Community member renaeleeeckert wrote into ProduceTheDoctors.com about her problem with painful sex. Dr. Lisa reveals common causes of vaginal pain during intercourse and treatments available.
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Vaginal Pain During Intercourse Dr. Travis Stork: Welcome back. Today we’re going between issues with our very special guest co-host Dr. Ruth. Now we’ll be getting a ton of suggestions from ProduceTheDoctors.com on this next topic in Misty from Rock Hill, South Carolina wrote, Dear Doctors I have horrible pain while having sex with my husband, any penetration including tampons causes me to close up. I need advise for this agonizing problem. Are there treatments available? Dr. Lisa Masterson: That’s a question I get a lot as a gynecologist and basically this comes under the category of Dyspareunia which is painful sex. One of the things that can cause that is something called Vaginismus. And what happens in Vaginismus if you look at the vaginal walls right around the vaginal walls the muscles around that will contract and will cause spasms and this will keep penetration from happening whether it’s a penis or tampon or anything and we don’t know if this is a nerve problem, a psychological problem. There are many treatments for it depending on how you approach it if it’s from a psychological issue. Maybe the person had trauma of some of sort or maybe she’s depressed. We don’t know if there’s an element of that in it as well. Dr. Ruth Westheimer: Because it is an involuntary contraction but somebody like myself a sex therapist. If any woman walks into my office and says pain during intercourse, I do not give her a second appointment before you see her because they could be some medical issues. And sex therapists have to know that. Then it could be all kind of reasons like what you say a trauma. It could that she is with the wrong partner. It could be that she’s worried about pregnancy. There are many issues but first a gynecologist. Dr. Lisa Masterson: Right, so what we do is we do a vaginal exam. We look at this area and with Vaginismus what you can do is around the vagina you can do injections of Botox. This is not FDA approved. This is something that is still speculative. We’ve been using Botox for a lot of things because the idea is, it stops the muscles from contracting and in that way it’s going to relieve this particular problem of pain with intercourse. But there area lot of different reasons for pain with intercourse, you have to figure out which one it is and if the psychological then therapy, if it’s physical then we can usually treat it.

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