Causes of painful sex (dyspareunia) simplified in one image

Up to 50% of women experience pain with sex (dyspareunia) at some point in their lives. There are a variety of causes, many of which are not considered by providers and/or patients. I’m lecturing on this subject today and came up with a slide that I think encompasses the main pain generators for dyspareunia, but […]

Is Osphena the new wonder drug for better sex?

Osphena (ospemifene) is an oral medication recently approved by the FDA for painful sex (dyspareunia) due to vaginal dryness for menopausal women. As typically happens when a new drug gets FDA approval the PR machine for the company goes into overdrive flooding the media with press releases. Since sex sells, well, Osphena received a fair amount […]

When sex hurts after having a baby (and it didn’t before)

A new study published in the BJOG indicates that by 6 weeks after a delivery 41% of women have resumed sex, 78% by 12 weeks, and 94% by 6 months. Most health care providers recommend waiting 4-6 weeks after an uncomplicated vaginal delivery before resuming sex, the issue being an open cervix could increase the […]

Breast cancer and painful sex: causes and treatment options

Many women with breast cancer develop painful intercourse. To develop a second reproductive tract issue while undergoing therapy for breast cancer is just adding insult to injury. There are a couple of common diagnosis that can contribute to painful intercourse (also called dyspareunia) for women with breast cancer, and definitely some treatment options. The first […]

Post baby sex: what to do when it hurts

It’s eight weeks since the baby was born. The condoms and water-based lube beckon from the nightstand, the baby is actually sleeping, and there is finally a glimmer of libido. The problem? That was the exact scenario last night, but when you tried having sex you had to stop because it hurt so much. Some […]