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    gynaecology

    Painful Intercourse (dyspareunia)

    Also known as: dyspareunia, pain during sex, painful intercourse

    Dyspareunia is persistent pain with intercourse — from dryness (especially after menopause), infections, endometriosis, pelvic-floor tension or scar tissue. Gynaecological assessment identifies the cause; pelvic-floor physiotherapy and lubricants help most. Chinese medicine treats liver constraint, yin deficiency and heart-spleen patterns alongside.

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    Lifestyle & Diet

    • •Gynaecology assessment identifies the cause — treatments work.
    • •Pelvic-floor physiotherapy is a proven first-line for muscle-tension pain.
    • •Lubricants and moisturisers help dryness; oestrogen treatment after menopause.
    • •Communication with your partner reduces the anxiety cycle.

    Cautions & Contraindications

    See sources
    • •Exclude infection and structural causes before pattern work.[]

    When to reassess or seek care again

    See sources

    Review at 6 weeks with the gynaecology plan: pain scores, function, treatment response.

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    Sources & Further Reading

    Clinical guidance, red flags and safety notes on this page draw on the following current sources alongside the classical references above.

    1. Painful sex — Healthdirect
      Healthdirect Australia · 2024
    2. Sexual conditions — NHS
      NHS · 2024
    3. Sexual problems in women — MedlinePlus
      National Library of Medicine · 2024

    Educational reference for licensed practitioners. Not a substitute for individual clinical assessment. Refer to conventional care for any red-flag or undiagnosed presentation.