"If your gynecologist can't find the source of your pain, see a sexual pain specialist."
(MARJORIE GREEN)
Q: Why does it hurt when I have intercourse?
A: Painful intercourse can have a wide range of physical or psychological causes, from bacterial infection to anxiety to hormonal changes due to menopause. If sex hurts, see your gynecologist and discuss the pain in as much detail as you can. Jot down basics such as:
• When the pain began
• Where you feel it (at the opening of your vagina? deep inside?)
• The nature of the pain (is it sharp? dull?)
• Whether the pain starts and stops with penetration
• If you've noticed any unusual vaginal discharge
Q: I told my physician that sex hurts and she told me that I should just try to relax. Should I get a second opinion?
A: Absolutely! Sex should not hurt. Discuss the pain with a gynecologist as soon as possible, and if he or she can't help you, ask for a referral to a doctor who specializes in sexual pain.
Q: I've been treated repeatedly for the same vaginal infection, but sex still hurts. Could there be another reason for my pain?
A: Ask your gynecologist to examine you more thoroughly to ensure that you're being treated for the right problem. For instance, what may resemble a garden-variety yeast infection could be trichomoniasis, noninfectious vaginitis, or even an allergic reaction to yeast medications, a skin condition, or a reaction to your birth control. If your gynecologist can't find the source of your pain—or insists on the original diagnosis—make an appointment with a sexual pain specialist.
