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Pain during sex, known as dyspareunia, affects about 75% of women at some point in their lives and can have significant impacts on both physical and mental well-being
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Hormonal changes, particularly during menopause and perimenopause, can lead to vaginal dryness due to reduced estrogen levels, increasing friction and discomfort during intercourse
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Several medical conditions, such as endometriosis, pelvic inflammatory disease, uterine fibroids, and vaginal infections, can cause severe pain during sex Additionally, sexually transmitted infections like chlamydia and gonorrhea are potential contributors.
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Psychological factors, including stress, anxiety, and past trauma, can also result in pain during sex Conditions like vaginismus, where pelvic floor muscles contract involuntarily, can make penetration extremely painful.
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Physical causes such as previous injuries, childbirth, or surgeries can lead to scars or nerve damage, resulting in pain during intercourse
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Diagnosis typically involves a comprehensive pelvic examination to identify underlying causes, with possible lab or imaging tests to rule out serious conditions
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Treatment is tailored to the cause, ranging from hormone therapy for menopausal changes to medications or surgery for conditions like endometriosis Pelvic floor physical therapy and vaginal dilators can also be effective.
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