Difficulty in intercourse or pain in intercourse can be caused by a variety of reasons. If you feel pain during sexual intercourse, it is important to discuss your symptoms with your gynecologist or urologist, and perform a pelvic exam to understand the cause of the pain. Some common causes of pain during sexual intercourse include vaginal dryness in postmenopausal women, prolapsed pelvic organs, or pelvic floor dysfunction. Vaginal dryness is usually treated with vaginal estrogen. Vaginal or abdominal prolapse repair surgery is often used to treat prolapsed pelvic organs (bulging bladder, bulging rectum, and prolapsed uterus). In the event of pelvic floor dysfunction (excessive tension of the pelvic floor muscles), the levator muscles extending along the sides of the vagina will become hypertonic or excessively contracted. There may be many reasons for this, but if the intercourse is repeated due to discomfort and the time becomes more painful, this will further tighten the muscle. It can be diagnosed during pelvic examination. Treatment of levator hyperosmosis with related symptoms usually includes pelvic floor physiotherapy or Vaginal Speculums. Vaginal Speculums are available online and are an affordable option for relaxation therapy at home.



The patient starts with the narrowest dilator first and then gradually increases with time. This allows slight expansion and relaxation of the vaginal wall. Place the dilator in the vagina every day for 10-15 minutes. It will never be painful to use. Using stimulation helps to further relax the pelvic floor muscles. The dilator can be used in conjunction with or before intercourse. If the patient is also receiving pelvic floor physical therapy, they can use the dilator before starting physical therapy or together with the course of treatment.



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