Sex is supposed to be a pleasurable experience, and sexual intimacy is a crucial aspect of romantic relationships. But for some women, it can be accompanied by pain and discomfort. Marla Ahlgrimm says that pain during sex is known as dyspareunia. It’s a common concern that can have a serious impact on women’s physical and emotional well-being. Today, Ahlgrimm touches on a few of the reasons that sexual intercourse might be painful.
Insufficient Lubrication
According to Marla Ahlgrimm, one of the main reasons that sex might be painful is because of inadequate lubrication. A dry vaginal area may be caused by many reasons, including hormonal changes, medication, stress, certain medical conditions, or insufficient arousal. Penetration without lubrication can result in friction and uncomfortable sex.
Vaginal Infections Or Irritations
Vaginal infections, such as bacterial vaginosis or a simple yeast infection, can cause inflammation and irritation “down there.” Marla Ahlgrimm says that vaginal infections can make the tissue more sensitive, which means you might notice more pain during sexual intercourse.
Hormone Changes
Hormonal changes that occur throughout our lifetimes, but especially throughout menopause or while breast-feeding, can lead to vaginal dryness. Reduced estrogen levels can lead to thinning of the vaginal tissues, which also has the side effect of reducing natural lubrication. Hormone replacement therapy or over-the-counter lubricants may alleviate these symptoms, says Marla Ahlgrimm.
Pelvic Floor Dysfunction
The pelvic floor muscles play a role in sexual pleasure and function in women, says Marla Ahlgrimm. If these muscles become weak or tense, it can lead to pain during intercourse. Other factors, such as childbirth, pelvic surgery, or chronic constipation, can contribute to pelvic floor weakening. Endometriosis may also affect the pelvic floor muscles, resulting in subsequent pain during intercourse.
Psychological Factors
Marla Ahlgrimm says that some women experience psychological issues that can interrupt the body and mind’s openness to the sexual experience. Relationship issues, negative body image, past traumatic sexual experiences, anxiety, and stress can all contribute to physical factors that lead to painful or uncomfortable intercourse.
Ways To Reduce Discomfort
Sexual intercourse should be a bonding experience. Marla Ahlgrimm says that, fortunately, there are ways that women who experience pain during intimacy may reduce the discomfort. Tips include:
- Use an over-the-counter lubricant. These can be picked up at any drugstore and are safe for most healthy adults.
- Ease into sex. If sexual arousal is the reason for the vaginal dryness, Marla Ahlgrimm says it can help to engage in more foreplay before the main event. Foreplay increases intimacy bonds and can help promote feelings of relaxation so that the mind and body can be present for the experience.
- Change positions. Different positions allow a woman to have more control over angle and penetration. Those with a well-endowed partner may find that being on top allows for precise control and greater pleasure.
- Talk to your doctor. If painful or uncomfortable sex begins to affect your quality of life or relationship, Marla Ahlgrimm says there’s no shame in talking to your doctor. There could be physiological factors, such as hormone dysregulation or an undiagnosed health condition, that need treatment.
Ultimately, Marla Ahlgrimm says that sexual intercourse should not be painful. Issues ranging from stress to hormone dysfunction can all play a role in painful sex. However, there are ways to reduce the discomfort, and all women deserve a safe and pleasurable experience with the one they love.
Marla Ahlgrimm has co-authored two ground-breaking books,