Painful Intercourse(Dyspareunia)

Dr. Narender Singh Tanwar tells about Dyspareunia,its reasons and treatment.......
PAIN DURING INTERCOURSE.....When woman feel pain during intercourse due to failure of vagina to relax and decrease of love flow from vagina, this condition is known as dyspareunia.woman whom encountered this have sexual desire they are not frigid but dificulty and pain is sex make them more anxious resulting in more tightening of there vagina making condition more sever .they tighten there pelvic muscle in start of sex that make there vagina canal more tight aggravating the diseaes.
Cause of painful intercourse (dyspereunia) are:
1.Lack of lubrication-This can be due to nervousness, hang-ups and failure to relax. Unskilled 'foreplay' by the man is a common cause because some woman like to have more foreplay . if woman like to have half an hour foreplay and get just 10 minutes will not get properly lubricated.
2. Menopausal or post-menopausal dryness:due to fall in hormaonal level in late forities woman feel dryness of vagina beside other symptom of post menopause syndrome. Treatment with HRT pills or or hormone cream will usually And ordinary sex lubricants will help too.
3.Vaginal infections-These are very common.
4.Injury
5.Genital warts-These are awfully common in these days of fairly promiscuous sex. Occasionally the warts can cause pain, especially if they get infected.
6.Vulvitis-This means inflammation of the vulva (the opening to the vagina). It can be due to all sorts of causes, including chemicals in bubble-baths or soaps.
7.Haematoma of the clitoris- It's a bruise (or collection of blood) in the clitoris, caused by excessive friction.
8.Urethral caruncle-This is a tender patch that develops at the urinary opening.
9.Foreign body in the vagina-The usual culprit is a forgotten tampon. It may cause pain, especially if the tampon causes an infection.
10.Cancer-A rare cause of intercourse pain. But it must be borne in mind in a woman who develops this kind of pain for the first time after the age of 40.
11. vaginismus: last but most important . this is spasm of vaginal muscle that tight vagina
TREATMENT:treatment usually comprise of surgery, medicine and pshycocounselling and use of dilators and lubricants.

Vaginal Dryness

Whenever couples have marital relations some ladies feel as their vagina is completely dry and there is no moisture as a normal woman produce.It sometimes occur,that the vagina is not sufficiently lubricated by foreplay to permit easy intercourse.This may be due to many reasons,among which may be past infection.In some cases,the woman has not been stimulated sufficiently by the husband prior to engaging in the marital act.If you are not getting aroused enough before sex,discuss this with your partner.You simply need to spend some more time at foreplay.Physicians sometimes recommend the use of some bland neutral substance such as K-Y jelly.but if you need to use something of that sort please visit your doctor for advice.

Aphrodisiacs

Aphrodisiacs are those substances that supposedly induce or boost sexual desire in a person.Several herbs,chemicals,plants,drugs,foodstuffs and other substances are claimed to have positive effects on the human sexual function.However,there is no scientific evidence to back this up.Also,many so called aphrodisiacs can be potentially toxic and thus harmful.It is absolutely not advisable to try anything without intensively researching it first,although it may be difficult to find authentic and accurate information because of the lack of scientific evidences on th efficacy and safety of certain substances in human beings.Much of the existing evidence is very subjective and anecdotal.nonprescription herbal drugs,vitamins,plants and supplements that claim to enhance sexual performance or alleviate erectile problems are mostly found to be ineffective.

Ageing & Sexual Functioning

Many married women 30-45yrs of age wants to know that if ageing affect sexual functioning and if yes then how? What measures can be taken to counteract these changes of ageing?
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It is true that there are some changes that affect our sexual functioning as we age .For most women,estrogen and progesterone levels drop during their menopause in their 40s and 50s,owing to which,women gradually stop menstruating.Some women also experience a drop in testosterone which is responsible for sexual desire.when these hormones decline in a woman,she is likely to experience vaginal dryness,irritation and possibly,a diminishing of sexual desire and response at this time of her life,unless she undergoes hormone replacement therapy(HRT).Getting a complete hormonal evaluation done,exercising the pubo-coccygeal muscles,keeping yourself physically fit,using a vaginal lubricant during intercourse,and staying sexually active are the ways to subvert the changes of ageing.