Most of us are okay to consult a doctor about pain or a disease. But we usually don’t count bad sex as a problem worth tackling with our gynaecologist. This is a shame because many of the issues women have in bed can be traced to physiological conditions that can be eased. We get you started on those conversations by doing a first round of consultations with a few specialists.
1. ‘I just went on the pill, and I’ve lost interest in sex.’
Dr Monica Agarwal, consultant gynaecology and obstetrics, Paras Bliss, Panchkula, says, “After taking the pill, around 10-15 per cent have a decreased sex drive.” Pills are a combination of the hormones oestrogen and progesterone, and they stop ovulation. “Some women, who feel a natural increase in libido around the time of ovulation, might not feel the same kind of an urge when they are on the pill. You can try a different pill or a different method of birth control in this case,” says Agarwal.
2. Why am I unable to orgasm even when fully stimulated?
There’s a condition called anorgasmia that prevents a person from reaching the big O. Dr Anuradha Kapur of Max Multi Speciality Centre, New Delhi says, “For most women, the reason is psychological. The medical reasons could be diabetes, neurological diseases, gynaecological surgeries or cancer surgeries, or vaginismus, which is painful sex.” Your doctor can isolate the cause for the problem and prescribe ways to ease your way to an orgasm.
3. ‘Can my fibroids cause pain during sex?’
Fibroids are benign tumours in the uterus and can cause painful sex in some women. According to Dr Amita Shah, senior consultant and coordinator, obstetrics-gynaecology, Columbia Asia Hospital, Gurgaon, “Fibroids can vary in size, number and position. Normally, they do not cause pain during intercourse, unless they are too large or are in the lower uterine cavity close to the cervix.” The treatment of fibroids depends on the severity of the problem and includes hormonal medication or surgery.
4. ‘Why do I have a vaginal discharge when I am aroused?’
When you are aroused, you get wet down there because blood vessels dilate and get filled with blood. “It is called vasocongestion, and it creates fluid secretions that ease penetration. This lubrication is usually thin and watery, but when it gets mixed with the discharge that is present in the vagina, it can appear clear watery or milky depending on the phase of your monthly cycle,” says Dr Agarwal.
5. ‘I experience pain and a burning sensation during sex. Why?’
The most common causes of pain or burning during sex are vaginal dryness, infection, irritation by soaps and cosmetics, or cuts or tears in the vagina. Vaginal dryness could also be caused by the pill, hormonal changes, certain medications or low oestrogen levels. “You need to get tested for urinary infections as well as vaginal infections, which may lead to pelvic infections and consequent inflammation, which leads to pain and burning,” says Dr Shah.