagging this partner or even shagging at all. Infidelity, paedophilia (shagging a child) or other inappropriate erotic fantasies can lead to PPP Syndrome.

Treatment of dyspareunia
For appropriate management, the underlying physical cause has to be found through adequate questioning, genital examination and diagnostic tests. The doctor to see is the obstetrician for women and Urologist for men. Once the cause is found, sex therapy is usually required for the couple together and also individually.

The couple would benefit from kegels exercises (SXT 104 and SXT  110 ), relaxation exercises, sensate focus (SXT 106) ,dilation and psychotherapy to mention a few treatment methods. Usually when the pain persists it is due to inadequate diagnosis and treatment.


One important thing we crave for as a human is gratification and when we do not get it we become anxious. We want to derive something from every situation even sex. Most people do not get any benefit from sex and a good reason is because of pain during intercourse. Even though it may seem formal, after shagging you should ask your spouse if they enjoyed the sex. Every person in a sexual relationship should have sexual gratification, after all we aren't chickens. Ever seen a Rooster pounce on a hen? He go just chop clean mouth (lol). Have a very sexy Monday.

Doc Laitan