Generally, this is due to vaginal dryness. Vaginal walls become thin with age, because oestrogen production declines too. It's a hormone produced in the ovaries, and responsible for secreting mucus and other substance that serve as lubricants in the vagina. There may be psychological reasons too. The treatment depends on the reason. Don't worry if your doctor for dyspareunia treatment in London would ask questions about your sexual history and do physical examinations (with your consent) to identify whether what you feel is superficial or deep dyspareunia. Below we've compiled some potential solutions to the problem:
- Increase in natural lubrication: When your treatment on dyspareunia in London doctor determines that vaginal dryness is the cause for dyspareunia, he or she can recommend advice on how you can ease the pain during coitus. The vagina becomes lubricated when the woman is aroused, so increased stimulation and foreplay length, to reach maximal arousal level before penetration are recommended.
- Change in coital position: Although this can't possibly make the pain entirely go away, it can limit it. The sex therapist or doctor in the dyspareunia treatment in London clinic might advice you and your partner to experiment on different sexual positions that can alleviate the pain you feel.
- Hormonal Replacement Therapy, Lubricants and vaginal moisturizers: If natural lubrication is inadequate, artificial lubricants can be used too. Topical estrogen can be applied directly to the area, to increase lubrication. There are water-soluble (should be applied liberally) and medical lubricants available also. Seek the advice of a professional before choosing a product to use, as some lubricants may contain substances that are not compatible to you or cause side effects you'd rather not have. Petroleum jelly should not be used. Over the course of weeks, you can report improvements to the doctor.
- Antibiotics, creams and other medications: If the pain is determined to be caused by trauma, injury to the vaginal area, or caused by infection, then you'll be given certain medications for intake by the treatment on dyspareunia London doctor you have. Some dyspareunia cases were reported to have been caused by urinary tract, fungal or yeast infections which may cause inflammation, itching and pain. Sexually transmitted diseases may also be a cause for dyspareunia; be honest with your doctor when asked.
- Therapy: A dyspareunia treatment in London clinician may refer you to a psychologist or therapist to manage the condition. A therapy for desensitization and counselling can be done. Sessions will include vaginal relaxation techniques or pelvic exercises, with the goal of decreasing the pain over time. It's also needed to manage any negative emotional response you may have to sexual stimulation and change any negative behaviours or thoughts towards the act of coitus, most especially for women who have a history of sexual abuse, partner issues or domestic violence.
- Pain relievers and desensitizing gel: On some cases, you could be given the option of using medications to make you numb to pain. However, note that this also means you'll be numb to other sensations- like pleasure.
- Surgery: Surgical procedure is needed for women with endometriosis (pelvic pain due to endometrial tissue appearance in the outer uterus), cysts, or to remove scar tissues that have gathered deep inside the vagina.
- Non-surgical treatment: Atrophic vaginitis can be treated non-surgically using laser technology. An example is the MonaLisa Touch procedure, which stimulates collagen production and restores the blood flow and functionality of the genitalia.
To add more information, dyspareunia affects both men and women, though more common in the latter. Having dyspareunia can obviously affect intimacy and sexual relationship with your partner. Since it's a treatable condition, you must inform a discomfort of vaginal clinic in London the soonest after you detect its presence.