The Ob-Gyn Center in Las Vegas provides compassionate care for women experiencing painful intercourse, also known as dyspareunia. Our experienced OB/GYNs help identify the cause, relieve discomfort, and restore sexual comfort and confidence through personalized treatment.
What Is Dyspareunia?
Dyspareunia refers to pain during or after vaginal intercourse. The discomfort can range from mild irritation to sharp or burning sensations and may be:
- External (entry pain): Felt at the vaginal opening
- Internal (deep pain): Felt deeper in the pelvis during thrusting
- Consistent or occasional
- Linked to specific positions or always present
Understanding when and where the pain occurs is essential for determining the cause and best treatment plan.
Common Causes of Painful Intercourse
Physical Causes
- Vaginal dryness (often after menopause or childbirth)
- Hormonal changes from perimenopause, breastfeeding, or medications
- Vaginal atrophy (thinning and inflammation of vaginal tissues)
- Endometriosis
- Pelvic inflammatory disease (PID)
- Ovarian cysts or fibroids
- Urinary tract infections or interstitial cystitis
- Sexually transmitted infections (STIs)
- Vaginismus (involuntary tightening of vaginal muscles)
- Pelvic floor dysfunction
Emotional and Psychological Factors
- Past trauma or sexual abuse
- Anxiety, depression, or relationship stress
- Fear of pain, which can increase muscle tension
In many cases, discomfort is linked to both physical and emotional factors. Our OB/GYNs in Las Vegas provide compassionate, individualized support to address all aspects of your care.
When to See a Provider
You should schedule an appointment if you:
- Avoid intimacy due to pain or fear of discomfort
- Experience new or worsening pain with intercourse
- Notice vaginal dryness, itching, or burning
- Have difficulty with arousal or orgasm due to pain
- Are unsure whether your symptoms are normal
Sex should never be painful. Early evaluation can help identify the cause and restore comfort and confidence.
Diagnosis
Your provider will take time to understand your symptoms, sexual health history, and overall well-being. Diagnosis may include:
- A detailed discussion of symptoms and medical history
- Gentle pelvic exam to assess vaginal and pelvic tissues
- Testing for infections, inflammation, or hormonal changes
- Ultrasound or STI screening if needed
We provide a safe, respectful environment where you can speak openly and receive the care you deserve.
Treatment Options
Treatment is tailored to your individual needs and the underlying cause of discomfort. Our goal is to help you feel comfortable and confident again.
Non-Hormonal Support
- Vaginal lubricants and moisturizers
- Counseling or sex therapy for emotional or relationship concerns
- Pelvic floor physical therapy for muscle tension or vaginismus
Hormonal Treatments
- Vaginal estrogen (cream, tablet, or ring) for dryness or atrophy
- DHEA suppositories for tissue support without systemic estrogen
- Systemic hormone therapy for broader menopausal symptoms
Advanced Options
- Vaginal laser therapy to restore tissue tone and moisture
- Medications for endometriosis or PID-related pain
- Referral for trauma-informed counseling if needed
Our providers collaborate closely with each patient to ensure comfort, respect, and lasting results.
You Deserve Comfortable, Fulfilling Intimacy
Pain during sex is not something you have to tolerate. With the right care, most women find significant relief and rediscover confidence and intimacy.
Ready to talk with an OB/GYN in Las Vegas?
Call 702-978-8900 or request an appointment at The Ob-Gyn Center today.