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13 Sex Problems You Should Take Seriously

Burning vaginal pain at penetration

Vestibulodynia is a fairly common condition, which occurs when there is burning pain in the vestibule area of the vagina. It often causes pain with initial penetration, rather than deep penetration. “There are various subtypes of vestibulodynia which should be pinpointed based on an extensive history, visual exam, musculoskeletal exam of the pelvic floor, labs and neurosensory testing,” says Lisa M. Valle, DO, OB/GYN and medical director of Oasis Women’s Sexual Function Center in Santa Monica, California. Check out these health myths that even doctors believe.

Persistent pain during intercourse

Although similar to vestibulodynia in the sense that this condition causes recurrent or persistent genital pain associated with sexual intercourse, dyspareunia is different in that it can happen in both men and women. “It can be caused by a multiple of factors both medical, physical and psychological,” says Dawn Michael, PhD, clinical sexologist, relationship expert and author of My Husband Won’t Have Sex With Me. This type of condition, she explains, can affect a person’s relationship drastically.

To help mitigate the pain, Tammy Nelson, PhD, certified sex therapist and author of Getting the Sex You Want, recommends using a silicone-based lubricant and reducing the use of antihistamines which can dry out vaginal tissues. “If you’re still in pain, see a gynecologist or a urologist,” she adds. Ask your gyno these questions at your next visit.

Premature ejaculation

This condition involves ejaculating involuntarily right before or right after penetration, explains Dr. Nelson. “Keep in mind that most men last an average of four minutes, so don’t sweat it if you are close to that—you are probably within the normal range,” she adds. However, if you consistently ejaculate immediately when you are aroused, see a sex therapist for behavioral techniques to work on the problem. Kegel exercises could help men with premature ejaculation.

Vaginal dryness

This incredibly common sexual problem often goes unresolved for most women. According to Dr. Valle, dryness down there can result from breastfeeding, hormonal changes as a woman approaches menopause, or medication side effects. “Low estrogen levels occur naturally with consistent breastfeeding, which can contribute to decreased vaginal lubrication,” she explains. “Hormonal changes close to menopause also cause decreased lubrication and thinning of the vaginal tissues.” Over-the-counter lubricants and moisturizers can help, although Dr. Valle recommends organic brands; many of the preservatives in non-organic lubes haven’t been tested for long-term safety in the vagina. Check out the 13 things your vagina wants to tell you.

Pain from deep penetration

This type of pain results from the cervix being hit during intercourse and is more common in certain sex positions (sex from behind, for example), according to Dr. Michael. “The cervix can be more sensitive around menstruation as well as when the vagina is dry,” she says. “I refer to it as the cervix bump—sometimes, depending on arousal and position it can feel good, but other times it can feel like a sharp pain.” Her best advice is to adjust and communicate with your partner to get the maximum pleasure without the pain.

Endometriosis

Pain that’s felt deep within the pelvic region is a possible sign of endometriosis, a condition that affects an estimated 11 percent of women, according to womenshealth.gov. There’s no known cause of endometriosis and it’s unfortunately difficult to diagnose. Here are 8 secrets you should definitely tell your gynecologist.

PID

Another potential cause of deep pain in the pelvis is a condition called pelvic inflammatory disease, or PID. “PID is an infection of the uterus and fallopian tubes and it is often caused by the sexually transmitted infections, chlamydia or gonorrhea, but can potentially be caused by other bacteria as well,” says Wendi L. Dumbroff, a licensed professional counselor. “If left untreated, PID can potentially lead to an ectopic pregnancy (a pregnancy in the fallopian tube) or infertility, because it may leave scar tissue inside and outside the fallopian tubes which can block the eggs from passing through to the uterus.”

Clogged artery

While erectile dysfunction is one condition that prevents erection, it’s not the only cause. According to Dr. Michael, a clog in their arteries could be the culprit. “Make an appointment with your doctor to have tests run, as this could be a sign of loss of blood flow to other areas of the body aside from the penis,” she says.

Burning or itching of the vagina

If you’re experiencing itching or a burning sensation down “there,” it may be due to a yeast infection or bacterial vaginosis, which needs to be treated by a doctor. “A yeast infection occurs when candida yeast becomes out of balance, which can be the result of anything from hormones to douches and vaginal sprays and even health conditions such as a weakened immune system or diabetes,” says Dr. Michael. Because it can be transferred between sexual partners, it’s best to avoid intercourse until both partners have been treated.

Difficulty orgasming

Some women have difficulties with orgasm. However, explains Mary Jane Minkin, MD, Clinical Professor of Ob/Gyn at Yale University, many women who think they have a problem actually don’t: “Most women require some degree of clitoral stimulation to achieve orgasm—they will not achieve orgasm with vaginal stimulation alone.” If clitoral stimulation doesn’t do the trick, there may be a reason—and it may be fixable, she says. “Medication, such as certain antidepressants, can blunt the orgasmic response.” If you think this might be your issue, speak with your doctor about switching to a different medication. Find out other medical reasons for low sex drive.

Penis fracture

While uncommon, it is possible for a man to experience a fracture of the penis. “The name is confusing because it isn’t a fracture of a bone, but the spongy tissue in the penis called the tunica albuginea or can extend into the corpus cavernosum below it,” explains Steve McGough, DHS, director of Research & Development at Women and Couples Wellness, LLC and associate professor of Clinical Sexology at the Institute for Advanced Study of Human Sexuality in San Francisco. In more extreme cases the urethra is also damaged. It’s possible to obtain this type of injury during sex if there’s a sudden movement that bends the penis too much or masturbation where it is bent too hard, as well as from trauma in an accident. If this happens, Dr. McGough recommends seeking immediate medical attention. “Depending on the degree of injury, this can result in permanent injury to the penis or urethra.”

Genital warts

This common sexually transmitted disease goes often unnoticed. Since genital warts can cause cervical cancer, as well as oral and anal cancers, Dr. McGough urges the importance of detecting and treating the condition as soon as possible. “The outcomes of these types of cancer are generally not good, both due to the location of these cancers and they’re often not diagnosed until it at an advanced state,” he says. “If you or your partner notice what you think may be genital warts, see your doctor for treatment.” Don’t fall for these HPV myths.

Persistent genital arousal

Although some people have trouble becoming aroused, others have the opposite issue: They’re constantly aroused. In women, this means that they have persistent clitorial orgasms even when they don’t want them. “This is not as fun as it sounds,” says Dr. Nelson. “In fact, it can be painful, embarrassing, and mess with your life in negative ways.” She recommends seeing a gynecologist or pelvic floor therapist who specializes in PGAD. Read 12 things sex therapists wish you knew.

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