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What can cause pain during intercourse?

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Dr. Laurence Badgley
General Practice

In brief: Dyspareunia

Painful intercourse can arise from ligaments of pelvic joint, largest joint in axial spine, the sacroiliac joint.
Ligaments are stretched in missionary position as femur leverages pelvis & torques the pelvis. Pain generated by sacroiliac joints can radiate to mid-pelvic region, leading to incorrect perception that vagina is problem. Problem particularly in Hypermobility Syndrome. See comments:

In brief: Dyspareunia

Painful intercourse can arise from ligaments of pelvic joint, largest joint in axial spine, the sacroiliac joint.
Ligaments are stretched in missionary position as femur leverages pelvis & torques the pelvis. Pain generated by sacroiliac joints can radiate to mid-pelvic region, leading to incorrect perception that vagina is problem. Problem particularly in Hypermobility Syndrome. See comments:
Dr. Laurence Badgley
Dr. Laurence Badgley
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5 comments
Dr. Laurence Badgley
My estimation is that about 15% of women are born w. genetic variation of benign Joint Hypermobility Syndrome, JHS. These women are "double jointed" & flexible, w. joints that commonly pop when stressed. Those w. JHS are prone to joint subluxations/ligament injuries, especially sacroiliac & shoulder joints.
Dr. Laurence Badgley
Pain in mid-pelvis can be referred pain from pain generator in musculo-skeletal tissues of pelvic girdle. Women told they have "vaginal prolapse, bladder pain, dyspareunia, painful ovarian cysts, PCOS or endometriosis" should seek Osteopath's second opinion & evaluation for possible pelvic girdle joint/ligament disorder.
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