DEAR MAYO CLINIC: i will be within my belated 50s and also have recently unearthed that sex is starting to become quite uncomfortable. I will be presuming it is because I’m past menopause, but what’s the way that is best to help make intercourse less painful?
RESPONSE: Dyspareunia, the expression for painful genital intercourse, is very typical. Quotes differ, but studies of postmenopausal females instead of hormones treatment report dyspareunia in up to 20 to 30 %. It’s often divided in to three groups: shallow pain, deep discomfort or both. The majority of women complain of trivial discomfort, which happens upon genital penetration. Usually, the pain sensation includes a sharp or burning quality. Deep discomfort happens with deep penetration or thrusting. For many females, dyspareunia is short-term. For other individuals, it could become chronic.
After menopause, painful intercourse frequently is connected with modifications as a result of reduced estrogen amounts.
The genital cells have a tendency to become less elastic, more delicate, and much more vunerable to bleeding, tearing or discomfort during intercourse or during an exam that is pelvic. It could make intercourse painful and on occasion even impossible. The increased loss of estrogen may cause problems that are urinary that also will make intercourse uncomfortable. Not enough sexual intercourse plays a role in lack of muscle health insurance and elasticity.
Sometimes, other facets have reached play, including damage or traumatization, such as for instance from childbirth, pelvic surgery or any sort of accident. Skin conditions like eczema or lichen sclerosus, or contamination in your vaginal area or tract that is urinary may cause sex become painful. Involuntary spasms of this genital wall surface muscle tissue (vaginismus) could make efforts at penetration painful or impossible. Читати далі…