Treatment for Vaginal Pain During Sex

Pain at the entrance can relate to dryness, vulvodynia, Lichen Sclerosus, irritation, or pelvic-floor muscles that tighten without control. Deeper pain may be associated with Endometriosis, Ovarian Endometrioma, or Pelvic Inflammatory Disease. Genitourinary Syndrome of Menopause may cause dryness and delicate tissues. A clinician chooses treatment after discussing symptoms and examining the affected area; tests may be needed for infection or other causes.

Use a suitable lubricant, allow more time for arousal, and stop activities that cause pain. Avoid perfumed washes and products that sting. A clinician may suggest moisturising care, treatment for infection, hormone-based local treatment when appropriate, or pelvic-floor physiotherapy for muscle guarding. Counselling can help when fear or previous pain reinforces tightening. For selected endometriosis-related pain, Laparoscopic Excision of Endometriosis may be discussed after other details are reviewed. Do not start prescription or hormonal treatment without medical advice.

Arrange an appointment when pain is persistent, returns after self-care, or affects relationships. Seek urgent help for severe or sudden pelvic pain, fever, faintness, vomiting, heavy bleeding, or possible pregnancy. Sores, unusual discharge, or pain after a new sexual exposure deserve prompt assessment and appropriate testing.

Ask what cause is most consistent with the pain location, whether you need tests, how long to try each treatment, and when a specialist or procedure should be considered.