Dyspareunia: symptoms, causes and treatment

It is estimated that about 60% of women and 40% of men exhibit some form of sexual dysfunction.

In women, the most common dysfunctions are usually lack of desire, problems with arousal and anorgasmia, and in men, problems with erection, premature ejaculation and lack of interest in sex. .

However, there is another type of disorder, perhaps less common in psychology but just as common: painful intercourse in women or dyspareunia. In this article we will see what are its characteristics and different techniques for dealing with pain.

    What is dyspareunia main symptoms

    these are the main features and symptoms of dyspareunia:

    • The woman experiences pain, burning, discomfort, or burning at the beginning, during, or at the end of the relationship.
    • He has persistent difficulties in vaginal penetration during intercourse.
    • He shows an intense fear of feeling pain before, during, or after penetration, so he tends to avoid sex.

    Thus, dyspareunia has a great ability to adversely affect the sexual life of women. Now … What are the causes of dyspareunia? Are they exclusively under the responsibility of medicine?

    the causes

    According to several studies, the most common cause of dyspareunia is psychological. Lack of arousal, sexuality, inadequate or repressive sex education, anxiety or previous negative experiences are possible explanations for this disorder.

    In addition, of course, the cause can be organic (poor lubrication, vaginal infections, malformations, etc.) so a gynecological visit is always recommended.

    Since sexuality is a collection of behaviors, emotions, thoughts and psychophysiological components, there may not be a single reason that can cause the difficulty, so the assessment must be done globally and holistic.

    Treatment: tools for coping with coital pain

    Once assessed … What techniques do psychologists often use to intervene in dyspareunia? Let’s look at several of the more common ones, with the recommendation that if you are going through a similar situation, consult a professional (psychologist or sex therapist) to assess your specific case and design a personalized treatment plan.

    1. Sex education

    Indispensable to any problem of sexual dysfunction. It is known that exclusively coital stimuli are not sufficient to arouse desire in womenSo there may be a lack of lubrication, psychological frustration in not obtaining the desired arousal, tension in the muscles of the pelvic floor, etc.

    It is therefore very important for the woman to know her body, to become familiar with her desire and to be able to transmit her needs to her sexual partner. And if he doesn’t take them into account … there are more fish in the sea.

    2. Sensory focus

    It is a technique widely used in couples therapy which has been shown to have positive results in the treatment of sexual dysfunctions. It consists in establishing non-demanding intimate contact, in which the possibility of contact of the primary and secondary sexual organs is eliminated.

    The aim is thus to encourage intimate and sensual communication., The discovery of pleasurable sensations and the arousal of desire, without the added pressure of having to end in a possibly painful penetration.

    3. Kegel maneuvers

    This tool consists of making a series of exercises on the pubococcygeal musculature with the aim of strengthening certain muscle groups involved in intercourse. It aims to raise awareness of states of relaxation and muscle tension, which will help increase the feeling of self-control in women at the time of sexual intercourse.

    4. Watch out for thoughts!

    Self-fulfilling prophecy it happens when our thoughts create realities (which is happening all the time). Magic? No. Causal relationships.

    If the woman starts sex with thoughts like “this is going to hurt me”, “I will not take this”, “I will never be able to enjoy sex”. your body will enter a state of tension which will make penetration very difficult, Which will end up being painful from the same vaginal contraction coupled with a lack of lubrication. Also, focusing on the painful sensations will intensify the pain sensation making it really unbearable.

    Through cognitive restructuring techniques and thought arrest, with the help of a psychologist, the intensity, frequency and degree of credibility that we place on these beliefs can be diminished.

    5. Mindfulness

    One of the difficulties that we can face in intimate relationships is a lack of concentration. The body is there but the thoughts are yesterday, in the morning, on the shopping list or on the clothes to be taken out of the washing machine. Thus, it is practically impossible to achieve complete arousal and enjoy the pleasurable sensations that sex offers.

    for that concentration techniques in the present, Being here and now, they can be very helpful.

      To finish …

      Unfortunately, many women silently suffer from these types of issues due to shame, resignation, myths, or lack of information about the extent of treatment.

      I therefore consider relevant the dissemination of these treatments and the transmission of hope to anyone who is going through a similar situation.

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