What triggers dyspareunia pain during intercourse?
Triggers of dyspareunia pain include inadequate lubrication, infections, hormonal changes, underlying medical conditions, and psychological factors like anxiety or fear.
Detailed Medical Explanation
Pain may be triggered by penetration, deep thrusting, or certain positions. Triggers include vaginal dryness (often from menopause or breastfeeding), infections (thrush, BV, STIs), endometriosis, pelvic floor dysfunction, or vulval skin conditions. Insufficient foreplay, emotional distress, or previous negative experiences can also cause or worsen pain. NHS: Painful Sex.
Clinical Context
Identifying personal triggers allows clinicians to provide tailored advice and support. Addressing triggers early can help prevent chronic pain and reduce emotional impact.
Evidence-Based Approaches
UK and international guidelines recommend a thorough assessment of potential triggers, including physical, psychological, and relational factors. Personalised care and patient education are proven to improve outcomes. RCOG information.