Painful Intercourse Specialist

What causes painful intercourse?

While many women experience pain during intercourse at some point, severe or persistent symptoms may reflect the need for treatment. Potential causes include gynecological conditions such as endometriosis, skin disorders, pelvic masses, and psychological issues such as stress or a history of sexual abuse. Injuries, tight pelvic floor muscles, vaginal dryness and vaginismus, which causes involuntary spasms of vaginal muscles, are also possible causes.

How is painful intercourse treated?

Treatment for pain during intercourse varies, depending on the cause. Based on a full assessment, Drs. Kupferman and Dvorak will determine the best course of action. Possible options include:

• Medications to help manage any underlying infection or lubrication problems
• Discussion about other treatment modalities, such as the Mona Lisa Touch Laser treatment
• Referrals to pelvic floor physical therapy, counseling or sex therapy

Can I manage my symptoms on my own?

For milder causes of intercourse pain or additional help during any treatment, you and your partner can take steps to better manage your symptoms at home. If certain sex positions cause irritation, for example, avoiding those positions can help reduce pain. Using a lubricant and taking your time with foreplay can help ensure relaxation and natural lubrication during intercourse. Maintaining open communication with your partner can help as well.

What can I expect during my exam?

During your exam, Drs. Kupferman and Dvorak will inquire about your medical history, sexual history, and symptoms. They will also conduct a pelvic exam, ultrasound or other tests depending on the individual case. They may prescribe or order specific treatments that day and provide referrals to additional healthcare providers, if needed. You’ll be welcome to express concerns and ask any questions you may have.

Of note, Dr. Kupferman and Dr. Dvorak do not consider themselves experts in Vulvodynia or Vaginismus.