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Painful Sexual Intercourse - Dyspareunia


Symptoms & Signs

What are the signs and symptoms of the condition?

Dyspareunia may be divided into two categories, superficial and deep. Superficial means that there is immediate pain at the opening of the vagina when a man attempts to insert the penis. The most likely reasons for this are tears, infections or structural defects of the vulva or vagina.

Deep dyspareunia means that there is pelvic pain or discomfort after penetration of the penis. This is usually associated with deep thrusting. The likely causes are abnormalities of the deeper structures of the vagina. Typical symptoms include:

  • immediate vaginal pain with attempted penile or finger penetration.
  • poor lubrication.
  • tearing sensation of the vulva or vagina.
  • deep pain or cramping with pelvic thrusts.
  • nausea with deep thrusts.
  • rectal pressure, pain with sexual intercourse.
  • muscle spasms that anticipate vaginal penetration.

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