Dyspaerunia
The pain due to Dyspaerunia may occur repeatedly either before,
during, or after sexual intercourse. It is one of the common problems in women.
It can be primary or secondary, it may also be classified superficial or deep,
or as diffuse with every partner or situational i.e. with particular partner. Many
women suffer with pain during sex. In
many cases it disturbs the family life also. This vaginal/ genital pain may
occur due to various below mentioned causes.
Causes may be:
¬ Hormone disorder: In
which female hormones are less some other sex stimulating hormone are
disturbed. These hormone disorders may be due to any of the following causes:
Hypothalmic idiopathic hypogonadotropic hypogonadism,
Prolactinomas, Empty sella, Sheehan syndrome, Panhypopituitarism, Inflammatory
/infiltrative
¬ Ovarian lesions : Granulosa-theca
cell, Brenner, mucinous/serous cystadenomas, Krukenberg. mumps oophoritis,
Resistant ovary (Savage syndrome), Autoimmune disease.
¬ Defect in uterus or vagina : Narrow vaginal openings or small vagina,Labial agglutination/fusion,
transverse vaginal septum, Complete androgen resistance (testicular
feminization).
¬ Infections: in genital
tract or vulvae vestibule, vulvo-vaginitis.
¬ Less lubrication due to various reasons as hormone deficiency.
¬ Vaginismus: i.e.
painful involuntary contraction of vaginal introitus i.e. opening & vaginal
all.
¬ Sexual aversion disorder
¬ Connective tissue diseases leading to dryness
¬ Psychological problems: as depression & other psychiatry disorders
¬ Sex centre disorders so that proper signal of sexual excitation
does not comes from the sex centres so that pre sex secretion does not occurs.
¬ Sicca syndrome
¬ Idiopathic
¬ Neoplasm's of vagina.
¬ Any ulcerative lesions of vagina as chronic lichen planus,
herpese genitals.
¬ Pemphigus vulgaris of vagina.
¬ Decreased blood supply to vagina due to various medical
conditions can lead to diminish vaginal lubrication, pain during intercourse
¬ Vulvar vestibulitis.
¬ Restrictive upbringing, Inadequate sexual information, early
insecurity in psychosexual role.
¬ Vaginal stenosis, vaginal scarring, post surgical problems,
retroverted uterus, organic diseases of uterus, endometriosis, adenomyosis,
tubes or ovaries, chronic pelvic inflammatory diseases, urethral diverticulum
¬ Idiopathic vulvodynia.
¬ Atrophic vaginal mucosal atrophy.
¬ Sexual aversion disorder & female sexual arousal disorder
These secondary factors are as follows:
1) Fear of pain: In this the moment lady thinks of going for sex, She
starts fearing that, I may get pain again thus she start getting anxious about
pain during sex. This fear decreases her confidence leading to further
worsening of the pain. Many times due to this fear patient starts avoiding sex
& his desire for intercourse decreases.
2) Anxiety
due to anticipation of pain: Woman develops severe anxiety before real sex.
Patient develops obsessive concern for pain during sex i.e. whether or not She
can do the sexual activity without pain & can keep his partner satisfied.
This performance anxiety can be cured by sex therapy in few sittings.
3) So by sex
therapy, the patient is taught how to avoid fearing and become free of fear of
failure & performance anxiety.
4) So above
secondary problems hinder into normal recovery of sexual function even if the
original cause may have been cured.
In most cases, for cure of pain during sexual intercourse detailed sex counselling
& sex therapy is necessary.
DIAGNOSIS OF CAUSE
First step in proper treatment of Dyspaerunia is accurate
diagnosis of cause of her pain due to Dyspaerunia. So we first try to find out
cause. We take detailed history, thorough sex counselling.
DETAILED HISTORY
For diagnosis of cause of pain due to Dyspaerunia, detailed case
history is taken. Along with we suggest some lab investigations
Detailed Sex Counselling: sex counsellors meet with respective
patient, talking in detail resulting in detection of cause leading pain.
TREATMENT for pain due to Dyspaerunia
Once the diagnosis of pain due to Dyspaerunia is confirmed after detailed
history, examination, relevant investigations, we start the treatment. It
involves giving the sex therapy session, which is focused on eliminating the
anxiety & spectatoring to avoid pain..
Treatment options
1) Sex Therapy:- Sex
therapy begins with detail sex education about the anatomy of male & female
genitals. Then we give the patients specific exercises, which, the couple has
to do at their home. After every exercise session lady becomes more confident
in her sexual activity. With these exercises along with behavioural therapy,
hypnotherapy, & couple's therapy leads to cure in approximately two months.
Certain pelvic exercises also help to reduce the pain.
2) Medicines –Symptomatic
Homeopathy medicines Helps for Painful sex
Whom to contact for Dyspareunia Treatment
Dr.Senthil Kumar Treats many cases of Dyspareunia, In his
medical professional experience with successful results. Many patients get
relief after taking treatment from Dr.Senthil Kumar. Dr.Senthil Kumar
visits Chennai at Vivekanantha Homeopathy Clinic, Velachery, Chennai 42. To get
appointment please call 9786901830, +91 94430 54168 or mail to consult.ur.dr@gmail.com,
For more details & Consultation Feel free to contact us.
Vivekanantha Clinic Consultation Champers at
Chennai:-
9786901830
Panruti:-
9443054168
Pondicherry:-
9865212055 (Camp)
Mail : consult.ur.dr@gmail.com, homoeokumar@gmail.com
For appointment please Call us or Mail Us
For appointment: SMS your
Name -Age – Mobile Number - Problem in Single word - date and day - Place of
appointment (Eg: Rajini – 30 - 99xxxxxxx0 – Dyspareunia – 21st
Oct, Sunday - Chennai ), You will receive Appointment details through SMS
==--==