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Sexual Pain Disorder

Dyspareunia

This is a recurrent or persistent genial pain associated with sexual intercourse. This disorder can
develop as a result of medical problems such as vaginal infections, thinning of the vaginal lining during
menopause, or following some vaginal and vulvar surgical procedures. It can also be psychologically
based or reflect a relationship problem or other emotional conflict. As with most disorders, it is a
combination of physical and emotional factors.


Vaginismus

This causes involuntary muscle spasms of the lower third of the vagina, which interferes with or
precludes vaginal penetration. This condition usually develops as a conditioned response to painful
penetration, but can also be due to emotional or relationship factors.

Other sexual pain disorders

These including genital pain induced by noncoital sexual stimulation. This pain occurs with any type of
sexual stimulation other than intercourse. Although sexual stimulation triggers the pain, the primary
cause of the pain can include vaginal infections, prior genital mutilation (female circumcision as
practiced in some countries), or vestibulitis, a recurring inflammation and burning sensation around the
opening of the vagina.

What Can You Do?

First, recognize that you are not alone. Many women suffer from vaginal pain, and while we don't have all
the answers, we are constantly trying new treatments. Certainly it is important to at least rule out the
emotional or relationship causes for this problem. Anxiety, anger, mistrust, feelings of vulnerability,
unresolved traumatic histories can all impact on pain. From the medical standpoint, it is crucial to seek
the help from a physician who has experience treating these complaints. The answer may be as simple
as changing your laundry detergent, a treatment for a common infection, or as complicated as
vestibulitis. Either way, your doctor should work with you and continue to try different treatments until you
find something that works. Also think about trying a support group. This can be really helpful because you
will not only be reminded that you are not alone in your suffering.  You will also possibly find some
answers you are looking for as well.
North Jersey Mental Health / Hackensack, 201-488-5161
Sexual Pain Disorder
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