Pain During Sex, Causes and Treatments with Dr. Gretel Palacios

Pain during sexual intercourse, also known as dyspareunia, can be a distressing problem for many people. To address the issue scientifically and with great empathy, Dr. Gretel Palacios, specialist in Gynecology, tells us what the possible physical causes are, from infections, endometriosis, vaginismus, fibroids and more, the emotional and psychological factors that could be causing the problem. and the treatment to be carried out to achieve a happy ending. Exclusively with Lorena Martínez for SaludPanama.com. 

We share some considerations about this topic, from a medical perspective:

1. Physical causes:
   • Infections: Urinary tract infections, vaginitis or sexually transmitted diseases can cause pain.
   • Endometriosis: This condition occurs when tissue similar to the uterine lining grows outside the uterus and can cause pain during sex.
   • Vaginismus: It is an involuntary contraction of the vaginal muscles that makes penetration difficult.
   • uterine fibroids: These non-cancerous tumors in the uterus can cause discomfort during sexual intercourse.
   • Scars or previous surgeries: Scars or surgeries in the pelvic region can affect comfort during sex.
2. Emotional and psychological factors:
   • Anxiety or stress: Emotional concerns can affect sexual response and cause pain.
   • Previous sexual trauma: Traumatic experiences can influence the perception of pain.
   • Relationship problems: Conflicts or lack of communication between the couple can contribute to pain.
3. Transmission:
   • Consult a healthcare professional to evaluate the underlying cause.
   • Specific treatment depending on the cause: antibiotics for infections, hormonal therapy for endometriosis, sexual therapy for vaginismus, etc.
   • Cognitive-behavioral therapy to address emotional factors.

Remember that each person is different, and it is important to seek medical help for an accurate diagnosis and appropriate treatment plan. If you experience pain during sexual intercourse, don't hesitate to talk to a health professional.