How can I treat pain and lack of sensation during sexual intercourse?

There could be several possibilities for your symptoms. If you are fully breast feeding your child, then there is a possibility of a low female hormonal (estrogen) environment - due to the fact that the ovary is less likely to ovulate. The lower oestrogen levels may lead to vaginal dryness and some thinning of the vagina walls, and this may lead to pain during intercourse. More foreplay and the use of lubricants can help.

If you had a vaginal delivery and had a vaginal tear repaired, then sometimes the healing process can lead to some scarring and this might lead to painful intercourse, especially at the entrance to the vagina. This can be remedied but will need careful assessment.

A yeast infection can lead to irritation and soreness and this can also lead to painful intercourse. This can be checked and treated if necessary.

Other possible reasons include growths within the uterus or ovaries. An unusual positioning of the organs might lead to painful intercourse, especially if it is during deep intercourse. A pelvic ultrasound scan should be able to pick up such growths.

For lack of sensation, it could be due to several factors as well. Besides the above mentioned, stress levels, anxiety about children/ family and a reduced pelvic floor tone after vaginal delivery can contribute. Countering stress levels and pelvic floor exercises can help.

Childbirth can also lead to over stretching of the vaginal walls and a loss of rugosity (vagina is more sensitive to stretch). Early data shows that vaginal laser therapy can lead to better elasticity of the vaginal walls with tightening and firming, which can be considered if a safe and non surgical option is preferred.

I do understand that your symptoms can be quite frustrating and hope that you are able to see a doctor who can help you with the issues.

Best regds

Dr YF Fong

I am glad that you shared these experiences. Many people do not seek help for these problems until very late, ie until after a divorce happens.

Doctors call this vaginismus, or painful sex.

It can be a rather complex condition that might require a team to treat.

Firstly you could see a friendly GP who is willing to listen to your problems and have a check below. Otherwise, you could see your usual Gynaecologist (the one who delivered your previous children) to ask them for further advice.

Treatment will depend on the underlying cause and sometimes medications, surgery or psychotherapy might be needed. But first, we need to know the possible causes for it. Take care.