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The cause is believed to be related to physical factors at least 75%-80% of the time.
Some pain occurs during vaginal entry but decreases over time. This is often caused by not having enough lubrication due to a lack of sexual arousal and stimulation. It can also be due to some medications. Antihistamines can cause dryness. Frequent douching can also cause problems.
The cause of dyspareunia may also be related to psychological factors, although this is less common. Some examples include:
Previous sexual trauma, such as rape or abuse
Feelings of guilt
Negative attitudes toward sex
These factors may lead to a condition called
vaginismus. This is painful and involuntary contractions of vaginal muscles. It is usually a response to past sexual trauma or other painful circumstances, but it can also be the result of chronic irritation from a physical cause.
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This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.