Pain During Intercourse (Dyspareunia): Don't endure. Don't be ashamed. Don't blame each other.
Clitoria Clinic Sexual Health & Pelvic Exams, Phetkasem 81, Bangkok
Friendly doctors, Home-like atmosphere, sex-positive and non-judgmental care.
Pain During Intercourse (Dyspareunia):
Don't endure. Don't be ashamed. Don't blame each other.
Dyspareunia is pain in the genital or pelvic area that can occur before, during, or after vaginal penetration.
It may be superficialpain right at the start of penetration (e.g., at the vaginal opening or the vestibule).
Or it may be deeppain felt deep in the pelvis during intercourse.
Symptoms
- Burning/aching at the vaginal opening at initial penetration, or deep pelvic pain with deep thrusting
- Burning, itching, or irritation at the introitus or inside the vagina
- Vaginal dryness; friction/tightness
- Persistent pain after intercourse or abnormal bleeding
- Impact on mood, intimacy, and self-confidence
Doctors Advice
Pain is not something to just tolerate, and it isnt anyones fault. Proper evaluation helps identify treatable causes. Many patients improve significantly with behavior adjustments plus pelvic floor therapy and/or targeted medication.
Services for Pain During Intercourse
Doctor Visit & Pelvic Exam
Price: 1,390 THB
STI Screening
Price: 2,590 THB
UterusOvary Ultrasound
Price: 1,990 THB
ThinPrep + HPV (14 types)
Price: 2,590 THB
Psychologist / Sexologist Consult
Relationship and behavior support
Individual: 1,390 THB / 1 hr
Couples: 2,290 THB / 1.5 hrs
Sex Hormone Tests
Estrogen: 700 THB
Progesterone: 700 THB
Testosterone: 700 THB
Tel 081-116-3788 · LINE OA: @dr.clitoria
Pain During Intercourse (Dyspareunia)
Dyspareuniapain during sexis common among women and may have both physical and psychological causes.
Research from the National Institutes of Health (NIH) reports that about 821% of women worldwide experience pain with intercourse at least once, most often between ages 2050.
How common is it?
Studies by the WHO and the Journal of Sexual Medicine place prevalence at 821%.
It is more frequent during reproductive years and post-partum. Official Thai statistics are limited, but data from Siriraj Hospital, Mahidol University suggest many Thai women are affected yet hesitate to seek care due to embarrassment or believing it isnt important.
Causes of Dyspareunia
- Physical causes
- Insufficient lubrication / vaginal dryness low estrogen (menopause, breastfeeding), certain medications (antidepressants, antihistamines, some contraceptives), or inadequate foreplay
- Vaginal inflammation/infection yeast, bacterial vaginosis, gonorrhea/chlamydia, trichomonas, herpes, cervicitis
- Pelvic floor overactivity / vaginismus
- Gynecologic diseases endometriosis, ovarian cysts/PCOS, pelvic adhesions, uterine fibroids
- Dermatologic/mucosal lesions of the vulva dermatitis, herpes, abscess, lichen sclerosus
- Psychological & relationship factors
- Psychological stress, anxiety, fear from prior painful experiences
- Relationship limited communication with a partner, relationship conflict
Diagnosis: What tests might be needed?
- Sexual history and physical exam to identify the site and nature of pain
- Pelvic exam and uterusovary ultrasound as appropriate
- Blood and hormone tests: estradiol, progesterone, testosterone
- Cervical cancer screening: Pap/ThinPrep + HPV as indicated
- Infection screening based on history
- If no physical cause is found, referral for sex therapy with a psychologist/sexologist
Treatment Options
- Treat the physical cause: antibiotics, antifungals, hormone therapy, topical estrogen for GSM/menopause, or surgery
- Behavior & communication: water/silicone-based lubricants, avoid irritants, increase foreplay, adjust to comfortable positions
- Pelvic floor physiotherapy: relaxation/strength training; graduated vaginal dilators
- Holistic care: psychotherapy, couples therapy, or sex therapy when psychological or relationship factors are present
Diagnostic Services at Clitoria Clinic
At Clitoria Clinic (Phetkasem 81, Bangkok), examinations are performed by a gynecology specialist.
Pelvic Exam + Uterus/Ovary Ultrasound package: 1,990 THB
Hormone testing: priced per table/list.
We collaborate with sexologists and psychologists for comprehensive careaddressing body, mind, emotions, environment, and relationshipso you can return to a healthy, happy partnership.
See details of sexual counseling here.
Contact the Clinic
- Tel: 081-116-3788
- LINE: @dr.clitoria
References:
- Vliet, E.L. et al. (2010). Dyspareunia: Causes and Management. Journal of Sexual Medicine, 7(1), 113.
- National Institutes of Health. Dyspareunia Overview
- Faculty of Medicine Siriraj Hospital, Mahidol University. Womens Health
