Can anxiety cause dyspareunia to worsen?
Yes, anxiety can increase muscle tension and pain sensitivity, making dyspareunia symptoms more severe and more difficult to manage.
Detailed Medical Explanation
Anxiety may trigger or worsen dyspareunia by increasing pelvic floor muscle tightness and amplifying the body’s pain response. Anticipatory anxiety before sex can also lead to avoidance, further increasing distress and pain. Psychological support and relaxation strategies are often recommended alongside medical treatments. NHS: Painful Sex.
Clinical Context
Treating underlying anxiety with therapy or counselling can reduce pain and improve outcomes for women with dyspareunia.
Evidence-Based Approaches
NICE and NHS recommend a holistic approach, including psychological therapy, for persistent or severe dyspareunia. NHS: Anxiety.