Is there relief for painful sex?
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Relief Option for Painful Sex Dr. Lisa: I recently received a message from a woman named Corey in Coconut Creek, Florida. And she wrote, “Dr. Lisa: Sex is painful for me most of the time and it’s been that way since I first became sexually active. Nothing really seems to help me. Sincerely, Corey. We wanted to talk to Corey on a one-on-one so we have her on the phone right now. Hey, there Corey, are you there? Corey: I’m here. Dr. Lisa: Alright. Tell me what’s going on. Corey: Well, one of my concerns is I have pain during and after sex from and there doesn’t seem to be any cure for it. Dr. Lisa: Pain during and after sex. That’s something I get all the time in my office. Now, tell me with this pain, is it a burning pain? Corey: Well, during sex is suppressor and then after sex when I urinate, there's a burning pain. Dr. Lisa: Have you had any problems with your bladder? Corey: I have been diagnosed with interstitial cystitis but there hasn’t been a lot of research done on it. So there’s not much that they could do. As far as I know. Dr. Lisa: Alright, and you’re absolutely right. Interstitial cystitis is still one of those mysteries to us, for those of you who don’t know what that is. It’s also called painful bladder syndrome. And sort of an inflammation of the bladder and this can cause lot of pain. It can cause a lot of pain with urination. It can also cause problems with intercourse as well because the bladder is so close by. Now there are some treatments for you. There’s a medication called Amitriptyline which is acts an antidepressant but it’s not used for antidepressant properties but because it actually has a side effect of affecting the bladder. Sometimes hormones will actually help with interstitial cystitis, so you might -- have you tried birth control pills at all? Corey: I have and it does seem to help. Dr. Lisa: And it does seem to help? Corey: Maybe about a kind of 10% or 15%, not completely. Dr. Lisa: So a lot of times what we see with interstitial cystitis is using a combination. So you might want to talk to them about using the Amitriptyline with the birth control pills and other thing. Also dietary changes because there’s some things that can trigger interstitial cystitis. Did you know there are some foods that actually kind of irritate the bladder? Acidic foods, caffeine, alcohol and beverages, all these things can actually irritate the bladder and cause pain with intercourse. Now, there’s a lots of other reasons for pain with intercourse. So I would touch it. I make sure you have a full physical mixture that’s what it is. We’ll talk to your doctor about doing combinations, diet, maybe the Amitriptyline along with maybe some hormones and it maybe that combination that works the best for you. Corey: Alright. Dr. Lisa: Great.