Differences between superficial dyspareunia and profound dyspareunia

Dyspareunia is the medical term for pain during or after intimate intercourse: it can be superficial or profound depending on the location. It is always good not to underestimate it and consult the gynecologist.

This article was written in collaboration with our doctors and professionals

What is dyspareunia

“ Dyspareunia” is the medical-scientific term used to indicate the pain in the vulva and / or lower abdomen that a woman may experience during or after (up to 2 days after) an intimate relationship . No coincidence that the name, which comes from the greek, originates from: dys (bad) and pareunos ( which  lies next door).

Depending on the location of the spasms and twinges, which can be mild but in some cases even strong, it is divided into:

  • superficial dyspareunia
  • profound dyspareunia

In this article, we clarify the meaning, differences and symptoms of dyspareunia .

Differences between superficial dyspareunia and profound dyspareunia

 By superficial dyspareunia we mean the pain localized in the outermost part or at the level of the vagina, the one that is felt immediately, during penetration . This is the most frequent type of dyspareunia because it is mostly linked to physiological changes.

  • When the pain is deep, that is localized internally in the lower abdomen, we speak of profound dyspareunia , the one that is generally felt during or after intercourse.

In general, pain related to love has no age: it can arise both in girls (among which it can have more psychological implications) and in women of mature age. In this second case, dyspareunia can be the consequence of hormonal changes related to menopause .

Faced with this situation it is important that you go to a gynecologist without embarrassment . It is important that you know how to report the exact location of the pain in order to make a correct diagnosis. Only the specialist after checking your situation with a normal visit, can ascertain the exact nature of your ailments and identify suitable treatments for you.

Causes and consequences of dyspareunia

Causes and consequences of dyspareunia can be closely linked. In menopause, some physiological changes can cause pain during love , such as Vulvo Vaginal Atrophy .

The poor natural lubrication due to the drop in estrogen (characteristic of the end of the fertile age) has the most direct consequence of vaginal dryness , which alone can make love difficult and cause pain during intercourse or after, as a consequence of micro -lacerations of the mucous membranes.

However, Vulvo Vaginal Atrophy could also cause other disorders that lead to pain or discomfort during intimate intercourse:

  • intimate itching
  • burning
  • blood loss

In the face of these disorders, even if the pain seems “bearable”, it is important not to ignore it and to warn your trusted specialist. Listening to and managing these pains could help you continue your intimate life peacefully. .

How to recognize profound dyspareunia: the symptoms

If faced with painful love many women, out of shame and embarrassment, tend to “endure” hoping that sooner or later it will go better , a particularly intense pain, as could occur in the case of profound dyspareunia, can often cause concern .

We summarize, below, what are the signs to recognize profound dyspareunia, which can sometimes manifest itself in conditions other than those of intimacy:

  • pain deep in the abdomen during intercourse (acute from certain positions)
  • pain even when inserting a tampon
  • pain even during a gynecological examination and diagnostic tests

What can be done about dyspareunia?

Pain during intercourse may not resolve spontaneously . For this reason, if you want to find a solution to this problem and rediscover pleasure in your life as a couple , you need to talk to a gynecologist.

A specialist visit is the scientific means at your disposal that can indicate a suitable and personalized treatment to regain your well-being as a woman and the understanding with your partner.


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