Sexual complaints

Pain during the sex is for many women a serious problem but they often prefer not to talk about it. Common problems are skin irritations, urine loss, cystitis and stomach ache. However, pain during the sex is for many women an unnecessary problem. We offer solutions from different disciplines.

A common problem:

Pain during the sex is very common. 20% of the women (even those aged in the 20s) have one or more sexual problems. 5,5% have pain during the sex (dyspareunia). One in three tries to solve this problem. Pain can be at the beginning of the vagina or deeper in de stomach/sheath. It is logical that the pain during the sex causes you to like sex less. It is not unusual that the interests in sex disappear completely as a result of the pain.

Pain at the beginning of the vagina:

Many women experience a burning or poignant pain at the start of the vagina. This happens for, after of during the sexual intercourse. The peeing afterwards can cause a burning feeling too. A possible reason why you experience the pain is because you unknowingly tighten your pelvic floor muscles. The tightening of the muscles if often a result of the pain too, which causes the entrance of the vagina to become narrower. This causes a vicious circle to be created: because you experience pain during sex it is logical that you are afraid it will hurt again. This thought causes the vagina to become less wet and this makes the pain worse.

Deeper pain:

Some women experience a deeper pain or pain in the pelvic floor during the sexual intercourse. This pain often only occurs is a certain position. The deep pain can be caused when the penis touches the uterus. Also, intestine disorders like a spastic intestine or gynaecological problems (like endometriosis) can be the source of the problem. Some women have a stomach ache or pain at the pelvic floor after the sexual intercourse. It can then be caused by a muscle strain because the muscles were so tightened during the sexual intercourse.

Treatment

With sexuological problems is first looked what the cause is through an anamnesis. Also, what the best solution is for the problem. There is often a “three rail policy”:

1. An examination by a Gynaecologist to see if there is an anatomical, inflammational or atrophy problem that the causes the sex not to work (anymore).

2. Reference to our, with us cooperating, pelvic floor physiotherapists, that had a good training and are going to help you control the tightening and releasing of the pelvic floor muscles.

3. Reference, when indicated, to the sexuologist we cooperate with where you (without your partner) can get further advices.

For support during the traject we sell (if needed) ‘pelots’, pats of different sizes, that you can use to stretch the sheath during vaginism, vaginistic reactions or atrophy.