Lovemaking shouldn’t hurt. If and when it does, something may be wrong. If you experience physical discomfort during sexual intercourse, Dr. Dubroff may be able to help. The doctor and his compassionate staff at Holistic Solutions offer discreet, naturopathic treatments for painful intercourse (dyspareunia) and other troubling conditions. We have helped many women in Southern California, and we can help you, too.
Mayo Clinic defines painful intercourse, or dyspareunia, as persistent pain associated with sexual congress. Dyspareunia may happen before, during or after intercourse. Patients describe dyspareunia pain as throbbing, burning, aching or an uncomfortable combination of the three.
Some women experience pain every time they have sex with their partner. Some experience pain upon any sort of vaginal penetration, even when inserting a tampon. Peri-menopausal and post menopausal women are probably more susceptible to painful intercourse than women of childbearing age, due to a drop in estrogen levels and vaginal lubrication. Fortunately, there are natural treatments that can relieve your symptoms and give you back your love life.
The causes of painful intercourse vary from woman to woman. Dyspareunia may occur because of an infection or genital skin irritation. It can be caused by involuntary spasms of the vaginal muscles. Certain medications may cause loss of lubrication, leading to pain upon insertion and thrusting associated with lovemaking.
Holistic Solutions understands the delicate nature of this condition. We also understand how frustrating it can be for a woman to experience pain instead of bliss during sexual intercourse. Please don’t feel embarrassed about calling us to schedule a private consultation with Dr. Dubroff. Holistic Solutions offers complete discretion along with naturopathic therapies that offer relief of painful intercourse (dyspareunia) symptoms.
Having recently met this wonderful man and had great interactions, I am happy to say I can recommend his consciousness. It is obvious he is a man of deep caring, both personally and professinally, and expertise in natural medicine is evident.
Dyspareunia is painful sexual intercourse from medical, psychological, or unexplained reasons. While most women don’t discuss this persistent condition, the American Academy of Family Physicians (AAFP) states that more than 20% of women experience painful penetration. Sexual pain may occur right before, during, or after sexual activity. Even though dyspareunia is more common in women, it can be an issue in men’s health too.
Experiencing painful sexual intercourse causes health and relationship issues. Medical professionals may first prescribe medications for sexual dysfunction, but these may come with unpleasant side effects. Women want to find natural remedies for treating dyspareunia that works. This article will discuss natural dyspareunia treatment remedies that are simple and easy to do.
Incorporate More Foreplay
One possible cause of pain during sex is not enough foreplay. The natural lubricant in the vagina increases with increased blood flow due to arousal. Before the actual sexual intercourse, take time to build up to penetration, which could help alleviate painful sex. While this may not eliminate deep pain at first, it may increase your sex drive and work overtime.
Sexual health is complicated, and for some, dyspareunia is a mental health concern. The reasons vary from being sexually abused, experiencing sexual trauma or anxiety and depression. For some, the exact cause is unclear. Women sometimes suffer in silence and speaking to a sex therapist may help find the underlining issue and allow healing to take place. Ask your doctor for therapist recommendations.
Maintaining health and wellness can be easier than you think. One way is to eat a healthy diet full of fruits and vegetables. Drinking lots of water and abstaining from too much alcohol or nicotine are healthy lifestyle changes as well. Postmenopausal women with high estrogen levels may need to make lifestyle changes in diet to encourage weight loss and increase vaginal lubrication. All of these measures increase your overall well being while helping to heal female sexual issues.
The best natural treatment for dyspareunia is using vaginal dilators. Vaginal dilators are tube-shaped devices used to stretch and lengthen the vagina naturally. While there are different dilators to choose from, the VuVa™ Neodymium Magnetic Dilator is proven to relieve pelvic pain for 80% of all study subjects.
When you use the dilator, there are no side effects and treatment occurs in the privacy of your own home. Each set of magnetic dilators comes in graduated sizes (small to large) and contains over 60 Neodymium magnets. Combining medical-grade polycarbonate plastic with Neodymium magnets makes the dilators particularly effective.
At first, using dilators may seem uncomfortable, but starting slow helps make the treatment more comfortable. As you begin to stretch the pelvic floor muscles, penetration during intercourse, a pelvic exam, or even inserting a tampon becomes more natural and eventually pain-free.
Vaginal atrophy is a common reason for dyspareunia. When your vaginal wall lacks lubrication, it causes severe stinging pain. The reason for vaginal dryness is the result of a variety of reasons, including:
- Cancer treatment like radiation therapy
- Experiencing pre or postmenopausal symptoms
- Pelvic inflammatory disease
- Urinary tract infection
One of the remedies for vaginal atrophy is applying an unscented, water-based, glycerin-free lubricant before sex. When you purchase a VuVa™ Neodymium Magnetic Dilator, it comes with complimentary water-based lubricant.
Treating vaginal dryness with vaginal moisturizer is another natural remedy for painful intercourse. Vaginal moisturizers might be more effective than vaginal lubricants because you can apply them throughout the day or every 2-3 hours. When your vagina has enough moisture, sex is less painful.
Consider Pelvic Floor Therapy
Harvard Health published an article outlining how pelvic floor therapy can help treat dyspareunia naturally. While the exact cause of painful penetration can be elusive, one often overlooked medical condition is myofascial pain .
Myofascial pain is when the muscles of the pelvic floor are too tight. It can be the cause of dyspareunia. While dilators are an excellent treatment choice, pelvic floor therapy is a treatment option. A specialized physical therapist uses her hands to massage internal and external pelvic floor muscles through the woman’s vagina or rectum.
Change Sexual Positions
Another natural treatment of dyspareunia is to try different sexual positions. Sometimes sex hurts more in some locations over others. The only way to know this is to experiment and see what works best. You can also ask your partner to slow down and thrust slower. Taking it slow and easy in a position that’s the most comfortable for you will ease anxiety and allow you to relax more.
In the end, the natural dyspareunia treatment method you choose might depend on the cause. Overall, the best and safest solution is using vaginal dilators. They help men and women find relief for dyspareunia without the worry of side effects.
For some women, this painful intercourse, which is called dyspareunia, is a temporary ailment. For others, it can persist over time and can take a toll on sexual health, relationships, and quality of life.
Fortunately, dyspareunia does not have to be a life-long condition and many at-home treatment options exist for women.
What Causes Dyspareunia?
As mentioned, dyspareunia describes pain in the pelvic or genital area with sexual intercourse and can occur before, during, or after intercourse. Some women experience pain with any penetration of the vagina, including when using a tampon or undergoing a pelvic exam with a speculum.
Some common causes of dyspareunia include:
- Vaginal trauma or injury due to childbirth, pelvic surgery, episiotomy, or radiation
- Vaginal dryness from menopause, medications, childbirth, breastfeeding, or low arousal
- Skin or vaginal infections such as yeast or urinary tract infections
- Pelvic conditions such as interstitial cystitis, pelvic inflammatory disease, or endometriosis
- Tight or spasming muscles of the pelvic floor
The pelvic floor muscles, which form a sling-like structure in the lower pelvis, support the pelvic organs and surround the vaginal wall. As with other muscles, these muscles can become tight and develop painful knots, known as trigger points.
Pelvic floor tightness can have physical causes such as injury or poor posture, but it can also be caused by emotional issues such as stress, poor self-image, fear of intimacy, or sexual abuse. These factors can cause unconscious tensing and clenching of the pelvic floor, leading to difficult and painful intercourse.
Home Remedies for Dyspareunia
In most cases, dyspareunia can be treated with consistent use of at-home treatment options. A pelvic floor physical therapist can also help you get started with some of these techniques. Often, it is a combination of the strategies below that provide the best results.
When vaginal dryness is a cause of painful sex, using a lubricant can be extremely helpful. If you are using a condom, water-soluble or silicone-based lubricants are the best choice, since they will not break down the condom.
2. Vaginal Dilators
For pelvic floor tightness, vaginal dilators are specific tools in a variety of sizes that allow you to gradually stretch and release the pelvic floor muscles and are best used with the guidance of a pelvic physical therapist.
Dilators, which are often made out of silicone for comfort, are a gentle way to train the brain and the muscles of the pelvic floor to relax during insertion. Dilator therapy is best performed in combination with relaxed breathing, which encourages the muscles of the pelvic floor to open up and relax.
It can also be helpful to use visualization while using the dilator, picturing the pelvic floor opening up like a flower.
3. Vaginal Trigger Point Release Wands
Trigger points in the muscles of the pelvic floor can cause pain at rest, in addition to during sex. To release these tight knots, a specially designed trigger point release wand can be used either vaginally or rectally to access these hard-to-reach muscles.
When you move the wand around the pelvic floor, trigger points can be identified as particularly painful spots. By applying gentle pressure to these spots for 1-2 minutes, the trigger point will release. This should be done on a daily basis.
4. Breathing Exercises
Because of the structure of the abdominal wall, the muscles of the pelvic floor can be influenced by our breathing patterns. By practicing relaxed breathing in a quiet place, preferably laying down, the pelvic floor can be gently mobilized and stretched.
With each inhale, the pelvic floor drops slightly, providing a gentle stretch to the muscles. With each exhale, the pelvic floor returns to its resting position. It can be helpful to place your hand along the perineum to help feel the slight drop of the pelvic floor with inhalation, providing additional feedback to the brain.
5. Pelvic Release Exercises
The muscles of the pelvic floor can be stretched gently with exercises that open up the hip, many of which are common yoga poses. Combined with relaxed breathing, these exercises can help you learn to consciously release the pelvic floor muscles and retrain your body to let go of unconscious tension.
With the right tools and consistent practice, sex can become pain-free and enjoyable once again.
Table of Contents
Ways to treat Dyspareunia
Sadly that is not the case. For experiencing pain during sex continuously may indicate that there is something more serious to be concerned about. And experiencing pain every time you have sex may mean that you are suffering from a condition called Dyspareunia.
Also called as painful sexual intercourse, Dyspareunia can be caused by either an underlying medical problem or a psychological issue. Causes notwithstanding, there are several ways in which the condition can be treated. And in this article, we will examine just a few of the more common forms of treatment for Dyspareunia.
Diagnose the Condition and its reason first
The first step in treating Dyspareunia lies in diagnosing the condition and the reason for the same correctly. A correct diagnosis would usually prompt a quick and effective diagnosis.
Accordingly, some of the main causes for Dyspareunia would include conditions like vaginismus, vulvodynia, insufficient lubrication, vulvar vestibulitis, genital injuries, vaginal dryness, allergic reactions, reduced libido levels, low levels of estrogen in the body, and inadequate foreplay etc. Sometimes Dyspareunia would also stem from psychological problems.
Treating Physical Issues that lead to Dyspareunia
Once the reason for the condition has been found, the treatment can be easily initiated. In the case of physical reasons, antibiotics and other forms of medications would do the trick. For instance, water soluble creams and lubricants containing estrogen as their primary ingredient can be used to treat conditions like vaginal dryness.
Vaginal infections can be treated with the help of antibiotics, antibacterial and antifungal medications. Conditions like vaginismus can be treated using devices of varying sizes (which are inserted into the vagina in increasing order of size in order to dilate the vaginal opening). Medications and treatments that involve increased blood flow to the genital regions can tackle problems like low libido.
Treating Emotional/Psychological Issues that lead to Dyspareunia
Women who experience extreme pain during sexual intercourse would tend to have the fear of getting that pain again every time they have sex. And this fear would prevent them from enjoying sex wholesomely.
In certain cases, this fear of painful sex can cause a condition called vaginismus which would in turn cause Dyspareunia. And so, it becomes really important to address your fears and apprehensions about sex in order to get treated for Dyspareunia. And this is where a sex therapist enters the picture.
Talking to a sex therapist can ease whatever worries you have about sex and the pain you experience during the act. You can also bring your partner along for these sessions. Working together on the issue would enable you to bridge communication gaps, deal with problems in the relationship and also find out other ways to spruce up your sex life until the condition is successfully treated.
Post Menopausal Estrogen Therapy
Many women tend to experience the symptoms of Dyspareunia as and when they reach menopause. This would be due to the reduced estrogen levels in the body which could in turn lead to issues like vaginal dryness and insufficient lubrication, conditions that can potentially lead to Dyspareunia.
The best way to treat the condition at this stage would be to opt for estrogen replacement therapies that would balance the estrogen levels in the body and prevent the conditions caused by menopause in women. Available as pills, creams or vaginal rings, these therapies could significantly lower a woman’s risk of contracting Dyspareunia. However, not every woman could go for estrogen replacement therapies and would need to discuss the same with a doctor thoroughly before opting for the procedure.
Changes to the Existing Sexual Routine
Maybe the position you have sex in is causing the pain that you experience during sex. Or maybe you are not being stimulated/aroused enough to lubricate properly? These conditions can potentially cause Dyspareunia.
Changing your sexual position can possibly limit the pain you experience during sex. Try different positions to find out which work well for you and your partner. Then again, adopting different foreplay methods in addition to increasing the foreplay length can help stimulate vaginal lubrication. You can also use water based lubricants that would reduce the friction (and ensuing pain) caused by penetration.
What is Vaginal atrophy?
Vaginal atrophy (also called atrophic vaginitis) is a condition that develops within many women after the menopause, or after having radiation treatment. It happens because of a decline in estrogen, the hormone responsible for keeping the vaginal tissues healthy and the lubrication levels sufficient. When estrogen is missing the vaginal tissues may start to thin and become inflamed.
Furthermore, as lubrication levels significantly drop, the vagina becomes dry. These symptoms can lead to another set of problems – notably, painful or difficult sexual intercourse. If because of this a woman avoids sexual activity for extended periods, her vagina is likely to shorten and narrow, losing its capacity and flexibility.
It’s little wonder then that women are seeking fast and effective vaginal atrophy solutions. They may be offered estrogen replacements and other medical solutions. However these sometimes have harmful side effects, so they are not for everyone. More and more women are searching for natural vaginal atrophy treatments in 2021, and we are here to help with exactly that.
What are the symptoms of vaginal atrophy?
Aside from the symptoms we mentioned above, vaginal atrophy can lead to:
- Vaginal burning
- Vaginal discharge
- Genital itching
- Burning with urination
- Urgency with urination
- Urinary tract infections
- Urinary incontinence
- Light bleeding after intercourse
Understandably, when a woman has to deal with any or all of these symptoms, sex becomes challenging. However, there’s something important to note about sex and vaginal atrophy: if your vagina has shortened or narrowed, it is normal to experience pain during sex (dyspareunia) – even if you are using lubricant. Despite this, it is a good idea to have regular sex if you can, since this helps to keep the vaginal tissues thick and moist while maintaining its usual capacity, thus making sex less painful over time.
Our top 5 natural treatments for vaginal atrophy
1. Try a natural vaginal lubricant
When the vaginal tissues are dry they are more susceptible to injury, tearing, and bleeding during sexual activity (or any other kind of penetration). However vaginal dryness can bring other irritations to women who are not sexually active. Natural lubricants are one of the best ways to ease your dryness.
Here are some of our favorite plant-based and water-based lubricants for the vaginal area:
- Aloe vera
- Coconut oil
- Vitamin E
- Slippery Stuff personal lubricant
2. Use natural vaginal suppositories
First up is vaginal probiotics. There is evidence to support the use of probiotics for vaginal atrophy symptoms. That’s because like the gut, the vagina has its own little ecosystem comprising of various types of microflora. These helps to keep the vaginal pH balanced, which in turn can prevent other annoying menopause symptoms like bacterial vaginosis and urinary tract infections.
There are various vaginal probiotic suppositories and gels on the market that help restore the microflora to a healthy balance, which can mean fewer problems with vaginal discharge and irritation.
Secondly, you can try NeuEve suppositories (or their highly effective creams). These are perfect for easing various different vaginal atrophy symptoms. They are made from 100% natural food grade ingredients, and of course are hormone and estrogen-free.
3. See a pelvic floor physical therapist
Pelvic Floor physical therapy is a very effective treatment for reconditioning the pelvic floor muscles, which in turn helps greatly with vaginal atrophy symptoms. In particular, it helps muscular weakness, pain and dysfunction, and it often includes the use of vaginal dilators to help restore the vaginal capacity.
Many women with vaginal atrophy seek the assistance of a pelvic floor physical therapist; if you wish to do the same, check out our PT locator for a therapist close to you.
4. Use vaginal dilators
We never stop singing the praises of vaginal dilators because they are the perfect treatment for so many gynecological problems – vaginal atrophy included. In the case of atrophy, these little devices are able to dilate (widen) your vagina so that it retains a functional capacity and you are able to resume a normal sex life.
If you have already lost length or width in your vagina, you can start out with one of the smaller dilators and work your way up to the bigger ones gradually, until the point when you are ready for sex again. Our Neodymium magnetic dilators are best for vaginal atrophy because they encourage blood flow to the tissues, helping to regenerate them.
5. Get plenty of exercise
Last but by no means least, a simple but effective natural vaginal atrophy treatment is regular exercise! Believe it or not, getting some exercise each day can boost your estrogen levels. Estrogen and serotonin intrinsically linked, in that serotonin regulates estrogen synthesis. Since exercise can boost your serotonin levels, in turn you can regulate your estrogen levels. There has never been a better excuse to take up yoga!
The bottom line is that vaginal atrophy is difficult, but it doesn’t have to spell the end for your physical comfort – and especially not for your sex life! It’s undoubtedly just a case of selecting the right natural products and using them consistently. We wish you the best of luck in overcoming your symptoms… and of course you know where to find us if you need any help in selecting products.
This is often treated by applying topical estrogen approved by the Food and Drug administration directly on the vagina. 1, 2
Surgery is an effective treatment for Dyspareunia particularly the new laparoscopic technique called the Davydov procedure. 3
Most cases of patients who had surgery require medical therapy for continuing dyspareunia of some degree. 4
Dyspareunia is painful sexual intercourse in the genital area or within the pelvis. The pain may be insignificant or deep. It is caused by vaginal dryness from menopause, childbirth, and other conditions. The syndrome can affect both men and women, but women have an increased risk of developing this condition.
When a person is affected by this condition, doctors prescribe medications, however, it has unpleasant side effects. So, we will discuss the natural treatments in this article
What Is The Best Treatment For Dyspareunia?
Treatment often changes based on the cause of the condition:
Ease Vaginal Dryness With Natural Lubricants – When vaginal dryness is the problem, you can ease penetration with enhanced clitoral stimulation or using a natural lubricant. When the lubricant is applied to the vagina, it boosts the blood flow due to arousal. This can also reduce pain during intercourse and increases your sex drive.
Healing Painful Sex Through Counseling – When the couple or either one of them experiences pain during sexual intercourse, they may have a negative emotional feeling towards sex stimulation. This in turn might lead to poor communication with their partners with reduced quality of life. During such cases, sex therapy or counseling can help resolve issues.
Healthy Living – Lifestyles, and healthcare play a crucial role in improving and easing the symptoms of dyspareunia. Few changes to your sexual routine such as changing positions, communicate with your partner, longer foreplay, and usage of personal lubricants which you prefer. Also, dietary changes such as eating healthy fruits and vegetables accompanied by regular exercises can increase vaginal lubrication and heal female sexual issues.
Vaginal Dilators & Moisturizer – These items can act as an effective support to complex sex therapy and overcome painful sexual intercourse. Similarly, moisturizers and creams are best used before sexual intercourse to maintain fluid that eventually reduces friction and pain and make your intercourse slippery and fun. 1,2
Is There A Surgery For Dyspareunia?
Some of the most successful treatments for this condition are gynecological methodologies such as laparoscopic techniques. This surgery potentially improves deep dyspareunia related to endometriosis (a painful disorder that develops tissue inside of your uterus) and improve the sex lives of the women. This was relatively true particularly with a new technique called Davydov procedure.
The procedure uses pelvic peritoneum to increase the length of the vagina and to eliminate the pain during sexual intercourse. This is usually one of the most effective options in patients who have problems with shortened vagina and dyspareunia. Medical studies show that the Davydoy procedure can help individuals becomes fully functional. 3
The procedures use skin grafting to create vaginas in patients with short vagina 6cm or 7cm or smaller who have problems in penetration during sexual intercourse. This procedure not only creates vaginas adequate for sexual function but also provided proven results in women who have had a failed McIndoe procedure.
Most cases of patients who had surgery require medical therapy for continuing dyspareunia of some degree. Thirty-four percent of patients require medical treatment followed by surgery. This was noticed in patients who reported superficial dyspareunia. The study also revealed many women with minor complications responded better to medical therapy. 4
Painful symptoms of dyspareunia will improve with commercially available lubricants or with estrogen cream. 1
Patients with dyspareunia undergo psychological and emotional consequences and these individuals cope up with the situation through counseling. 2
Natural oils such as petroleum jelly, baby oil, and olive oil can remove the vaginal dryness and help alleviate symptoms. 3,4
Dyspareunia is defined as persistent genital pain that negatively impacts the quality of life. A characteristic of this condition is that the pain interferes considerably with penetrative sexual activities. It has a major impact on the overall woman’s health and her relationship with her romantic partner.
Women with dyspareunia often report psychological distress, sexual problem, and difficulties in relations that impact their life. Several studies show that this condition has a deleterious effect on the male partner.
Coping Methods For Dyspareunia
A medical evaluation for dyspareunia often comprises a thorough medical history of the patients. Although it can be an embarrassing moment for the patients yet the more truthful you are, the more your doctors provide effective treatment to ease your problem. Based on the study, your healthcare provider may suggest a pelvic exam during which the symptoms (skin infection, irritation, and anatomical problems) are examined to locate the pain.
Some patients may feel the pelvic examination to be more painful and don’t co-operate fully. The treatment typically varies depending on the pain location and the symptoms. Painful symptoms of dyspareunia will improve with commercially available lubricants or with estrogen cream.
Since this is a painful condition, you and your sexual partner may find other ways to be intimate that include erotic massage, kissing, and non-penetrative sex. These alternatives provide pleasure and found to be more full filling in these patients. 1
A study was conducted to determine the coping mechanism in women who experienced features of pain in the pelvic or lower abdomen during sexual intercourse. The average age of these participants was 25 -40 years and most of them were experiencing nabbing pain for almost 2 years. Some of the common coping strategies used by these women were the usage of pain killers, adequate sleep and rest, hot bath, and massage to counteract pain. However, a small proportion of women used other techniques by involving themselves in religious activities or distracting themselves trying to ignore pain. The study revealed the number of pain killers increases with the increase in pain levels among these patients. 2
Home Remedies For Dyspareunia
Dyspareunia responds well to relatively simple therapies. There is plenty of natural and home-based therapy that can help ease pain and bring back your comfort levels to have pleasure during sexual intercourse. This includes
Herbs And Supplements- Natural oils such as petroleum jelly, baby oil, and olive oil can remove the vaginal dryness and help alleviate symptoms. Study shows sea buckthorn oil provides an alternative to conventional therapies. Also, vitamin supplements rich in omega 3 fatty acids aids to improve lubrication.
Diet – A diet rich in fatty acids may help in boosting enhanced vaginal lubrication in dyspareunia patients. This includes plant estrogens, or phytoestrogens, pumpkin, flax seeds, especially oily fishes such as tuna, salmon, and mackerel.
Exercise- Physical exercises and workouts are often helpful in strengthening pelvic outlet and relax stressed spam muscles. Exercises can have sex less painful and lead to an improvement in those areas. 3, 4
Dyspareunia (painful intercourse) refers to pain experienced during or after vaginal intercourse. It is a common problem and many women tend to face it at one point or another in their life. The pain in dyspareunia can be felt at the vaginal opening or deep in the pelvis. It may be burning, aching or throbbing pain varying from case to case. It can lead to distress, mood changes, loss of sexual interest and relationship problems. Homeopathic medicines for dyspareunia help treat the condition effectively and offer long term relief.
Homeopathic Medicines for Dyspareunia
Homeopathy medicines are highly effective to treat the complaint of dyspareunia. Dyspareunia arising from various reasons can be managed with homeopathy medicines as they work to treat the root cause behind it They are natural remedies that bring about excellent results. The top medicines to treat dyspareunia in females are Sepia, Natrum Mur, Platina, Argentum Nitricum and Staphisagria. The most suitable medicine among them is selected individually for every case based on its characteristic features. These have been discussed as follows:
1. Sepia – Top Grade Medicine for Dyspareunia
Sepia is a very beneficial medicine for treating dyspareunia. Females needing Sepia experience intense pain during intercourse. In such cases, the vagina is dry and extremely tender. Sexual intercourse is often intolerable, and blood may appear from the vagina after coition in some cases. There may be some associated pelvic disease like ovarian cysts, uterine fibroids pelvic inflammatory disease (PID) and endometriosis. In such conditions, other symptoms like abnormal vaginal discharge, menstrual irregularities, painful periods may be present along with dyspareunia. Sepia is also a leading medicine for managing the complaint of painful intercourse in women during menopause. There may be other attending symptoms like hot flushes, excessive vaginal bleeding, low libido, irritability, sadness, indifference, and mood swings during menopause. It is also well-indicated for dyspareunia arising with some skin infection or eruptions of the female genitalia.
2. Natrum Mur – For Painful Intercourse from Dryness of Vagina
Natrum Mur is very beneficial to treat cases of painful intercourse from dryness of the vagina. Along with dryness, the vagina is also sore and itchy. Burning and smarting are felt in the vagina during coition along with pain. There is also an aversion to sexual intercourse. There may be some depression or history of grief present in cases needing Natrum Mur.
3. Platina – For Painful Intercourse from Sensitivity and Vaginismus
Platina is a significant medicine to manage cases of painful intercourse from a sensitive vagina. Females requiring Platina have sensitive, tender vagina and cannot bear to touch it. They may even faint during coition. In many cases, there may be vaginismus that makes intercourse impossible. Pains of drawing nature may appear in the ovaries and uterus after intercourse that tend to last for several hours altogether.
4. Argentum Nitricum – For Pain followed by Vaginal Bleeding
Argentum Nitricum is considered in cases of dyspareunia when painful intercourse is followed by vaginal bleeding. There may be a complaint of vaginal discharge with cervical erosions in females needing this medicine. Here the vaginal discharges are profuse, yellow, corroding. They may be bloodstained too. There may be many phobias and anxieties in females with above symptoms in cases where Argentum Nitricum is indicated.
5. Staphisagria – For Painful Intercourse from Sensitive Genitals
Staphisagria is prepared from seeds of a plant named Delphinium Staphisagria also known by the name of Stavesacre. The natural order of this medicine is Ranunculaceae. Staphisagria is another medicine for managing painful intercourse from sensitive genitals. It is a useful medicine for women to manage the complaint of dyspareunia in the early days of married life. Along with painful coition burning while urination and constant urge to urinate may be present. Staphisagria is also a prominent medicine for cases where a history of sexual abuse is present.
6. Kreosote – For Pain, Burning in Vagina during Intercourse followed by Bleeding
Kreosote is well-indicated for treating dyspareunia with the characteristic feature of pain and burning during intercourse and bleeding the next day. The genitals feel sore and fear and trembling arise from the mere thought of coition. There may be vaginal discharges that are highly offensive. The discharges are also acrid, leading to violent itching in the vagina with soreness and burning after scratching.
7. Ignatia – For Managing Sore Pain in Vagina during Intercourse
Ignatia is prepared from seeds of a plant called Ignatia Amara which belongs to the natural order Loganiaceae. Ignatia is indicated for dyspareunia when there is extreme sore pain in the vagina during intercourse. A heated sensation may be present in the vagina. Some prominent symptoms related to the mind may also be present. These include sadness, weeping, excessive irritability, desire for loneliness, aversion to talking and sudden mood swings. Excessive worries, depression, and history of grief may be there with the above symptoms.
8. Lycopodium – For Burning in Vagina during Coition
Lycopodium is prepared from the spores of a plant called Lycopodium Clavatum also known as Club Moss and Wolf’s-Claw. This plant belongs to the family Lycopodiaceae. Lycopodium is helpful for managing the sensation of burning in the vagina during coition. The burning persists after coition in most cases, and vaginl dryness may also be present.
Main Causes of Dyspareunia
Some causes of dyspareunia include vaginal dryness, insufficient lubrication, skin disorders of the genital area (like eczema, lichen planus), vaginal infections, PID (pelvic inflammatory disease) and vaginismus (involuntary spasms of the muscles of the vaginal walls leading to temporary narrowing of the vagina). Pelvic disease like endometriosis, ovarian cysts, and uterine fibroids are some other reasons for dyspareunia. An injury/trauma to the genitals can also lead to painful intercourse. Congenital abnormality also leads to painful intercourse (eg., in case of vaginal agenesis where the vagina is not fully formed and imperforate hymen). Apart from the above, certain psychological issues are other contributing factors behind painful coition. These include stress, anxiety, depression and a history of mental trauma including sexual or emotional abuse. Women may also complain of dyspareunia during menopause and after childbirth.