Dr Charles Anoti, an Abuja-based gynaecologist, said on Thursday that infections and pelvic tumors were the major cause of dyspareunia. Dyspareunia is a painful sexual intercourse due to medical or psychological issues during or after sexual intercourse. Dr. Anoti told the press, that development of a membrane that blocks the vaginal opening could also contribute to the health challenge. He said the pain could be on the external surface of the genital or in the pelvis if pressured against the cervix. The expert said that knowing the exact location and nature of the pain could help in identifying its cause and management. Anoti, however, identified infections that affect the labia, vagina as well as lower urinary tract infections as factors that could also cause pain during sexual intercourse. He said that problems associated with child birth such as the absence of a fully-formed vagina could be risk factors to the development of dyspareunia. Anoti also said that estrogen deficiency, pain from bladder irritation, tumours such as ovarian cyst and fibroid could also cause painful sexual intercourse. He said that tissue injury, such as pain from surgery or vaginal birth could also be the cause of dyspareunia.

 

 

 

Anoti said that endometriosis, interstitial cystitis as well as ectopic pregnancy could pose a risk of developing the condition. The physician said that pelvic adhesion and scaring, inflammation of the genital area and some medical treatments such as cancer could cause the condition. He said that vaginal dryness and thickened vaginal hymen also pose the risk to the development of the condition. Anoti, however, attributed stress, anxiety and history of sexual abuse as psychological factors that could contribute to painful sexual intercourse.

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