Welcome to sexy ways
Welcome to sexy ways
Experiencing pain during sex is not uncommon, but it can be indicative of underlying issues. Initially, I didn't feel pain during penetrative sex, but it developed over time, possibly due to a negative first sexual encounter that left emotional scars. Despite consulting medical professionals, the cause of my pain remained elusive, which led me to wonder if the problem was psychological.
Historically, the medical community viewed painful sex as either a physical or psychological issue. However, current classifications, such as the DSM's Genito-Pelvic Pain/Penetration Disorders (GPPPD) and ISSVD's terminology for vulvar pain, recognize a spectrum of factors that can contribute to sexual pain. According to Talli Rosenbaum, M.Sc., a specialist in genital pain disorders, a biopsychosocial approach encompassing biological, psychological, and socio-environmental factors is necessary to understand and treat genital pain.
The misconception that some level of pain is expected during sex, particularly the first time, is a harmful myth. It's crucial to understand that virginity is a social construct and that female pleasure should not be sidelined. Strategies such as using lubricant, ensuring sufficient arousal, or exploring non-penetrative forms of pleasure can mitigate discomfort. Persistent pain may warrant professional evaluation, especially if it affects other aspects of life, like using tampons or wearing certain clothing.
Due to the multifaceted nature of sexual pain, a multidisciplinary approach involving gynecologists, urogynecologists, vulvovaginal specialists, dermatologists, neurologists, pain management specialists, and pelvic floor therapists may be necessary. It's important not to be discouraged if a clear diagnosis isn't immediately available.
Treatment options can include medications, topical treatments, and pelvic floor therapy. However, addressing the psychological and emotional aspects of sex is also crucial. Techniques such as psychodynamic therapy, cognitive-behavioral therapy (CBT), sensate focus exercises, and mindfulness may be beneficial.
Through improved communication and boundary-setting, I've significantly reduced the pain I once felt during sex. Recognizing that sex shouldn't be painful was the first step toward finding pleasure in intimacy again. It's essential to advocate for oneself and seek sex that is enjoyable and free from pain.