Sex is great (OK, great is an understatement, but let’s move on), but what do you do when it’s not? Pain during sex is surprisingly common and can happen for a number of reasons. This week, I’m going to break a few down of the most common causes so that you can get back to screaming from pleasure, not pain.

Vaginal Dryness
Vaginal dryness is probably the most common cause of painful sex, but it’s also the easiest to deal with. Vaginal dryness can be caused by the pill or antidepressants (both lower libido) or by inadequate arousal. To remedy the problem, indulge in more foreplay before the act (easy enough) and use a water based lubricant.

Vaginal Infection
If pain is severe or you feel itchy and irritated down there, it could be an infection (like of the yeast variety).  If you think you have an infection you should see a doctor. Over-the-counter medicine like Vagisil can help with itching or pain.

Vaginismus
Vaginismus is involuntary tightness of the vagina due to contractions of the pelvic floor muscles. If penetration is regularly painful enough to make it nearly impossible, it’s time to see a doctor. There’s no known cause or quick cure for vaginismus; according to Google Health, “treatment involves extensive therapy that combines education, counseling, and behavioral exercises. Such exercises include pelvic floor muscle contraction and relaxation (Kegel exercises).” Read More »

Talking sex with your doctor isn’t always easy. Whether you are afraid she or he will judge you,  you just don’t feel comfortable sharing the intimate details of your life between the sheets, or you can’t think straight with a speculum between your legs, many people get tight lipped in the doctor’s office. But that doesn’t mean you don’t have questions.

We thought we’d help and every Thursday our friend Dr. Lissa Rankin will be answering your questions. The ones you couldn’t ask your doctor in person and didn’t really trust the Yahoo community to answer for you. Just leave your questions in the comments, or send em over to us. (We’ll keep it all anonymous for you.) Dr. Lissa will answer anything – really, anything – about sex and other lady things. Don’t be shy; she’s waiting for ya!

Q: I am not in a serious relationship, so I don’t have sex very often. When I do, though, it always hurts. Sometimes even more than the first time. Why is that? Is there something I can do so it doesn’t hurt anymore?

A: Oh, sweetie, I’m sorry! Sex is supposed to be fun, right? Isn’t sex always easy, painless, and orgasmic in the movies? Maybe so, but what you’re experiencing is not uncommon in real life.  In fact, I suffered from the same problem myself back when I was in my twenties.  Have you seen a gynecologist about this issue? There are a number of reasons you may be experiencing pain, and your doctor might be able to help you. Read More »