💔 Painful Sex? Couples Communication & Adaptation | Dyspareunia Help https://thewomenshealth.clinic/faq/ho...
😥 When Sex Hurts: Rebuilding Intimacy Through Communication (Dyspareunia Help)
Painful intercourse, known medically as Dyspareunia, affects up to 20% of women at some point in their lives, creating a unique emotional burden for both partners. It is essential to recognize that pain during sex is a medical symptom, not a relationship failure.
In this video, we explore clinical strategies for open and compassionate communication recommended by experts like Dr. Farzana Khan, MD, MRCGP, DFFP. Dr. Khan specializes in sexual and reproductive health, vaginal health, and sexual function concerns.
Key Communication Strategies: Open communication is the foundation for adaptation and trust.
Create a Safe Space: Choose a calm, neutral time to discuss the pain, avoiding moments immediately after a painful experience.
Use "I" Statements: Focus on the symptom rather than blame. For instance, the person in pain can say, “I feel a sharp, burning sensation at the entrance when we try penetration,”.
Name the Emotions: Acknowledge feelings such as, “I feel frustrated and sad that we can’t connect the way we used to,” to reduce their power.
🛠️ Practical Tools for Intimacy & Adaptation: Couples need tools to manage anxiety and redefine closeness beyond penetration.
The Traffic Light System: This provides real-time feedback and control. Use Green ("This feels good, keep going"), Amber ("Slow down, don't go deeper"), or Red ("Stop immediately"). Using this system builds trust by ensuring the partner can stop the pain instantly.
The "Sexual Menu": To combat the destruction of connection caused by stopping all intimacy, couples should write a "Menu" of currently safe activities, such as massage, oral sex, or naked cuddling. Agreeing beforehand to only "order from the Menu" removes the anxiety related to penetration.
Scheduling Intimacy: For those dealing with pain, spontaneity can feel like anxiety. Scheduling "intimate time" allows for preparation (like using dilators or relaxation techniques) and reduces the fear reflex.
Sensate Focus: This technique, developed by sex therapists, involves couples taking turns giving and receiving touch without the expectation of orgasm or penetration, rebuilding trust in physical connection.
Seeking Professional Help Together: Painful sex benefits from professional input, and couples who approach treatment as a team often report stronger relationships and better outcomes. Causes of Dyspareunia can include hormonal changes (low oestrogen), pelvic floor dysfunction, or skin conditions like lichen sclerosus.
Pelvic Health Physiotherapy: Specialists can teach relaxation exercises and graduated dilator therapy.
Psychosexual Therapy: A trained therapist can help address the emotional and relational impact, including the fear-pain cycle that perpetuates muscle guarding (vaginismus).
Medical Options: Treatment for the root cause may involve topical oestrogen for vaginal atrophy or managing underlying conditions like endometriosis.
Remember: Forcing penetration through pain can worsen the condition by creating a fear-pain cycle; pain is a signal to stop and seek help.
Dr. Farzana Khan’s Expertise: Dr. Farzana Khan qualified as an MD from Copenhagen University in 2003 and holds the Diploma of the Faculty of Sexual & Reproductive Health (DFFP, 2013) and MRCGP (2013). She has over 20 years of medical experience, specializing in women's health, including the careful assessment and discussion of medical and conservative options for vaginal health and sexual function concerns. She is also a KOL/Trainer for Neauvia, Asclepion Laser, and RegenLab.
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