painful sex

Dyspareunia is a condition characterised by pain during sexual relations. It most often affects women and can be acute or chronic. Superficial or light dyspareunia is when the pain involves the vulva, the clitoris or the vagina and appears at the start of sexual contact, even with the slightest touch.

Profound or deep dyspareunia occurs when the penis is inserted into the vagina, and sometimes only during certain positions.

Causes of dyspareunia

The causes of dyspareunia might include:
– Organic/physical: a local infection, uterine or ovarian diseases.
– Lack of vaginal lubrication: sexual relations without stimulation, menopausal decline in oestrogen.
– Psychological.

Most of the urogenital diseases connected with the menopause follow a reduction in the production of estrogen by the ovaries. This involves the gradual thinning of genital epithelial tissues, vaginal and vulvar mucosa, which reduce in thickness and moistness becoming more fragile, irritable and sensitive to trauma.
For this reason hormonal therapy has been for a long time the gold standard treatment for postmenopausal symptoms.

In order to ease this pain, one must first of all conduct a gynaecological exam to identify the cause. Lubricants and oestrogen are often prescribed. Hyaluronic acid injections offer a revolutionary solution to this problem.

Treatment of vaginal dryness

– Hyaluronic acid injection

Hyaluronic acid injections are performed with DESIRIAL®DESIRIAL® is the first hyaluronic acid specifically formulated for intimate feminine problems, and benefits from the CE safety mark. It has been approved by the authorities for gynaecological specifications (mucus rehydration, remodelling of the labia majora and G-spot injections).

The injection is performed at the clinic without speculum. The doctor administers a local anaesthetic.

Where are the injections?

– vaginal mucus: the side and back walls of the vagina are injected, following the multipoint technique. The injections are very shallow, at 0.5-1cm deep.

Ideally, 0.5-0.8ml of hyaluronic acid should be injected per patient.
vagine schema medical

– the vestibule (junction between the labia minora and the entry to the vagina): injections are performed according to the multipoint technique

Side effects, after effects and results

This injection only very rarely leads to light bleeding without consequences, or a temporary local inflammation.
Sexual contact should be avoided for 12 hours following the injections. All other physical activity is possible straight away.

The results are immediate and last 8 to 12 months.

– Laser

Laser is a minimally invasive treatment, the goal of which is to restore the original metabolism of connective tissue and improve the state of the mucosa, by stimulating a process of neocollagenesis.

Thean attenuation of the symptoms can be observed immediately after the first treatment. The inner mucosa regain elasticity and lubrication, gaining thickness and softness; itching, irritation and pain during intercourse disappear. Many women report further improvements during the first month post-treatment.


Painful episiostomy scars

Chronic pain from episiotomy is due to sclerosis or abnormal scarring. It can be spontaneous or appear during sexual relations. Hyaluronic acid injections can make the scar more flexible, thus reducing the pain.


This page is purely informative, in accordance with the guidelines of the Ordre of Doctors.It is not a publicity for treatments .


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