Dyspareunia: Painful Intercourse

Dyspareunia, or painful sexual intercourse,

is a common issue among women worldwide.

It may occur before, during, or after penetration and can be caused by both physical and psychological factors.

According to the National Institutes of Health (NIH),

approximately 8-21% of women globally experience dyspareunia at some point in their lives,

most commonly between the ages of 20-50.

How Common Is Dyspareunia Among Women?

Studies by the World Health Organization

and published in the Journal of Sexual Medicine

report prevalence rates between 8-21%.

It is particularly common among women in their reproductive years and postpartum period.

In Thailand, official data is limited,

but research from Siriraj Hospital, Mahidol University indicates that many Thai women experience this issue but often hesitate to seek medical help.

Causes of Painful Intercourse

• Physical causes: Vaginal dryness, infections, ovarian cysts (PCOS), endometriosis, uterine fibroids, usage of some medicine causing vaginal dryness

• Psychological and emotional causes: Stress, anxiety, negative sexual experiences, relationship problems

• Hormonal imbalance: Postpartum or perimenopausal changes

Diagnosis: What Tests Are Required?

1. Comprehensive sexual and medical history with a gynecologist
2. Pelvic examination and ultrasound of the uterus and ovaries
3. Blood and hormone tests (Estradiol, Progesterone, Testosterone
4. If no physical abnormality is found, referral to sex therapy and clinical psychology may be recommended

Treatment Options for Dyspareunia

• Medical treatment: Antibiotics, antifungals, hormone therapy, or surgery for severe cases
• Lifestyle and behavioral adjustments, including lubricants and pelvic floor exercises
• Sex therapy and counseling: For cases linked to emotional or relationship factors

Our Diagnostic Services at Clitoria Clinic

Clitoria Sexual Health Clinic (Phetkasem 81) provides diagnosis and treatment by board-certified gynecologists.

Pelvic exam + uterus & ovary ultrasound: 1,990 THB

Hormone testing see price list below.

We also offer integrated care by collaborating with sex therapists and clinical psychologists to address physical, emotional, and relational factors,

helping you restore confidence and intimacy in your relationship.

Contact Clitoria Clinic

• Phone: 081-116-3788
• LINE: @dr.clitoria

References:

1. Vliet, E.L. et al. (2010). Dyspareunia: Causes and Management. Journal of Sexual Medicine, 7(1), 1-13.
2. National Institutes of Health. Dyspareunia Overview
3. Siriraj Hospital, Mahidol University. Women's Health