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For a part of the female population, penetrative sexual relations are not only unpleasant, but can become a true torment.

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One of the reasons for this to happen is dyspareunia, a disorder that causes pain associated with intercourse, therefore women with this difficulty not only do not enjoy this part of sexual intercourse, but they experience discomfort and displeasure and may cause you to even be afraid to keep them.

The causes of this difficulty can be of a diverse nature, some of them physical or medical, to which any woman can be equally predisposed.

It is a problem that is often difficult to diagnose. It is recommended that when a woman feels pain during sexual intercourse, she sees her gynecologist and he looks for causes that may be causing this problem.

The reasons for this pain that prevents a normal sexual life are varied. Some gynecological problems can motivate painful relationships, such as infections or endometriosis, among others. Other reasons are the existence of dermatological problems in the vulva, which can also be the cause of sexual intercourse or painful genital relations (vulvodynia or vestibuledynia).


During menopause, falling levels of the female hormone estrogen, which normally keeps tissues moist and healthy, can cause vaginal dryness. Also, after menopause, the vagina is not as elastic and extensible as it was before.

In this case, hyaluronic acid treatment is very effective, as it alleviates the symptoms of aging, improves elasticity and firmness, and reduces vaginal dryness. It favors the youthful appearance and proper functioning of the intimate parts.

A woman without this type of problem can also suffer pain in her penetrative relationships because she is not having relationships that favor her pleasure or excitement.

Fears or fears may also be related to the fact that many women inadvertently contract their perivaginal muscles, making penetration difficult and causing pain.  

A treatment with very good results, consists of the administration of botulinum toxin in the vagina. This technique is subsequently supported by the advice and information provided by the gynecologist herself, the sexologist and, if necessary, the team's rehabilitator, who will train the patient in the necessary exercises to rehabilitate the area.

In general, the causes of dyspareunia are usually:

  • Vulvar vestibulitis

  • Pelvic or Genital Tumors.

  • Ovarian cysts.

  • Urethritis.

  • Urinary Tract Infection.

  • Interstitial cystitis.

  • Vaginal atrophy (atrophic vaginitis).

  • Insufficient vaginal lubrication.

  • Trauma During Childbirth (postpartum).

  • Vulvar cancer.

  • Radiotherapy.

  • Age-related symptoms associated with menopause and/or aging.

  • Trauma due to sexual assault.

  • Bartholin's cyst.

  • endometriosis

This pain inevitably affects intimate relationships with the couple, so whenever there is a dyspareunia problem, it is appropriate to rule out sexual relations while it is solved.

Sexual relations are to be enjoyed, it makes no sense for the woman to suffer. Discarding penetrative relationships does not mean giving up sex or pleasure. You can have a very full and satisfying sexual life by removing intercourse from the sexual menu, because there are more options in sex.

If a woman begins to have painful sexual intercourse and perceives that it is not something specific, but that it is beginning to be something habitual or continuous, she should go to her gynecologist as soon as possible.

It is advisable that you discuss it with your partner and rule out penetrative relationships until it has been resolved. If your gynecologist or gynecologist does not offer you answers, you will be advised by other professionals who can make their own assessment or intervention, since dyspareunia can have various causes and each professional performs a different evaluation.

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