I experience severe perineal pain during sex, I did not have an episiotomy with child delivery. What could this pain be related to?
There are many possible explanations for your pain. Unfortunately, only a comprehensive health history and physical exam can give you answers. The good thing is that WISH specializes in sexual pain disorders, so even if you have seen multiple clinicians who have given you answers such as “there is nothing wrong with you” or “it’s all in your head” or “just relax and have a glass of wine”, it does not mean you will have to suffer with this for the rest of your life. Many of my pain patients have seen five or more clinicians before they get to me and none have properly diagnosed and/or treated. This is not to the fault of the other clinicians. Female sexual dysfunction is a subspecialty that is not routinely taught in medical and graduate schools. This is also why there are so few clinics around the nation that deal specifically with female sexual dysfunction. I recommend to any woman who experiences pain with and without sex to see a specialist. Pain is never normal and it should never
