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	<title>Kinsey Confidential &#187; pain during sex</title>
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		<copyright>2006-2007 </copyright>
		<managingEditor>aschweig@indiana.edu (Kinsey Confidential)</managingEditor>
		<webMaster>aschweig@indiana.edu (Kinsey Confidential)</webMaster>
		<category>posts</category>
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		<itunes:summary>Just another WordPress weblog</itunes:summary>
		<itunes:author>Kinsey Confidential</itunes:author>
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			<itunes:name>Kinsey Confidential</itunes:name>
			<itunes:email>aschweig@indiana.edu</itunes:email>
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		<item>
		<title>Q&amp;A: What Can Be Done About Vaginal Pain During Sex?</title>
		<link>http://kinseyconfidential.org/vaginal-pain-sex/</link>
		<comments>http://kinseyconfidential.org/vaginal-pain-sex/#comments</comments>
		<pubDate>Mon, 12 Oct 2009 13:00:07 +0000</pubDate>
		<dc:creator>Dr. Debby Herbenick (M.P.H., Ph.D.)</dc:creator>
				<category><![CDATA[Content Type]]></category>
		<category><![CDATA[Pleasure & Orgasm]]></category>
		<category><![CDATA[Podcast]]></category>
		<category><![CDATA[national vulvodynia association]]></category>
		<category><![CDATA[pain during sex]]></category>
		<category><![CDATA[penetration]]></category>
		<category><![CDATA[vagina]]></category>
		<category><![CDATA[vaginal pain]]></category>
		<category><![CDATA[vulvodynia]]></category>

		<guid isPermaLink="false">http://kinseyconfidential.org/?p=1235</guid>
		<description><![CDATA[As many as 10-15% of women experience chronic genital pain. In this episode, Dr. Debby answers a question about vaginal pain during sex.]]></description>
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		<slash:comments>1</slash:comments>
		<enclosure url="http://wfiu.indiana.edu/podcasts/audio/kinsey/09/1905-kinsey-genital-pain.mp3" length="1470418" type="audio/mpeg"/>
<itunes:duration>3:04</itunes:duration>
		<itunes:subtitle>Many Women Deal With Vaginal Pain
As many as 10 to 15% of women experience chronic genital pain issues which can greatly impair daily activities, such ...</itunes:subtitle>
		<itunes:summary>Many Women Deal With Vaginal Pain
As many as 10 to 15% of women experience chronic genital pain issues which can greatly impair daily activities, such as riding in a car, wearing tight clothing or sitting down at work all day. Genital pain can also make sex feel very painful.

Some women who experience genital pain only feel pain at the moment of sexual penetration whereas others feel it during a range of sexual activities. Even genital touching or cunnilingus can be painful for some women.
Doctors Are Still Learning
Unfortunately, many healthcare providers have not received adequate training in issues related to genital pain. Research related to genital pain is relatively new with the vast majority of the research having been conducted only in the past decade.

As a result, women who experience genital pain may be best served by seeing a healthcare provider who has significant expertise in diagnosing and treating conditions such as vulvodynia, which means ldquo;vulvar painrdquo;. The vulva is the word use to describe the outside parts of a womanrsquo;s genitals.
Find More Information
The National Vulvodynia Association is a patient advocacy group that supports research related to genital pain. They also maintain a list of healthcare providers who have experience diagnosing and treating women with such problems. You might try contacting the NVA through their web site, which is www.nva.org, to find out if there is an expert in your area that your wife can go to see.

In addition, although there are real, physical causes of genital pain, therersquo;s no doubt that genital pain can have difficult influences on a couplersquo;s relationship. Many women feel guilty for being unable to pleasure their partner in the way that they would like to. Often times, womenrsquo;s partners feel frustrated at the lack of intimacy, too, and may find it difficult to let go during sex lest they end up unintentionally hurting their partner.

Sex therapy can help couples communicate in helpful ways about sex and work together to find ways of being intimate in pleasurable, connecting ways. You can find a sex therapist in your area through the web site of the Society for Sex Therapy and Research which is www.sstarnet.org.</itunes:summary>
		<itunes:keywords>Content,Type,,Pleasure,,Orgasm,,Podcast</itunes:keywords>
		<itunes:author>aschweig@indiana.edu</itunes:author>
		<itunes:explicit>no</itunes:explicit>
		<itunes:block>No</itunes:block>
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		<item>
		<title>Q&amp;A: Pain From Sex Partner With Large Penis</title>
		<link>http://kinseyconfidential.org/pain-sex-partner-large-penis/</link>
		<comments>http://kinseyconfidential.org/pain-sex-partner-large-penis/#comments</comments>
		<pubDate>Thu, 12 Feb 2009 14:00:09 +0000</pubDate>
		<dc:creator>Dr. Debby Herbenick (M.P.H., Ph.D.)</dc:creator>
				<category><![CDATA[Common Problems]]></category>
		<category><![CDATA[Content Type]]></category>
		<category><![CDATA[Podcast]]></category>
		<category><![CDATA[arousal]]></category>
		<category><![CDATA[discomfort]]></category>
		<category><![CDATA[foreplay]]></category>
		<category><![CDATA[intercourse]]></category>
		<category><![CDATA[large penis]]></category>
		<category><![CDATA[pain]]></category>
		<category><![CDATA[pain during sex]]></category>
		<category><![CDATA[penetration]]></category>
		<category><![CDATA[planned parenthood]]></category>
		<category><![CDATA[vagina]]></category>
		<category><![CDATA[vaginal entrance]]></category>
		<category><![CDATA[vaginal pain]]></category>

		<guid isPermaLink="false">http://wfiutest.rtv.indiana.edu/?p=855</guid>
		<description><![CDATA[I am not a virgin. I have had sex three times but that was two years ago and now when I try to the pain is worse than my first time. I know my partner is large but is it possible something else could be wrong?]]></description>
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		<slash:comments>0</slash:comments>
		<enclosure url="http://wfiu.indiana.edu/podcasts/audio/kinsey/08/1208-kinsey-pain-large-penis.mp3" length="1379512" type="audio/mpeg"/>
<itunes:duration>2:52</itunes:duration>
		<itunes:subtitle>Yes, it is always possible that pain during sex is being caused by a physical problem or a medical condition. The best way to find ...</itunes:subtitle>
		<itunes:summary>Yes, it is always possible that pain during sex is being caused by a physical problem or a medical condition. The best way to find out what the cause of your discomfort might be is to check in with your healthcare provider for a gynecological exam. It is generally recommended that women who are 18 years old, or who have been sexually active, start having annual gynecological exams anyway, so why not start now?

If you don't already have a healthcare provider, ask your mother, another female family member (such as an aunt or cousin) or a good friend for a recommendation. You can also find a local Planned Parenthood clinic in your area by visiting their web site and learning about their women's health care services.

If your partner has a large penis, the discomfort and pain may truly be as a result of the fit between your two bodies. Often this can be eased by using a store-bought lubricant for intercourse. If you two are using latex condoms, you will want to use a water-based lubricant or a silicone-based lubricant, both of which are condom-compatible.

Using a lubricant can reduce the risk of the condom tearing and at the same time, it can make sex feel more comfortable and more pleasurable. You can put a small dab of lubricant around your vaginal entrance. In addition, you might apply some lubricant to the outside of the condom once it is already on your partner's penis. If you are not using condoms, you can apply the lubricant directly to his penis before starting intercourse.

Sometimes women find that choosing positions, such as woman-on-top, that provide a woman with more control over penetration can make sex more comfortable. Other times, spending more time in foreplay to promote sexual arousal, which creates more room in the vagina in terms of both length and width, can help to increase comfort, too. In some cases, however, vaginal pain is caused by a medical problem.

You can learn more about vaginal and vulvar pain on the web site of the National Vulvodynia Association.</itunes:summary>
		<itunes:keywords>Common,Problems,,Content,Type,,Podcast</itunes:keywords>
		<itunes:author>aschweig@indiana.edu</itunes:author>
		<itunes:explicit>no</itunes:explicit>
		<itunes:block>No</itunes:block>
	</item>
		<item>
		<title>Q&amp;A: Alternative Ways To Get Pregnant Without Having Intercourse</title>
		<link>http://kinseyconfidential.org/alternative-ways-to-get-pregnant-without-intercourse/</link>
		<comments>http://kinseyconfidential.org/alternative-ways-to-get-pregnant-without-intercourse/#comments</comments>
		<pubDate>Thu, 17 Jul 2008 17:01:37 +0000</pubDate>
		<dc:creator>Dr. Debby Herbenick (M.P.H., Ph.D.)</dc:creator>
				<category><![CDATA[Content Type]]></category>
		<category><![CDATA[Podcast]]></category>
		<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[conception]]></category>
		<category><![CDATA[pain during sex]]></category>
		<category><![CDATA[pregnancy]]></category>
		<category><![CDATA[vaginal entrance]]></category>
		<category><![CDATA[vaginal pain]]></category>
		<category><![CDATA[vaginismus]]></category>
		<category><![CDATA[vulvodynia]]></category>

		<guid isPermaLink="false">http://www.kinseyconfidential.org/2008/07/17/qa-alternative-ways-to-get-pregnant-without-having-intercourse/</guid>
		<description><![CDATA[I've been married for 3 years and still can't have sex due to very painful penetration. However my husband and I would like to have a child very, very soon. We are trying to get pregnant naturally by having my husband ejaculate in my vaginal opening so that the sperm can swim through my uterus. Is it possible to get pregnant this way?]]></description>
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		<slash:comments>0</slash:comments>
		<enclosure url="http://podcastdownload.npr.org/anon.npr-podcasts/podcast/385/510276/92624843/WFIU_92624843.mp3" length="1818376" type="audio/mpeg"/>
<itunes:duration>3:39</itunes:duration>
		<itunes:subtitle>Not only is it possible to get pregnant from a man ejaculating at the vaginal entrance but this is actually a common method that many ...</itunes:subtitle>
		<itunes:summary>Not only is it possible to get pregnant from a man ejaculating at the vaginal entrance but this is actually a common method that many couples use if they cannot have penile-vaginal penetration but still want to become pregnant.

When a man ejaculates at a womanrsquo;s vaginal entrance, his sperm can swim inside a womanrsquo;s vagina, up through the uterus and into the fallopian tubes where ndash; if a woman has ovulated ndash; an egg may be available to be fertilized.

In order to get pregnant, yoursquo;ll want to get his semen as close to the vaginal entrance as possible, or a little bit inside the vagina if you can.
Causes Of Uncomfortable Intercourse
Women may be unable to have comfortable for vaginal intercourse for various reasons. One of the more common reasons has to do with a condition called vaginismus that is sometimes described as having uncontrollable muscular spasms that prevent vaginal penetration, or that make it exceedingly painful.

Women with vaginismus may find that tampon use or gynecological exams may feel painful or impossible too.

Fortunately, many women with vaginismus can be successfully treated through sex therapy and the use of dilators, which usually come in a set of 5 to 6, and are rod-shaped devices that come in various sizes. The smallest is usually the size of a personrsquo;s little finger. The largest is often about 5 to 6 inches in length and about the girth of an average or above-average sized penis.

Women and their partners may find these online, or through a sex therapist or healthcare provider, and can use them to gradually and very gently help the vagina learn to comfortably accept penetration.

To find a sex therapist near you, visit the web site of the American Association of Sex Educators, Counselors and Therapists.

There are other reasons that a woman may have painful intercourse including:

	past injury or trauma
	side effects from cancer treatment
	vulovodynia (a term that refers to vulvar pain)
	genital skin disorders
	other gynecological problems

If you havenrsquo;t already done so, it is worth checking in with a healthcare provider and/or a sex therapist for further evaluation. This is particularly important if you currently cannot even have a gynecological exam due to genital pain issues, or havenrsquo;t had one in a long time.

It may be worth addressing the painful penetration issue prior to becoming pregnant, as prenatal visits and gyn exams are an important part of having a healthy pregnancy. Please consider checking in with your healthcare provider for information and advice related to your personal health and pregnancy plans.</itunes:summary>
		<itunes:keywords>Content,Type,,Podcast,,Pregnancy</itunes:keywords>
		<itunes:author>aschweig@indiana.edu</itunes:author>
		<itunes:explicit>no</itunes:explicit>
		<itunes:block>No</itunes:block>
	</item>
		<item>
		<title>Q&amp;A: New Sex Position Is Painful</title>
		<link>http://kinseyconfidential.org/new-sex-position-painful/</link>
		<comments>http://kinseyconfidential.org/new-sex-position-painful/#comments</comments>
		<pubDate>Wed, 07 Nov 2007 17:38:20 +0000</pubDate>
		<dc:creator>Dr. Debby Herbenick (M.P.H., Ph.D.)</dc:creator>
				<category><![CDATA[Bodies]]></category>
		<category><![CDATA[Content Type]]></category>
		<category><![CDATA[Newspaper Column]]></category>
		<category><![CDATA[bleeding]]></category>
		<category><![CDATA[cuts]]></category>
		<category><![CDATA[discomfort]]></category>
		<category><![CDATA[pain during sex]]></category>
		<category><![CDATA[pleasurable sex]]></category>
		<category><![CDATA[sex positions]]></category>
		<category><![CDATA[vaginal penetration]]></category>

		<guid isPermaLink="false">http://www.kinseyconfidential.org/blog/2007/11/07/qa-new-sex-position-is-painful/</guid>
		<description><![CDATA[The last time my boyfriend and I had sex  we decided to try a different position which he found quite enjoyable, but I unfortunately, did not. Not only was it initially painful, I also bled during this experience. Is this normal? ]]></description>
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		<slash:comments>0</slash:comments>
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		<item>
		<title>Q&amp;A: Sex Is Painful For My Girlfriend</title>
		<link>http://kinseyconfidential.org/painful-sex/</link>
		<comments>http://kinseyconfidential.org/painful-sex/#comments</comments>
		<pubDate>Wed, 03 Oct 2007 18:16:14 +0000</pubDate>
		<dc:creator>Kinsey Confidential</dc:creator>
				<category><![CDATA[Common Problems]]></category>
		<category><![CDATA[Content Type]]></category>
		<category><![CDATA[Newspaper Column]]></category>
		<category><![CDATA[foreplay]]></category>
		<category><![CDATA[lubrication]]></category>
		<category><![CDATA[pain during sex]]></category>
		<category><![CDATA[painful sex]]></category>
		<category><![CDATA[vaginal pain]]></category>
		<category><![CDATA[Vulvovaginal]]></category>

		<guid isPermaLink="false">http://www.kinseyconfidential.org/blog/2007/10/03/qa-sex-is-painful-for-my-girlfriend/</guid>
		<description><![CDATA[My girlfriend and I have been trying to have sex for the past few months. Each time we try the experience is painful for her. We stop trying because the pain is uncomfortable for her. We expected this the first few times, but it has not gotten any better. Is there anything that we can do to make the experience better for her? ]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Q&amp;A: Partner Has A Large Penis, How To Make Sex More Pleasurable</title>
		<link>http://kinseyconfidential.org/large-penis-pleasurable-sex/</link>
		<comments>http://kinseyconfidential.org/large-penis-pleasurable-sex/#comments</comments>
		<pubDate>Thu, 26 Oct 2006 19:42:15 +0000</pubDate>
		<dc:creator>Kinsey Confidential</dc:creator>
				<category><![CDATA[Common Problems]]></category>
		<category><![CDATA[Content Type]]></category>
		<category><![CDATA[Newspaper Column]]></category>
		<category><![CDATA[comfort]]></category>
		<category><![CDATA[discomfort]]></category>
		<category><![CDATA[girth]]></category>
		<category><![CDATA[large penis]]></category>
		<category><![CDATA[lubricant]]></category>
		<category><![CDATA[lubrication]]></category>
		<category><![CDATA[pain during sex]]></category>
		<category><![CDATA[painful sex]]></category>
		<category><![CDATA[penis size]]></category>
		<category><![CDATA[vaginal lubrication]]></category>

		<guid isPermaLink="false">http://www.kinseyconfidential.org/blog/2006/10/26/qa-he-is-too-big-for-me-what-can-i-do-to-make-sex-better/</guid>
		<description><![CDATA[Q&#038;A about how to make sex more pleasurable when a male partner has a large penis. ]]></description>
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		<slash:comments>1</slash:comments>
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