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Pain during sexual intercourse can have any number of causes. This article lists brief A to Z causes of painful sex for women and men. You need to see a doctor for medical diagnosis and treatment, but this article may help you ask the right questions.

A Brief A to Z Listing of Causes and Treatment of Painful Sex for Women

Chancroid is, outside of the West Indies and Central America, a relatively uncommon sexually transmitted disease that can cause blisters, swelling, inability to urinate, fevers, and muscle weakness. In the USA, women who develop chancroid most commonly catch it after their male partners have unprotected intercourse with a sex worker in the West Indies of Central America. Medical diagnosis is essential for ruling out other conditions and for receiving appropriate antibiotic treatment. Often a single dose of Cipro eliminates the disease.


Constant Penis Pain

Constant penis pain may be caused by a "trapped" nerve in the groin. Since the condition most commonly occurs in cyclists, the condition is also known as cyclist syndrome, as well as pudendal nerve entrapment. Pain will be greater after sexual intercourse than during sexual intercourse. There is a non-surgical treatment known as Active Release Technique, which requires repeated professional massages of the obturator internus muscle, stretching from the base of the pelvis to the buttocks.

Lower Back Pain and Pulled Muscles

The European Male Aging Study found that men after the age of 40 tend to develop pains during sexual intercourse if they experience lower back pain or pain from pulled muscles. Treating muscle pain elsewhere in the body reduces pain experienced during intercourse. The data did not indicate, however, that men had less sex just because of muscle pain.

Penile Fracture

A penile fracture is a literally broken penis, occurring when force is applied across the erect penis. There will usually be a clicking sound as the injury occurs. One situation commonly leading to penile fracture is having sex on a bicycle seat, another is manually bending the penis to stop an erection. Since a penile fracture can lead to permanent impotence, urgent medical attention is required when the penis "breaks" during sex.

Penile Hematoma

Some men masturbate so vigorously that they damage the blood vessels in the vasculature that collects blood for erection. A hematoma (blood clot) forms. This condition is sometimes considered "false fracture" because the penis "breaks" at the same point a blood vessel is torn. Surgery is almost always necessary to repair the injury to the penis.

Peyronie's Disease

Peyronie's Disease is a condition in which the erect penis bends to one side or cannot be placed in front of the pelvis for sexual intercourse. It is caused by the accumulation of scar tissue in the corpus cavernosum, the bed of blood vessels that enables erection. Most men who have Peyronie's disease are capable of erection but they are eventually not of sexual intercourse.

In the early stages of the disease  intercourse is only painful—and the pain usually does not cause men to have less frequent sexual intercourse. The condition is most often caused by excessive sexual intercourse or masturbation (more than 5 or 6 times a day over a period of years) in middle-aged men, although it also occurs in teenaged males who have type 2 diabetes.

High-dose vitamin E, verapamil (a medication for high blood pressure), and surgery sometimes relieve the disease. It's important to see a physician for diagnosis and treatment.

Sexually Transmitted Diseases

The sexually transmitted disease men are most likely not to know they have is chlamydia. It can cause burning urination, as well as burning after ejaculation. Men who have multiple sex partners should be particularly careful to get medical treatment when they experience burning in the urethral tract. Antibiotic treatment is usually very inexpensive and highly successful.