Usually, the term used to describe dyspareunia cases where the woman experiences pain during intercourse or shortly thereafter. It is a relatively common symptom, as some studies indicate it may occur in 15 to 20% of all women of reproductive age.
However, men also develop this disease that makes his intimate life, to the extent that may lose interest in sexual activity. True, its frequency is lower, as estimates indicate that the incidence of dyspareunia in the male population does not exceed 5%, but nevertheless it is a situation that should be ignored, especially since most of the time can be solved.
It is important to clarify that painful intercourse is not a disease but a symptom that is linked to anatomical conditions, psychological, infectious or inflammatory.
Among the anatomic causes three stand out:
I. Phimosis. It is the tightness of the foreskin (skin tissue that covers the glans penis or upper), which in some people makes it difficult to retract or move backward. In most cases it is a congenital malformation, i.e. is present at birth, and is usually discovered by the pediatrician or the parents, so that is corrected by circumcision (which cuts operating segment of skin).
However, many men may appear by repeated forced and traumatic retraction of the foreskin during the first years of life, or by poor hygiene contribute to the development of infections. In any case, if not corrected phimosis in adults produce pain when attempting penetration and, in fact, may result in injury and bleeding during intercourse.
II. Tongue-tie. The frenulum of the penis is small fold of tissue that connects the foreskin to the glans head, in some men is smaller than usual, so it’s cracked or injured during penetration, causing intense burning, pain and sometimes bleeding. Treatment is simple and involves surgically severing the anatomical structure that causes these problems.
III. Peyronie’s Disease. It is the abnormal curvature of the penis during erection (deviates “down”), which is due to the development of fibrous scar tissue under the skin of the male sex organ. Depending on the severity of the injury, the condition may preclude intercourse or make it painful erection.
Treatment is complicated, because although you can invoke the application of drugs, radiation therapy or corrective surgery, often not achieved the desired effect. Even surgery can cause erectile dysfunction if it were to damage certain nerve endings.
Microorganisms and inflammation
Another important group of conditions that cause dyspareunia in men are inflammatory processes, highlighting:
I. Prostatitis. The prostate is a male reproductive gland that produces some of the seminal fluid that protects and nourishes sperm cells in semen, when it becomes inflamed, usually due to bacterial infection, can cause sharp pain with ejaculation. Its diagnosis requires a detailed study of the symptoms and causes through secretions culture, and its treatment is based on the use of antibiotics prescribed by an urologist or general practitioner.
II. Urethritis. Is inflammation of the urethra (the tube that carries urine and semen out through the penis), usually due to bacteria or other microorganisms, sometimes causes pain during and at the end of sex. The therapy involves the administration of drugs to eliminate the causative agent (antibiotics, antifungals), both male and his partner, in order to prevent mutual contagion.
III. Epididymitis. Is swelling of the epididymis, means by which testicular secretions are dislodged into the vas deferens and ejaculatory ducts. It is usually caused by the spread of bacterial infection in the urethra or bladder, causing pain during ejaculation, but it may occur when urinating or defecating. His treatment by the general practitioner or urologist will require antibiotics also should be given to the couple.
IV. Fungal diseases. The skin infection, penis yeast is a common and frequent reason for consultation. Usually associated with the microorganism Candida albicans Transmitted by sexual partner, and causes small bumps on the glans and body of the member that itch and discomfort during intercourse. Health care is local application of antifungal, both for men as for women.
V. Other causes. There are more factors that trigger inflammation, including genital warts (viral infection that causes warts in the mucosa of the glans), herpes (mucosal injury that generates pain) or allergic reactions caused by body care products, lubricants or latex. However, it is rare conditions that do not always cause dyspareunia, but can be treated with medical help.
Also for emotional problems
It remains to mention the psychological causes, which are derived from unconscious conflicts that trigger this type of pain. Although less common in men than in his female counterpart, we can cite as the source of certain problems receive a repressive family upbringing In charge of transferring taboos, prejudices and negative feelings.
More important are the history of sexual abuse or rape, which commonly occur in childhood, but generate intense conflict and denial of pleasure prevails until adulthood. The treatment in this case is provided by the sexologist or psychologist.
It should be noted that in some cases may require the analysis of the relationship with the couple, and even help in some therapy sessions, to share views and information important to overcome the situation.
As seen, the majority of conditions that trigger pain during sexual intercourse in humans have a solution, however, treatment is possible only when the affected party takes the problems freed from taboos and prejudices, and decides to go to the general practitioner, urologist or sex therapist for help.