Painful sex and tootsie pops have one unlikely thing in common: they come in many flavors. Unwelcome vulvar pains, pains in and near the vaginal opening, and, of course, pain that’s felt deeper inside the body. That deep pain is called deep dyspareunia. Under the broader umbrella term describing painful sex—dyspareunia— deep dyspareunia can be stabbing, cramping, or shooting pain felt in the vaginal canal or pelvic area during or after penetrative sex. Mysterious, frustrating, and, above all, painful, it has many causes. Some of these conditions may coexist, while in other cases none of these diagnoses are the answer to this question: why is sex deeply painful?
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