The A Project

Painful intercourse has many causes.

In women, the causes are more varied and complex: There may be vaginal dryness, which could be caused in two ways. It could be that a woman is not aroused enough to lubricate because there has not been enough foreplay before penetration. Or, she may not have enough of the hormone estrogen in her system to create lubrication. This type of vaginal dryness is often associated with perimenopause or menopause. Other physical causes include endometriosis, infection, yeast overgrowth, or allergic reaction to latex or spermicide.

Emotional causes of painful intercourse for women include gender identity conflict, a history of rape or incest, or intense childhood suppression of sex, all of which can lead to vaginal spasms that prevent penetration. Other emotional causes include hostility, anger, or resentment toward her partner or previous partners.

It is best to consult a health care professional to determine the cause and get the best treatment.