---
title: "Dyspareunia (Pain During Intercourse) in Curitiba — Femi Saúde"
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description: "Dyspareunia in Curitiba: pain during intercourse, at entry or deep, from dryness, infection, endometriosis or pelvic tension, with treatment. Femi Saúde."
"og:description": "Dyspareunia in Curitiba: pain during intercourse, at entry or deep, from dryness, infection, endometriosis or pelvic tension, with treatment. Femi Saúde."
"og:title": "Dyspareunia (Pain During Intercourse) in Curitiba — Femi Saúde"
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---
Clínica Femi Saúde — Home
Clínica Femi Saúde — Home
Individualized Clinical Treatment
# Dyspareunia (Pain During Intercourse)
Pain during intercourse: causes and treatment
Consulta
Acompanhamento periódico
## What it is
Dyspareunia is pain during or after intercourse, which can occur at the vaginal entrance, during penetration, or deep in the pelvis. It affects women of all ages and has varied causes: vaginal dryness and atrophy at menopause or during breastfeeding, infections, vulvodynia, involuntary tension of the pelvic-floor muscles, endometriosis, childbirth scars, and emotional factors. The pain tends to create a cycle of fear and avoidance that affects desire and the relationship. It's not a condition to tolerate in silence: it can be investigated and treated. The gynecology team at Femi Saúde assesses the source of the pain and proposes an individualized plan, in partnership with pelvic-floor physiotherapy and psychology when needed.
## Most common symptoms
- Pain or burning at the vaginal entrance during penetration
- Deep pain, at the back of the pelvis, during intercourse
- Pain that lingers for hours afterward
- Dryness and a feeling of friction
- Involuntary contraction that makes penetration difficult or impossible
- Fear, anxiety and loss of desire from anticipating pain
## Causes and risk factors
- Vaginal dryness and atrophy at menopause or during breastfeeding
- Vaginal and urinary tract infections
- Vulvodynia and vaginismus
- Endometriosis, ovarian cysts and pelvic inflammatory disease
- Scars from episiotomy, tearing or surgery
- Emotional factors, stress and traumatic experiences
## How it is diagnosed
The visit begins with a careful conversation about where the pain occurs, when it started, whether it happens at the entrance or deep inside, whether there's pain at other times, and how it affects desire and the relationship. The gynecological exam is done calmly and at the patient's pace: the gynecologist inspects the vulva and vaginal entrance, touches sensitive points with a cotton swab, and assesses lubrication, pelvic-floor muscle tone, and the mobility of the uterus and ovaries. Depending on the suspicion, she orders infection screening, transvaginal ultrasound, and, for deep pain, tests directed at endometriosis.
## How we treat it at Femi Saúde
Treatment targets the cause and usually combines more than one approach. For dryness and atrophy, vaginal lubricants, moisturizers, and local estrogen are used; infections receive specific treatment. For pelvic-floor tension and vaginismus, pelvic-floor physiotherapy, with desensitization and dilators, gives good results. The gynecology team at Femi Saúde treats endometriosis and other causes of deep pain with medication or surgery, depending on the case, and may recommend vaginal laser for atrophy. Follow-up with psychology or sex therapy is offered when fear and anxiety keep the pain going. The plan is individualized and reviewed throughout treatment.
## When to see a gynecologist
See your gynecologist if intercourse hurts or burns, if the pain is deep, if it lingers afterward, if there's constant dryness, if penetration has become difficult or impossible, or if fear of pain has taken away your desire. Sexual pain is not normal at any stage of life. Schedule an appointment to investigate the cause and start treatment.
## What we offer
1
Identification of the cause of the pain
2
Pain relief and a return to your sex life
3
Treatment of vaginal dryness and atrophy
4
Pelvic-floor physiotherapy for muscle tension
5
Integrated care with psychology when needed
## Gynecology specialists
[Dra. Melissa Amoroso
Gynecologist](https://femisaude.com.br/en/doctors/dra-melissa-amoroso) [Dra. Vanessa Amoroso
Gynecologist and Mastologist](https://femisaude.com.br/en/doctors/dra-vanessa-amoroso) [Dra. Aline Matos
Gynecologist](https://femisaude.com.br/en/doctors/dra-aline-matos) [Dra. Andrea Novellino
Gynecologist](https://femisaude.com.br/en/doctors/dra-andrea-novellino) [Dra. Fabiane Sloboda
Gynecologist](https://femisaude.com.br/en/doctors/dra-fabiane-sloboda) [Dr. Igor Chiminacio
Gynecologist](https://femisaude.com.br/en/doctors/dr-igor-chiminacio) [Dra. Isadora Goetten
Gynecologist and Obstetrician](https://femisaude.com.br/en/doctors/dra-isadora-goetten) [Dra. Sabrina Oliveira
Gynecologist](https://femisaude.com.br/en/doctors/dra-sabrina-oliveira)
## Gynecology treatments at Femi Saúde
[CO2 Laser Rejuvenation and Lubrication
Skin Improvement and Lubrication](https://femisaude.com.br/en/treatment/laser-co2-rejuvenescimento-lubrificacao) [Implanon® — Hormonal Contraceptive Implant
Freedom and safety in a small implant](https://femisaude.com.br/en/treatment/implanon) [Menopause and Perimenopause
Care and hormone therapy when indicated](https://femisaude.com.br/en/treatment/menopausa-climaterio) [Family Planning
Preparing for a healthy pregnancy](https://femisaude.com.br/en/treatment/planejamento-pre-concepcional) [IUD — Intrauterine Device
Preventing pregnancy effectively](https://femisaude.com.br/en/treatment/diu) [Pap Smear
Cervical cancer screening](https://femisaude.com.br/en/treatment/papanicolau)
[See all Gynecology treatments ](https://femisaude.com.br/en/specialties/ginecologia)
## Ready to schedule?
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[Schedule via WhatsApp]()
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