DYSPAREUNIA (PAINFUL COITUS) DYSPAREUNIA (PAINFUL COITUS) Recurrent or persistent genital pain associated with sexual intercourse in either male or a female. In females, the pain may be superficial during penetration or deep during penile thrusting. The intensity of pain may range from mild discomfort to sharp pain. On examination, no genital abnormalities are seen. Repeated genital pain during coitus may result in the avoidance of sexual activity, disrupting existing sexual relationships. Females : Dyspareunia can be of psychogenic or organic in origin. Pain in vaginal outlet and clitoris : If the hymen is intact, this is a source of irritation. Episiotomy scar can cause pain. Smegma accumulated under the foreskin of clitoris Irritates the area and causes intense burning. Pain in the vagina : One of the common causes is failure to lubricate. This happens when the women has no affection, respect or understanding for her husband. Because of various fears like fear of pregnancy or of...
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Ejaculatory Incompetence Here there is failure of ejaculation during intravaginal containment. Instead of the squeeze technique, as in the case of premature ejaculation, the female partner is advised to manipulate the penis to force ejaculation. Moistening methods may be used to avoid penile irritation. It may take a few days to accomplish this. Later rapid intromission of the penis should be accomplished by the wife in female superior position and pelvic thrusting attempted. If the male still does not ejaculate, the wife should end the coital connection and restore to manual stimulation. As the husband, now conditioned to manipulator response, reaches the stage of ejaculatory control, he should inform his wife. She should remain in the female superior position while manipulating the penis, and from the positional advantage quietly reinsert the penis into the vagina. After 3 or 4 such attempts, confidence in intravaginal ejaculating performance will have been achieved. ...


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