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Health Tips
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A physical problem related to intimacy is something that keeps the patient from having a satisfactory intimate experience. Many women encounter many kinds of problems at various stages of their lives. In this article, we have listed the seven most common sex problems that women experience. Take a look to know more!

Lack of sexual desire: A total lack of, or inhibited sexual desire is a problem that may be caused due to factors like age, menopause, stress, hormonal changes, pregnancy and child birth, depression, and even fatigue. Also, a work heavy lifestyle as well as too much focus on areas like children can lead to a situation where sex takes a backseat and after a while, lack of desire sets in.

Anorgasmia: Not being able to orgasm during intercourse despite plenty of stimulations is a problem that some women face. This condition can be of various types including primary, secondary and others, to depict a range of orgasm related issues where a proper sexual release does not occur. This can happen due to causes like infections, past sex related trauma, pain during intercourse and other issues including anxiety and depression.

Painful intercourse: This condition can also be called Vaginismus. A number of causes can trigger pain that women feel in the vaginal area during intercourse, which can lead to vaginal contractions or an involuntary spasm. The causes include endometriosis, STDs or sexually transmitted diseases, ovarian cysts, vaginititis, lack of proper lubrication during sex, and stress.

Arousal problems: Lack of sexual arousal is another problem that can happen due to lack of sufficient stimulation and lubrication which affects the blood flow to the vagina, thus preventing an erection of the clitoris. This condition may also be caused due to stress and relationship problems.

Related ailments: The presence of a chronic ailment can also lead to sexual problems for a member of either sex. When a woman is suffering from diabetes, cardiovascular diseases, drug abuse and other such ailments, then sex related activities tend to take a back seat and are often also hindered due to the symptoms of some of these conditions.

Side effects: Taking medication that has to do with depression or menopause can also have a bearing on the kind of sex life that a woman enjoys as these medicines often create hormonal imbalances and numb certain neurotransmitters with the suppressants that they contain.

Psychological factors: It has been proven medically that stress, anxiety, depression, trauma and other such factors play up on the sex life of a patient in a serious manner. Using frequent practice with proper lubrication and counselling as well, one can overcome such problems.

Sexual intercourse for humans is not only a reproductive act, but is also considered to be an emotional and pleasurable act. However, statistics report that almost 30% of the women experience pain during intercourse also known as vaginismus. This not only hampers the pleasure, but is also an unhealthy sign since it is indicative of a problem.

Vaginismus / Painful intercourse could be a regular occurrence, or a sporadic one. There could be numerous reasons that cause the discomfort and pain. Though it might be an early manifestation of grave diseases such as endometriosis or fibroids, but more often, it is triggered due to conditions such as vaginal dryness, yeast infection, bacterial vaginiosis, which can be easily treated. It is pertinent to understand that it is not the physical infirmity of the entire female anatomy that causes such pain/ discomfort, but the existence of certain conditions that can be treated by a medical practitioner.

Certain such causal factors associated with painful intercourse and the efficient ways to deal with them are discussed below:

Vaginal dryness- Vaginal dryness is one of the most commonly cited causes for painful intercourse. There are various causal factors of vaginal dryness. These include, but are not limited to, consumption of certain drugs, bathing with hot water, health conditions or even lack of foreplay. Vaginal dryness due to the aforementioned causes is a short-lived condition that can be treated well with the help of a medical practitioner. Usage of lubricants that is suitable for you, as advised by a medical practitioner, could go a long way in aiding the ease of sexual intercourse. The lubricants act as an effective substitute, if the body is unable to naturally secrete vaginal fluids to ease intercourse, thereby greatly reducing the pain that is experienced.

Improper vaginal expansion- The female anatomy is designed in such a way that it expands normally during intercourse. Proper foreplay enables the woman to get excited, which results in the release of vaginal fluids that aids in sexual intercourse. However, in the event that the female is not excited enough prior to the act, sexual intercourse can become a painful act, since the vagina is unable to expand in the absence of vaginal fluids. In such cases, take things slow and give your body time to comfortably go with the flow.


Vaginal itching caused by infection- Vaginal infections can be caused by antibiotics, prior sexual activity that has resulted in contraction of Sexually Transmitted Diseases etc. This results in an itching or burning sensation while having sex. It is essential to rest your body instead of forcing things, and to consult your doctor as soon as possible. The doctor can correctly diagnose the causal factors behind the infection, and prescribe the necessary medicines for it.

Emotional issues including fear of sex, marital issues/ disputes, etc are also leading cause of painful sex

Treatment:

However, symptoms vary from the common ones mentioned above, it is always advisable to consult a experienced doctor including a gynecologist, sexologist or sexual counselor.

Role of sexual counselor is very important, as he she can offer Sex therapy in the form of counseling, brief psychoanalysis, or behavioural therapy .This can help to address any underlying psychological issues, such as fear or anxiety, tackle any irrational beliefs that you have about sex, educate you about sex.

Also some special techniques can be taught eventually stop your vagina closing involuntarily, such as using vaginal trainers and pelvic floor exercises.

One of the common complaints associated with sexual intercourse, is vaginal bleeding. This bleeding can occur during the course of intimacy or after it. Post intercourse bleeding is also termed as post-coitus bleeding. This is known as post costal bleeding. Doctor should be consulted immediately as it may be a sign of hidden cervical cancer.

Reasons behind vaginal bleeding

In most cases, the bleeding is risk free. It could be due to extreme friction, causing damage to superficial blood vessels in the cervix. It is important to use adequate lubrication; otherwise the consequences could be annoyingly painful.
If your period dates are nearby, the source of the blood could be from your uterus.Benign growths, cysts, polyps on the cervix can cause bleeding. They are small fragile growths that rupture easily.There can also be bleeding due to inflammations that occur as a reaction to a condom or a diaphragm.

When can vaginal bleeding be difficult?


Vaginal bleeding after sex can often be a warning sign of ectopic pregnancy. Ectopic pregnancy is when implantation of an embryo takes place outside the uterus, commonly inside the fallopian tubes.

Bleeding every time after intercourse is also a common symptom of endometriosis. It occurs when the inner lining of the uterus, called the endometrial tissue, appears outside it. Endometrial tissue can attach itself to other surrounding organs in the pelvic region, generally, the abdomen, causing searing pain. It is also a major cause of infertility.

Another cause of vaginal bleeding is atrophic vaginitis, a health condition mostly affecting older women, especially those who have reached menopausal age. This is due to the massive decline in the levels of estrogen that causes vaginal dryness and irritation.

Sexually transmitted diseases could be a serious cause of vaginal bleeding. It is generally accompanied by several other symptoms such as vaginal odour, discharge, pelvic pain, inflammations. It should receive immediate medical attention.
Vaginal bleeding could be a sign of cancer. It could be vaginal, ovarian, uterine or cervical cancer. It requires medical attention without any delay.

Most of the time, the reasons for post coitus bleeding is harmless. However, if it persists, you must pay a visit to your gynaecologist as soon as possible and get a thorough evaluation done. This could save the condition from worsening and also diagnose any other underlying medical condition at an early, curable stage.

Dr. Abhijit Sangule
Dr. Abhijit Sangule
BDS, Dentist, 8 yrs, Pune
Dr. Surbhi Agrawal
Dr. Surbhi Agrawal
Specialist, Diabetologist General Physician, 8 yrs, Nagpur
Dr. Mandar Phutane
Dr. Mandar Phutane
BDS, Cosmetic and Aesthetic Dentist Dental Surgeon, 10 yrs, Pune
Dr. Mayur Patil
Dr. Mayur Patil
BHMS, Family Physician General Physician, 5 yrs, Pune
Dr. Sucheta  Mokashi
Dr. Sucheta Mokashi
BDS, Dentist, 3 yrs, Pune
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