Pain during reports
The is defined as “the appearance of pain during the sexual relationship in women”, explains Brigitte letombe, a medical and obstetrics gynecologist in Lille. This pain is often defined as burns or cramps. " It can be located at the level of the vagina, at the beginning of sex and penetration, or at the abdominal level, so a deeper pain." Pain can be interrupted at the end of the sexual relationship, but it can also continue after.
There are two types of dyspareunia: " Primary dyspareunia, in which pain appears from the first sexual relationship explains the doctor, and secondary dyspareunia, that is, the woman had a normal sex life and then in a second time the pain has emerged." An infection often causes these dyspareunia.
causes
The causes of dyspareunia are many.
In case of surface dyspareunia (from the beginning of the entry): there may be problems with infection, irritation, itchy, drought at the level of the vaginal. There are also flora imbalances, which can lead to fungal infections and vaginosis. The latter give abundant, irritating losses with bad smells.
Next, we have all the vulvo-vaginitis: " There are sometimes bacterial infections, but it’s not the most common, which requires antibiotics," she says. It can also be the chlamydia: " It’s a sexually transmitted bacteria, which can give signs or not. Sometimes signs are just small losses, and in this case the infection can’t be seen and can go to infect organs higher." This leads, in worst case, fertility problems. In infections, we can also mention Herpes which causes severe pain.
A fungal infection? The are very common conditions. “They cause irritation problems, HPV oedema, cracks, very thick losses and redness”, explains Brigitte Lemtombe. They may be due to taking antibiotics or corticosteroids, which will enhance the flora and facilitate the development of mushrooms. “In these cases, we often have women who do not consult and go directly to the pharmacy to buy an egg for fungal infection”, says the gynecologist. If we do it once it’s okay, especially if the treatment works, " but if it happens again, you have to consult. There are a lot of women who put eggs for fungal infections regularly and never have any, it was something else ", she insists.
Sexual Herpes: Sexual Herpes is one of the sexually transmissible diseases, extremely contagious. Indeed after the first infection, the virus sets into the body and falls asleep in it, so never really disappears. It manifests itself in small, white blister filled with fluid in wounds, located on or near sexual organs. Treatments reduce the frequency of flare ups. Be careful, only 20 % of people with the virus know this: either because they have no symptoms or because they confuse them with other diseases.
Burning: burn burns are the symptoms of many diseases: a, inflammation caused by the presence of bacteria or mushroom (vaginal fungal), or just a sign of vaginal drought. In this case, the use of a lubricating may be necessary. If burns continue although the exam is normal, we talk about vulvodynia. In this case, it is important to be followed by a trusted doctor who will recognize pain, and find solutions on a case-by-case basis.
The IUD that moved? Suitable birth control is not supposed to cause pain. For example, an IUD (IUD) is supposed to be forgotten: “When you feel it, it’s that it’s moved, or there has been infection and it needs to be removed”, reminds the gynecologist. The same is true for the vaginal ring, which must remain at the bottom of the vagina. The partner may eventually feel it during reports, but if the ring moves all the time, that’s what may not be the right birth control for you.
The condoms in question? As for condoms, you should know that there may be an intolerance or a latex allergy. In this case, it is recommended to take it without latex or even find another way to protect yourself if possible (as a reminder, condoms are the only birth control that protects from STIs and STIs). It is important to find contraception adapted to your lifestyle.
Endometriosis: endometriosis is a case apart because the main symptoms are “a dysmenorrhea ( pain during the period ) that only gets worse”, explains Dr. Brigitte letombe. Nevertheless, pain during reports is another recognized symptoms of endometriosis. This happens when the injuries touched the sacred ligaments, Douglas’s bag ass or the front-vaginal wall. The only way to remove these pain is, in general, surgery that will remove the injuries.
retroverted womb: Having a retroverted uterus is not a disease or malformations, it’s actually without gravity and more common than you think. It’s simply an anatomical variation: in most cases, the uterus is “antéverse”, that is, flipped forward, above the bladder. But in case he is “retroverted”, it is flipped backwards, towards the rectum. According to Dr. letombe, having a retroverted uterus doesn’t necessarily give pain: “In my clinical practice, I’ve never met this case”, she says.
Ovarian Cyst: This is a small, abnormal size in an ovary, involving less than 10 % of women. The ovarian cyst and is mild in most cases and most of the time causes no symptoms. Nevertheless, if there are many and large, they can cause pain. But in general, these are located in the lower belly, not specifically during reports.
Pain after birth
Birth, especially if it has been complicated (requiring episiotomy or forceps) can lead to long-lasting pain. Of course, in these conditions, it is necessary to wait for healing and fitness before considering sex. " Nevertheless, having pain for several months is not normal says the gynecologist. Do not hesitate to consult for this and not stay blocked ".
Pain during menopause
Menopause can lead to sexual problems, including vaginal drought. This is a common case: vagina hydration is strongly influenced by hormones, when estrogen levels fall during menopause, lubrication becomes weak and can cause vaginal drought in some women. Solutions exist, such as creams or eggs, but also lubricating to be used before the report.
The vaginismus: a case apart
The is a separate case, because " it comes from muscle contraction. By an unconscious reflex, the lower third-third muscles of the vagina close as an attempt to penetrate, making it impossible “. This contraction is done in an unintentional way, often the woman is unaware of it and believes they have another problem. The pain caused by vaginismus is evolving among women, from a simple discomfort to a burning feeling or even tear. " To overcome the vaginismus, you need a psychological care: in a sexologist for example or a psychologist if it has to do with a particular history, a painful past.” You must not leave the pain caused by The vaginismus settle in without consultation, or the anxiety of being penetrate will not result in a failure of reports and will settle in a sustainable manner.
Who to consult?
It’s better not to wait until you consult. Whatever the cause of dyspareunia, the help of a gynecologist or a woman, professionals who are well aware of this problem, is essential. Only they will be able to prescribe the right treatment. If the pains settle, they can also cause anxiety to be inside, which may trigger a vaginismus. In this case, the help of a therapist or sexologist will be essential to regain normal sexuality.