Dyspareunia is a persistent or recurrent pain that can happen during sexual intercourse.
Painful intercourse can affect both men and women, but it is more common in women. It is thought to affect up to 20% of women
A variety of factors, both physical to psychological, can contribute. Treatment normally focuses on the underlying cause.

The defining symptom of dyspareunia is pain with intercourse that may occur at the vaginal opening or deep in the pelvis. The pain may be localized, or there may be a broader sense of discomfort. Sensations vary including aching, throbbing burning, or whatever unpleasant sensation you may feel.

Dissatisfaction with, or disinterest in, intercourse can result. Causes of dyspareunia are varied and include physical factors, psychological factors, or both. The location of the pain may help identify a specific physical cause

Physical causes

Entry pain may be associated with vaginal dryness, vaginismus, or genital injury.
Vaginal dryness can cause issues. During sexual arousal, glands at the entrance of the vagina secrete fluids to aid intercourse. Too of this lubrication can lead to painful intercourse.

Inadequate lubrication can arise from: a lack of foreplay, a reduction of oestrogen, especially medications particularly after menopause or childbirth; medications, including certain anti-depressants, antihistamines and sometimes the birth control pill.

Vaginismus is the involuntary contraction of the pelvic floor muscles, leading to painful sexual intercourse. [CLICK HERE for more information on Vaginismus]

Genital injury: Any trauma to the genital region can lead to dyspareunia. Examples include pelvic surgery, or injury arising from an accident.

Painful intercourse is also common after childbirth. Some research suggests 45% of participants experienced infections or sexually transmitted infections (STIs) can also lead to painful intercourse.

Skin disorders can affect the genital area, and irritations or allergic reaction to laundry detergents or personal hygiene products can cause issues.

Deep pain
If pain occurs during deep penetration or is more acute in particular positions, it may be the result of a medical treatment, or a medical condition

Medical treatments that can lead to pain include pelvic surgery, hysterectomy, and some cancer treatments.
Medical conditions could include cystitis, endometriosis, fibroids, IBS, ovarian cysts, pelvic inflammatory disease, uterine prolapse

Psychological Causes
Some common emotional and psychological factors can play a role in painful intercourse, such as anxiety and fear. Depression can inhibit sexual arousal as can some anti-depressants, which can also contribute to vaginal dryness.
A history of sexual abuse or sexual violence may contribute to dyspareunia.

Pain should always be investigated, so visit your doctor or physician if you have this issue.

How can I help
Hypnosis has been proven in medical studies to reduce or eliminate pain during sex.