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Dyspareunia and vaginismus are the two most common sexual pain disorders in women. Women with dyspareunia experience pain during sexual intercourse. This disorder can have a range of causes:

Poor vaginal lubrication because of inadequate foreplay
The natural changes that occur after menopause
Postmenopausal thinning of the vaginal wall (buy viagra)
Inflammation or infection of the area
Irritation from an allergic reaction or to a contraceptive device
Pelvic pain may also be a symptom of a condition affecting the cervix and/or uterus, such as the growth of tumors. A physician will need to determine the underlying cause before prescribing treatment. For women who have passed menopause, and therefore have lower blood levels of the female hormone estrogen in their bodies, estrogen replacement therapy or topical creams may be helpful. Liberal use of a water-soluble lubricant just before intercourse may also alleviate pain for some women.

A relatively rare condition, vaginismus is a painful, involuntary spasm of the muscles that surround the vaginal entrance, interfering with sexual intercourse. Its cause is almost always psychological: It usually occurs in women who fear that penetration will be painful and may stem from a previous traumatic or painful experience.

The problem is treated with educational counseling and, sometimes, progressive vaginal dilation, which helps to relax the muscle spasm. This therapy involves the use of vaginal inserts, each progressively larger than the last, which help condition the vaginal opening. As one becomes comfortable, the next larger size is inserted in the vagina. This process continues until the vagina has been dilated sufficiently for intercourse to take place painlessly.