Why do I have pain in my lower stomach during sex?
This genital pain called dyspareunia is common (present in 5-30% of women). There are local treatable causes
| Causes | Treatment | |
|---|---|---|
| orificial dyspareunia | -vulvovaginitis -vulvar dermatitis -congenital malformation of the hymen -vaginal stenosis after childbirth: episiotomy scar or tear Local | -antibiotic or antifungal -corticosteroids or surgery -Surgery -self-massage and healing cream, or surgery |
| deep dyspareunia | -pelvic inflammatory disease -Endometriosis -adenomyosis -the Masters and Allen syndrome (obstetric laceration of uterine ligament), the uterine retroversion -sequelae of surgery (including hysterectomy) or radiation | -antibiotics or surgery (laparoscopic) -hormone (LHRH analog in) or surgery -hormone (progestin) -Surgery -specific treatment |
Victor Hugo