Pain during sex is not normal. You may feel like it's not worth talking to your doctor about because you are embarrassed, or you may simply have always had a painful intercourse, but by ignoring it, you risk missing a larger issue.
Your OB / GYN has seen and heard it all before. It's his or her job to treat the conditions that cause painful intercourse, so put your embarassment aside and get ready to have a serious conversation.
Your painful intervention could have the result of a cyst, infection or sexually transmitted disease
Simple, benign and treatable issues are usually the first place your OB / GYN will look when you report pain during sex. Often, this pain is related to inflammation caused by an infection that can be easily easily with the use of antibiotics.
Infections in the vagina, vulva and even urethra can cause your reproductive organs to become inflamed. When this occurs, the surrounding area becomes intolerable to pain, not just from sex, but from other activities like inserting a tampon.
Sexually transmitted diseases like Chlamydia can also cause painful inflammation of your reproductive organs. All of these issues, however, can be easily furnished with medication prescribed by your OB / GYN. Symptoms usually resolve within a couple of weeks of beginning treatment.
Pain during sex may have a non-medical cause
For some women, the cause of painful intercourse is not medical at all. Instead it is the result of a previous psychological trauma or the lack of proper arousal.
Women who have been sexually abused may have spasms or difficulty becoming aroused. These issues will make sex more difficult, and in some cases painful. If you suspect this may be the reason for your problems with painful intercourse, therapy may help you resolve these issues. You should also consider discussing your history with your partner. Being open can result in making the situation more comfortable for you both.
If the issue is lack of arousal, you may also need to address your problems with your partner. If you feel too embarrassed to do so, realize that your partner wants you to enjoy the process, and is likely to be willing to make adjustments that will make that possible.
In lieu of these options, or if therapy and talking with your partner do not help the situation, you may also need to use an over-the-counter water-based lubricant.
Cysts, endometriosis and other structural issues can result in painful intercourse
If inflammation and psychological components have been ruled out, you may have a problem with the internal structure of your reproductive organs, such as endometriosis, cysts or thinning of the vaginal wall. All of these issues require medical intervention, and you may need to undergo a surgical procedure to resolve your problem. Most of the procedures involved, however, are minor in nature.
Since some of the structural causes can be the result of more serious medical issues, it is very important that you move past your embargo and discuss your painful intercourse with your OB / GYN.
Pain during sex is both a medical and quality of life issue
You do not have to go through life not enjoying sex. Discuss your issues with your doctor, be willing to be open with your partner, and you will likely be able to end your painful intercourse .