This week we will be talking about pain with penetrative sex. We had a 32-year-old female named Jen. She is from Omaha, Nebraska and she said that she has been having pain with penetrative sex so she asked for some recommendations on what she can do about it. 

We aren’t just going to talk about what you can do about this type of pain. We will be looking into the many reasons why there is pain with penetrative sex occurs, pain with initial penetration, pain with deep penetration, what I do to guide patients with this problem, and so much more! 

Know that you are not alone and penetrative sex is  not the end all, be all! 

Let’s get to it:

3:16 - Introduction to the topic

4:44 - Getting the right healthcare practitioner for you

5:16 – The different types of pain when having sex

6:38 – Pain with initial penetration 

7:11 – Pain with initial penetration can be due to scarring 

8:20 – Pain with initial penetration can be due to estrogen deficiency 

11:40 – Pain with initial penetration can be due to the hymen 

13:30 – Pain with initial penetration can be due to change in vaginal PH

16:48 – Stress and tension in the pelvic floor affecting our sex experience when going into deep penetration 

18:47 – Pain with deep penetration can be due to chronic hip pain, low back pain, SI joint pain

22:00 - Pain with deep penetration can be due to prolapse 

25:19 – Pain with sex can be due to not enough clitoral stimulation prior to intercourse 

28:15 – Pain with sex can be due to being tense and not feeling comfortable in your own body

30:15 – Pain with sex can be due to sexual trauma and what would be the best step forward to address the issue

31:20 – Pain with sex can be due to vaginismus, what is it, and why it happens 

35:07 – Conclusion

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I’ll see you in a week!