Pelvic Pain During Sex Dyspareunia Causes, Symptoms, and Treatments Pelvic Rehabilitation Medici 

Dr. Allyson Shrikhande, Chief Medical Officer at Pelvic Rehabilitation Medicine discusses dyspareunia, which is pain with intercourse or pain post intercourse. Pain with intercourse itself can have a strong emotional impact. Quite often, it can lead to avoidance of intercourse with your partner. Find out more about pelvic pain during sex with some of the causes, symptoms, and treatments.
At PRM, we focus solely on pelvic pain, and our goal with the first appointment is to understand and connect your symptoms to the nerve and muscle pain and dysfunction that you are experiencing. This helps us determine the treatment which will be most effective for you!
Topics discussed include:
Pain with intercourse vs pain after intercourse
Issues painful intercourse can cause
Questions we ask to determine where pain the pain may be originating from
Dr. Shrikhande is the Chief Medical Officer of Pelvic Rehabilitation Medicine. She distilled her global expertise into a minimally invasive, cutting-edge approach to the treatment of pelvic pain and pelvic floor muscle dysfunction. With an extensive background in mainstream clinical medicine, she also makes use of many alternatives, holistic and homeopathic approaches. She has published peer-reviewed articles on the treatment of muscle pain in academic journals and works closely with renowned pelvic pain gynecologists and urologists.
At Pelvic Rehabilitation Medicine, our pelvic pain specialists provide a functional, rehab approach to pelvic pain. When you visit one of our offices, you spend an hour with your doctor reviewing in detail your medical history and symptoms. Then, we perform an internal exam (no speculum) to evaluate your nerves and muscles. Together, we'll discuss an individual treatment plan that gets to the root cause of your pain and helps you to feel better. The best part: you can begin treatment the same day!
At PRM, our mission is to decrease the time patients are suffering from pelvic pain symptoms.
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Transcription:
Dyspareunia is pain with intercourse or pain post intercourse. Pain with intercourse itself can have a strong emotional impact. Quite often, it can lead to avoidance of intercourse with your partner. It can lead to relationship issues with your partner. It can lead to a fear of intercourse and this fear can lead to something we call Vaginismus. When patients are in fear of intercourse, the muscles surrounding the vaginal opening can clamp down, so to speak. It can also lead to emotional distress, anxiety, as well as sleep disturbances, all secondary to the pain with intercourse. We do always ask, is it more of a superficial burning sensation? Which can often be associated with entrance pain or Vulvodynia symptoms, and at that point, it's important to evaluate any underlying hormonal cause or underlying infection such as a yeast infection. Or is it more of a deep, penetrating pain? The pelvic floor muscles are important in evaluating and treating as well as any underlying organ disorders potentially within the female system such as ovarian cyst or a fibroid.