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For painful intercourse in women after pregnancy:
- Wait at least 6 weeks after childbirth before resuming sexual relations.
- Be gentle and patient.
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For vaginal dryness/inadequate lubrication:
- Try water-based lubricants.
- If you are going through menopause and lubricants don't work, talk to your doctor about estrogen creams or other prescription medications.
For painful intercourse caused by prostatitis:
- Soak in a warm bath.
- Drink plenty of fluids, but avoid alcohol and caffeine.
- Take acetaminophen or ibuprofen.
- Take antibiotics as prescribed.
For hemorrhoids, try stool softeners. Antibiotics may be required for urinary tract infections, sexually transmitted diseases, or vaginal infections.
Other causes of painful intercourse may require prescription medications or, rarely, surgery.
Sex therapy may be helpful, especially if no underlying medical cause is identified. Guilt, inner conflict, or unresolved feelings about past abuse may be involved which need to be worked through in therapy. It may be best for your partner to see the therapist with you.
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