Painful Intercourse (Dyspareunia): Causes, Symptoms, and Effective Treatments in Arlington, TX

At Revique, a leading functional wellness medical spa in Arlington, TX 76006, we specialize in intimate and sexual wellness for women. With a team of experts boasting over 50 years of combined experience, we emphasize root-cause, functional, and preventative medicine. Painful intercourse, medically known as dyspareunia, affects many women—up to 75% at some point in their lives—and can stem from hormonal changes, vaginal atrophy, or other factors. You're not alone, and personalized, non-surgical solutions can restore comfort and intimacy.

What Is Dyspareunia (Painful Sex)?

Dyspareunia refers to persistent or recurrent pain during or after sexual intercourse. It may present as entry pain at the vaginal opening, deep pain during thrusting, burning, throbbing, or tightness. According to the Cleveland Clinic, this condition can be primary (lifelong) or secondary (developing later) and often worsens after menopause due to declining estrogen levels.

The American College of Obstetricians and Gynecologists (ACOG) notes that painful sex is common but treatable, impacting emotional well-being and relationships.

Common Causes of Painful Intercourse

Painful sex often results from multiple factors, including:

  • Vaginal Atrophy and Hormonal Changes: Low estrogen during menopause or perimenopause leads to genitourinary syndrome of menopause (GSM), causing thinning, dryness, and inflammation of vaginal tissues. This is a primary cause post-menopause, as highlighted by the Mayo Clinic.

  • Infections and Skin Conditions: Yeast infections, bacterial vaginosis, or disorders like lichen sclerosus.

  • Pelvic Floor Dysfunction: Muscle spasms or tightness (vaginismus).

  • Other Issues: Endometriosis, pelvic inflammatory disease, or post-childbirth changes.

A thorough evaluation is key to identifying root causes.

Symptoms of Dyspareunia

Common signs include:

  • Pain with penetration or thrusting

  • Burning or aching sensation

  • Vaginal dryness or itching

  • Reduced libido or avoidance of intimacy

If you're experiencing painful sex during menopause or otherwise, early intervention prevents worsening.

Non-Surgical Treatment Options for Painful Intercourse

Treatments are customized based on your needs:

  • Lubricants and Moisturizers: Immediate relief for dryness, per NIA guidelines.

  • Hormone Optimization: Low-dose vaginal estrogen and systemic estrogens effectively treats GSM-related pain.

  • Pelvic Floor Therapy: Addresses muscle issues for lasting relief.

  • Advanced Vaginal Rejuvenation: At Revique, we use cutting-edge fractional CO2 laser therapy to stimulate collagen, improve elasticity, lubrication, and reduce pain. Studies show significant improvements in dryness and dyspareunia .

Our protocols integrate the latest evidence-based technologies for optimal results, with minimal downtime.

Why Choose Revique for Dyspareunia Treatment in Arlington, TX?

Revique offers highly personalized plans addressing painful intercourse, vaginal atrophy, low libido, menopause symptoms, lichen sclerosus, and urinary incontinence. We combine hormone optimization, peptide therapy, and non-surgical rejuvenation for comprehensive care.

In a compassionate, discreet setting, many patients regain enjoyable intimacy. We provide flexible payment plans, financing, and membership pricing.

If painful sex is impacting your life, contact Revique today for a consultation in Arlington, TX. Rediscover comfort, confidence, and connection.

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Vaginal Dryness (Atrophy) Is Common—But It’s Also Treatable