Pain with Intercourse/Arousal

Pain with intercourse is present in almost all patients with chronic pelvic pain. It is the single most common symptom for which patients present to our practice. Understandably, lack of intercourse may cause loss of intimacy, often leading to significant anxiety and emotional suffering. I regard restoring the ability to have pain free intercourse to be one of the most important aspects of my practice.

Certain characteristics related to sexual activity allow to differentiate between the causes of pain.

Pain with sexual arousal or foreplay may be caused by pudendal neuralgia or pelvic congestion.

Pain with entry may be caused by pelvic floor muscle spasm.

Pain with deep thrust may be caused by endometriosis or adhesions.

Pain with deep thrust in patients who had a hysterectomy may be caused by neuroma of vaginal cuff.

Pain with intercourse in rear entry (“doggy”) position is common in patients with interstitial cystitis/bladder pain syndrome

Pain after intercourse sometimes lasting for a few days is difficult in patients with pelvic floor muscle spasm or pelvic congestion.

If you or someone you know experiences pain during or after intercourse, please call our office at 480-599-9682 or email [email protected] to learn more about available treatments.

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