May 1, 2000 (Reno, Nev.) -- Besides vulvar vestibulitis, other conditions
can cause pain during intercourse. If you have this complaint, see your doctor,
who will first rule out yeast or other infections and then investigate other
Inadequate lubrication within the vagina can cause pain. Normally, a woman's
vagina secretes lubricating fluid when she is sexually aroused, but menopause,
breastfeeding, tension, and certain prescription drugs can hamper this process.
Creams, jellies, or vaginal suppositories are recommended. (Beware: Oils or
petroleum jellies can dissolve latex condoms.)
A sex therapist can be a psychiatrist, a marriage and family therapist, a psychologist, or a clinical social worker. We are specially trained in sex therapy methods beyond the minimal amount of training about sexuality that is required for each of those licenses.
There are a few graduate schools in the U.S. that specialize in training for sex therapy. Some people assemble their training by rigorous self-study and by attendance at the major sexological organizations' annual conferences. We have about...
Pain deep inside the vagina can be a sign of such problems as ovarian cysts,
infection of the uterus or fallopian tubes, endometriosis (a condition in which
menstrual tissue flows back through the fallopian tubes and begins to grow
outside the uterus, usually in the abdominal cavity), or scar tissue from an
old infection or previous surgery. Your doctor may perform a laparoscopy
(examination with a thin tube-like camera through a small incision in the
navel) to determine what's wrong.
A tilted uterus can also cause pain if your partner's penis strikes your
cervix or uterus during sex. This is usually present from birth and normally
does not cause any other problems.
Sometimes pain is caused by vaginismus, a condition in which the muscles of
the vaginal wall involuntarily spasm. Physical therapy may be helpful.