One in 10 women during her sex life experiences pain during penetration. The most frequent pains are dyspareunia, triggered by the comings and goings of the penis against the cervix during intercourse. They can be superficial (“intromission dyspareunia”) and present from the start of penetration, at and around the entrance to the vagina (vestibule). Vestibulodynia, it results in a sharp burning sensation or cut, induced by pressure from the vestibule leading to painful sex.

As for vaginismus, it is characterized by an involuntary contracture of the muscles of the perineum, which makes any penetration impossible. But there is nothing inevitable about suffering. Whatever their origin (infection, vaginal dryness after childbirth, endometriosis, fibroma, emotional shock, trauma…),

all these pains can be taken care of, because the treatments are always individualized“, assures Dr. Sophie Wylomanski, gynecologist and sex therapist.

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Perineal relaxation physiotherapy

This approach, proposed by physiotherapists trained in uro-gynecology, is in fact the reverse of the “perineal rehabilitation” offered to women after pregnancy or in the event of urinary incontinence . Here, it is a question of learning not to contract its perineum, but to release it.

The perineum is the set of muscles that surround the bladder, vagina and anus and which, like a hammock, support our gynecological, urinary and digestive organs.

By internal and external massages and by a bio-feedback work with a probe, the physiotherapist teaches the woman how to relax it. An approach still little known, but recommended in the event of vaginismus in particular (on medical prescription).

Gynecological osteopathy

Thanks to soft external mobilizations carried out in the lower abdomen, the osteopath relaxes the uterus, the vagina and the perineum, but also the adjacent viscera (bladder, rectum, intestines) and free the restrictions of joint or ligament mobility. the entire basin area. A lot of tension is released, which alleviates or eliminates the pain.

Other treatments for pain during penetration

The range of solutions offered is wide and ranges from moisturizing gels and lubricants or antibiotics in case of infection to surgery in very specific cases. Non-medical approaches such as psychotherapies and sophrology, hypnosis, relaxation or mindfulness meditation… allow women to flourish, by refocusing on pleasant bodily sensations.

How is sexology treatment going?

This is a specific and complementary approach to sexual disorders, after a medical diagnosis. It can be individual or couple. There are different possible therapies which can also be associated with each other (psychotherapies, meditation, sophrology, psychoanalysis…)

During consultations, the sex therapist can also give advice and exercises to do at home, first alone or with the partner. The idea is to reduce anxiety and find the path to pleasure.

Women for whom all vaginal intercourse has become painful, can absolutely experience a fulfilling sexuality, made of cuddles, masturbation, oral caresses or any other practice that suits the couple. In some cases, this discovery or rediscovery of a sexuality non-penetrating can, on its own, lead to an attenuation or even to the disappearance of the pain felt. For, let us not forget, the goal of sexuality is indeed pleasure, not penetration.

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