Get answers to your menopause and sexual dysfunction questions.
Painful sexual intercourse; Dyspareunia
For painful intercourse in women after pregnancy:
For vaginal dryness/inadequate lubrication:
For painful intercourse caused by prostatitis:
For hemorrhoids, try stool softeners. Antibiotics may be required for urinary tract infections, sexually transmitted infections, or vaginal infections.
Other causes of painful intercourse may require prescription medications or, rarely, surgery.
Sex therapy may be helpful, especially if no underlying medical cause is identified. Guilt, inner conflict, or unresolved feelings about past abuse may be involved which need to be worked through in therapy. It may be best for your partner to see the therapist with you.
Call your doctor if:
If you have been sexually assaulted, report the crime to the police and go to the emergency room immediately. Get a trusted friend to accompany you. Do NOT change, bathe, shower or even wash your hands before the ER evaluation. The temptation to do so will be great, but it is important to not lose any evidence in order to help find, charge, and convict the suspect.
Your doctor will take your medical history and perform a physical examination.
Medical history questions may include:
It may be best to see the doctor together with your partner. Physical examination may include a pelvic examination (for women), a prostate examination (for men), and a rectal examination. If a physical problem is suspected, appropriate tests will be ordered.
Antibiotics, painkillers, or hormones are amongst the treatment options that may be considered.
Bhasin S, Basson R. Sexual dysfunction in men and women. In: Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. Williams Textbook of Endocrinology. 11th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 19.
Shafer LC. Sexual disorders and sexual dysfunction. In: Stern TA, Rosenbaum JF, Fava M, Biederman J, Rauch SL, eds. Massachusetts General Hospital Comprehensive Clinical Psychiatry. 1st ed. Philadelphia, Pa: Mosby Elsevier; 2008:chap 36.
Clayton AH, Hamilton DV. Female sexual dysfunction. Psychiatr Clin North Am. 2010 Jun;33(2):323-38.
Heidelbaugh JJ. Management of erectile dysfunction. Am Fam Physician. 2010 Feb 1;81(3):305-12.
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