Painful Intercourse – Dyspareunia

Finding Relief from Dyspareunia: Expert Care with Dr Randall Hammond

Are you experiencing pain or discomfort during sexual intercourse? Do you find yourself avoiding intimacy due to this distressing symptom? Dr Randall Hammond, a respected gynaecologist, understands the impact that dyspareunia can have on your physical and emotional well-being. With his expertise and compassionate approach, Dr Hammond is dedicated to helping you find relief and restoring your enjoyment of intimacy.

Understanding Dyspareunia

Dyspareunia refers to persistent or recurrent pain experienced during sexual intercourse. It can manifest as aching, burning, or sharp pain in the genital area before, during, or after intercourse. Dr Hammond specialises in the diagnosis and treatment of dyspareunia, recognising that it can significantly impact your sexual relationships and overall quality of life.

Dyspareunia Diagnoses

If you are experiencing painful intercourse, it is essential to seek a comprehensive evaluation from a gynaecologist like Dr Randall Hammond. During your consultation, Dr Hammond will provide a safe and supportive environment for discussing your symptoms and concerns. He will ask questions to understand the nature and frequency of your pain and conduct a thorough examination. Common diagnostic methods for dyspareunia include:

  • Medical History: Dr Hammond will review your medical history, including any previous gynaecological conditions, surgeries, or trauma that may contribute to your symptoms.
  • Pelvic Examination: A gentle pelvic examination allows Dr Hammond to evaluate the health of your reproductive organs, identify any abnormalities or signs of inflammation, and assess the pelvic floor muscles.
  • Laboratory Tests: Depending on your individual case, Dr Hammond may order specific laboratory tests to rule out infections, hormonal imbalances, or other underlying factors contributing to dyspareunia.

Dyspareunia Symptoms

It’s important to recognise the various symptoms associated with dyspareunia, as they can vary from person to person. Common symptoms include:

  • Pain or discomfort during penetration
  • Deep pelvic pain during intercourse
  • Burning or stinging sensation in the genital area
  • Vaginal dryness or inadequate lubrication
  • Muscle spasms in the pelvic floor
  • Anxiety or emotional distress related to sexual activity

Dyspareunia Causes

Dyspareunia can have multiple causes, and identifying the underlying factor is crucial in developing an effective treatment plan. Dr Hammond will work closely with you to determine the cause of your dyspareunia, which may include:

  • Physical Causes: Various gynaecological conditions can contribute to painful intercourse, such as endometriosis, vaginal infections, pelvic inflammatory disease (PID), uterine fibroids, or ovarian cysts.
  • Hormonal Factors: Hormonal imbalances, including low estrogen levels during menopause or breastfeeding, can result in vaginal dryness and discomfort during intercourse.
  • Psychological and Emotional Factors: Stress, anxiety, past trauma, or relationship issues can affect sexual desire and arousal, leading to painful intercourse.
  • Pelvic Floor Dysfunction: Weak or tense pelvic floor muscles can cause pain and discomfort during intercourse. These muscles may become tight or spasmodic, leading to dyspareunia.

Dyspareunia Treatment

Dr Hammond understands that each individual’s experience with dyspareunia is unique. He provides personalised care and treatment options tailored to your specific needs. Treatment for dyspareunia may include:

  • Medication: Depending on the underlying cause, Dr Hammond may prescribe medications to alleviate pain, reduce inflammation, or address hormonal imbalances.
  • Pelvic Floor Physical Therapy: Dr Hammond may refer you to a pelvic floor physical therapist who specialises in treating dyspareunia. They will guide you through exercises and techniques to strengthen and relax your pelvic floor muscles, promoting improved sexual function and reduced pain.
  • Hormone Therapy: If hormonal imbalances contribute to your dyspareunia, Dr Hammond may recommend hormone replacement therapy or localised estrogen therapy to restore vaginal lubrication and alleviate discomfort.
  • Psychotherapy and Counselling: In cases where psychological or emotional factors play a significant role, Dr Hammond may refer you to a qualified therapist or counsellor who can provide guidance and support. Therapy can help address any underlying issues, reduce anxiety, and improve overall sexual well-being.

Surgical Interventions

In some cases, surgical procedures may be necessary to address structural issues contributing to dyspareunia. Dr Hammond has extensive experience in minimally invasive gynaecological surgeries and will discuss the available options with you.

Lifestyle Modifications

Dr Hammond may recommend lifestyle changes, such as stress reduction techniques, relaxation exercises, and communication strategies within your relationship, to help improve your sexual experience and reduce pain.

Open Communication and Support

Dr Randall Hammond and his compassionate team understand the sensitive nature of dyspareunia and are committed to providing a safe and supportive environment. They encourage open communication and will address any concerns or questions you may have throughout your treatment journey.

Compassionate Care for Dyspareunia

Dr Randall Hammond and his team are dedicated to helping you overcome the challenges of dyspareunia and regain your sexual well-being. With their expertise, understanding, and personalised approach, they will develop a comprehensive treatment plan that addresses the underlying causes of your pain. Dr Hammond believes in empowering his patients through education, support, and collaboration, ensuring that you play an active role in your treatment decisions.

 

Rest assured that you are not alone in your journey. Dr Hammond and his team are here to provide compassionate care, tailored solutions, and on-going support as you work towards a more satisfying and pain-free sexual experience.

 

If you are experiencing painful intercourse, know that effective help is available. Dr Hammond is a trusted gynaecologist that offers comprehensive care for dyspareunia, combining medical expertise with compassion and understanding. By thoroughly evaluating your symptoms, identifying the underlying causes, and providing personalised treatment options, Dr Hammond aims to restore your comfort, confidence, and enjoyment of intimacy.

 

Don’t let dyspareunia affect your sexual well-being and overall quality of life. Take the first step towards relief by scheduling a consultation with Dr Randall Hammond. Together, you can navigate the journey towards a fulfilling and pain-free sexual experience. Contact us today to schedule an appointment and begin your path to recovery.

 

Feel free to call us on 033 492 0254 or drop us an email at . We are located at Suite 7, Hilton Health, 3 Monzali Drive, Hilton, 3245. Your health matters to us.

FAQ

To alleviate vaginal dryness, consider using a water- or silicone-based lubricant. Engage in sexual activities or choose positions that are comfortable and free from discomfort. Taking an over-the-counter pain reliever before intercourse may also help. It’s important to find time to relax and reduce stress before engaging in sexual activity.

The pain might present as a sharp, burning sensation or resemble menstrual cramps. During intercourse, the discomfort may feel as though it originates deep within the pelvis, with many women describing a sensation of something being impacted internally.

The causes of dyspareunia are varied, including structural, inflammatory, infectious, neoplastic, traumatic, hormonal, and psychosocial factors. Anatomical issues such as pelvic floor muscle dysfunction, uterine retroversion, hymenal remnants, and pelvic organ prolapse can contribute to this condition.

Between 17% and 45% of postmenopausal women report experiencing pain during sexual activity, a condition known as “dyspareunia.” In women over 50, the primary causes of dyspareunia are vaginal thinning and dryness.

Addressing dyspareunia typically involves techniques to relax and lengthen the pelvic floor, and resolving symptoms can take several months. A standard treatment course usually spans 4 to 12 months. Although this may seem lengthy, many patients begin to notice improvements after 2 to 4 treatments.

Several treatments are available for vaginal dryness. Over-the-counter options include vaginal moisturizers and lubricants. Prescription treatments, which may be required for more severe cases, include vaginal oestrogen in the form of creams, tablets, capsules, or rings, as well as oral medications and vaginal tablets.

Painful sex can lead to significant anxiety, causing distress and affecting personal relationships. While intercourse may still be possible, many women experiencing dyspareunia develop a negative association with sex and sexuality, resulting in emotional, interpersonal, and psychological discomfort.

As women approach and go through menopause, declining oestrogen levels lead to dryness and thinning of vaginal tissues, which can make penetration and intercourse uncomfortable for many. This discomfort can vary from a sensation of dryness and vaginal tightness to more severe pain during sex.

Possible causes for discomfort during sex may include infections, vaginal dryness, irritation, or conditions such as vaginismus and vestibulodynia. Although you might be inclined to overlook a burning sensation, it is crucial to identify and address the underlying cause to effectively manage the issue.

Diagnosis typically involves a thorough medical history, physical examination, and sometimes additional tests like pelvic exams, imaging, or laboratory tests.

Yes, hormonal changes, especially those related to menopause, can lead to vaginal dryness and thinning tissues, causing discomfort during intercourse.

Pelvic floor therapy involves exercises and techniques to strengthen and relax the pelvic muscles, which can reduce pain and improve sexual function.

Yes, anxiety, stress, and past trauma can contribute to dyspareunia by affecting sexual function and arousal.

You should consult a healthcare provider if you experience persistent or severe pain during intercourse, or if you have other concerning symptoms.

Vaginismus is a condition where the vaginal muscles involuntarily contract, making penetration painful or impossible, and is a potential cause of dyspareunia.

Yes, conditions such as endometriosis, pelvic inflammatory disease, or fibroids can cause dyspareunia, and it is important to address these conditions with a healthcare provider.

The time to find relief varies depending on the cause and treatment. Many women experience improvement within a few weeks to a few months with appropriate treatment.