Why do I have pain in my vagina during and after sex?

Hi,

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I have gone through your query.

Painful intercourse or persistent or recurrent genital pain that occurs just before, during, or after intercourse is called as dyspareunia.

The common causes are as follows:

Dyspareunia could be due to a tight vagina, or tight hymen, including inadequate lubrication, rough sex, trauma, vaginal infection, and negative feelings, about a partner. Treatment options vary depending on the cause of the pain.

Medications:

1. If an infection or medical condition contributes to your pain, treating the cause might resolve your problem. Changing medications known to cause lubrication problems also might eliminate your symptoms.

2. Using Lignocaine gel relieves pain. For many postmenopausal women, dyspareunia is caused by inadequate lubrication resulting from low estrogen levels. Often, this can be treated with topical estrogen applied directly to the vagina.

3. Ospemifene gel can be used in moderate to severe dyspareunia in women who have problems with vaginal lubrication. Ospemifene acts like estrogen on the vaginal lining.

4. Another drug to relieve painful intercourse is the capsule Prasterone. It is a capsule to be placed inside the vagina daily.

   The non-medication therapies are as follows:

   1. Desensitization therapy: Vaginal relaxation exercises that can decrease pain.

   2. Counseling or sex therapy: Talking to a counselor or sex therapist can help resolve these issues.

   3. Cognitive behavioral therapy: It can be helpful in changing negative thought patterns and behaviors.

      Thanks and regards.