Pain During Intercourse: An Indication of Uterine Fibroids

Pain During Intercourse

While some individuals with uterine fibroids may not show any symptoms, others can experience significant pain that disrupts their daily lives. Larger fibroids are more likely to cause discomfort, often felt as a heavy or pressured sensation in the lower abdomen or pelvis. Many women describe this discomfort as a dull ache that makes it challenging to lie face down or bend over. The severity of the pain can vary based on the size, location, and number of fibroids present. Pain during intercourse, medically referred to as dyspareunia, is characterized by ongoing or recurring discomfort that can occur before, during, or after sex. This pain may be experienced externally in the vulvar region, including the labia or vaginal opening, or internally in the cervix, uterus, or lower abdomen. Uterine fibroids can contribute to such discomfort, causing both physical pain and emotional distress. If you are experiencing pain during sexual activity, it may be beneficial to undergo an evaluation for fibroids. Early diagnosis can help alleviate your symptoms more swiftly and restore your regular routine. Our physicians at fibroid clinics provide minimally invasive, image-guided treatments for fibroids and their related symptoms, including pain during intercourse.

Signs of Pain During Intercourse

The most common symptom of dyspareunia in women is pain during intercourse, which can be felt at the vaginal opening or deep within the pelvis. This pain may be confined to a specific area or radiate throughout the entire genital region. Furthermore, sexual activity may become difficult or uncomfortable due to additional related issues, particularly if uterine fibroids are present. Other symptoms you may encounter include:

Intense Pain During Penetration Or At The Point Of Entry
Deep Pain During Thrusting
Burning Sensations
Pelvic Cramping
Pulsating Or Achy Pain Following Sexual Activity
Muscle Stiffness Or Cramping

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Causes of Pain During Intercourse

Pain during intercourse can arise from a range of factors, including physical conditions, gynecological issues, and emotional factors. Uterine fibroids are a prevalent cause of painful sex, largely due to their size and location. Larger fibroids can place constant pressure on the uterus and surrounding organs, leading to increased discomfort during sexual activity.

Uterine Fibroids
Vaginal Infections, Such As Yeast Infections
Ovarian Cysts
STDs
Menopause
Endometriosis
Pelvic Inflammatory Disease (PID)
Ectopic Pregnancy

In What Ways do Fibroids Lead to Pain During Intercourse?

Factors of pain during intercourse

Uterine fibroids located near the cervix can often lead to pain during sexual intercourse. The pressure exerted by these benign growths can cause varying levels of discomfort, ranging from mild to severe, and friction during sex may exacerbate this pain. Trying out different sexual positions may help identify those that are more comfortable or less painful. Additionally, fibroids can influence sexual health and enjoyment in other ways, including causing vaginal dryness, irregular menstrual cycles, fatigue due to anemia, frequent urination, and bloating, all of which can diminish sexual desire. If you are experiencing painful intercourse due to fibroids and it is affecting your personal life and self-esteem, it is advisable to consult a fibroid specialist for treatment.

Pain During Intercourse Relief

Experiencing pain during intercourse doesn't always require medical intervention. If you've recently given birth, it's recommended to wait at least six weeks before resuming sexual activity. Often, patience and gentleness can be beneficial. For symptoms related to uterine fibroids, there are targeted methods for relief.

Lifestyle Changes & Medication

For those experiencing dryness, applying a water-based lubricant to the vagina, vulva, and labia can be helpful. Additionally, individuals suffering from pain during intercourse should consider avoiding vaginal perfumes, bubble baths, scented sanitary products, and scented toilet paper.

UFE Procedure: Minimally Invasive Fibroid Treatment

If uterine fibroids are causing painful intercourse, Uterine Fibroid Embolization (UFE) is an excellent treatment option. This minimally invasive procedure utilizes imaging guidance to remove fibroids while preserving the uterus, providing relief from pain during sex.

What to Anticipate from Uterine Fibroid Embolization

Doctor consulting with patient
Preserves the uterus
No requirement for general anesthesia
Faster recovery time
Reduced heavy bleeding and pelvic pain
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