27/11/2020
Pain During S*x: Causes, common factors and impact on infertility.
S*x shouldn’t be painful. However, nearly three out of four women will experience some sort of painful s*x in their lifetime. Painful s*x (also known as dyspareunia) can interfere with getting pregnant. For one, painful s*x may indicate an underlying medical condition that is negatively affecting your fertility.
Secondly, painful s*x itself can make getting pregnant difficult to impossible. If you can’t tolerate s*xual in*******se, especially around the time of ovulation, you won’t be able to get pregnant. Learn what's normal and what's not when it comes to s*xual pain, what medical conditions may cause painful in*******se, and youwhat you should do if you're facing this problem.
Note: While this article is focused on s*xual pain in women, it’s important to state that men can also experience s*xual pain. S*xual pain in men can also cause difficulties with conception...
Is Pain During S*x Ever Normal?
Occasional discomfort during s*x can be normal. For example, the first time a woman has s*x may involve some discomfort. This may be due to inexperience and anxiety for both partners. However, a first s*xual encounter isn’t supposed to hurt. The myth that s*x for the first time “should” cause pain and bleeding is untrue. Even first time s*x can feel good.
Another possible normal cause of painful s*x is having s*x in an uncomfortable position. Positions that allow for deep thrusting can lead to the cervix getting bumped, which can be painful. Changing positions or avoiding uncomfortable ones can resolve this issue easily.
Another possible normal cause of discomfort during s*x is not taking enough time for foreplay. The reproductive organs actually shift during s*xual arousal. The cervix moves up and back when you're turned on, and this shift makes s*x more comfortable.
With all that said, pain and occasional discomfort are not the same things. Pain that is consistent or prevents you from having s*x is another ball game altogether.
Causes of Painful S*x and Infertility.
The medical term for painful s*x is dyspareunia. Painful s*x can be a symptom of an underlying medical condition. Some of those conditions can negatively impact fertility or make staying pregnant more difficult.
There are several possible causes of painful in*******se that may also impact fertility:
1) Adhesions: Adhesions are bands of tissue that can lead to pain during s*x, as well as infertility and repeated miscarriage. Also known as Asherman's syndrome, uterine adhesions can be caused by intrauterine procedures, like a D&C (sometimes performed after a miscarriage), or after a hysteroscopic myomectomy.
2) Endometriosis: Painful s*x with endometriosis may be worse around ovulation and near menstruation. This pain is usually felt deeper, rather than upon entry. Other endometriosis symptoms may include severe menstrual cramps, pain on urination or defecation (especially around your period), or general pelvic pain.
3) Fibroids: Fibroids are non-cancerous tumors that grow on or inside the uterine walls. They can cause painful in*******se. Fibroids can occur anywhere on the uterus, but those that grow by the cervix are most likely to cause painful in*******se. They may also lead to spotting during or after s*x.
4) Intact or especially tight h***n: The h***n is a thin membrane that encircles the vaginal opening. It doesn't typically cover the entire opening but has a small hole that stretches out over time. Sometimes, the h***n doesn't naturally stretch or is unusually thick or tight, causing painful in*******se. Surgery can correct this without impacting fertility.
5) Ovarian cysts: Most ovarian cysts will eventually disappear on their own, but 5 to 10% may require surgery. Ovarian cysts don’t usually cause painful s*x, but more problematic ones can. A cyst alone is not necessarily a fertility issue, but cysts can be caused by conditions (like PCOS and endometriosis) that do impact fertility.
6) Pelvic Inflammatory Disease (PID): PID is another possible cause of painful s*x, typically pain felt deeply as opposed to upon entry. PID symptoms can be similar to endometriosis and other diseases.
7) Vaginal agenesis:
Malformations or absence of a uterus make pregnancy impossible. Some women can still have a biological child via surrogacy.
8) Vaginal dryness: This can range from a slight discomfort issue to a pretty intense pain, especially when combined with overall low estrogen levels. This pain tends to occur upon vaginal entry. A lack of cervical mucus can indicate hormonal imbalance, but it can also occur due to medication side effects.
While infertility related to these conditions may not easily be dealt with, the pain caused by them should be treatable with medications, physical therapy, lifestyle changes, or surgery. Don’t assume you have to learn to live with the pain. Talk to your doctor about your options.
A Word From Verywell
Pain during s*x is not your fault. It is not something you should feel ashamed of. It’s a medical condition and doesn’t define you. Unfortunately, not every doctor knows how to properly respond to or treat pain conditions. If your doctor can't help or take you seriously, go to someone else. Keep speaking up until you find the help you deserve.
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https://chat.whatsapp.com/FCJ3shcOM46IssMTmJxDmf
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