Houston Painful Sex Specialist – Treatment for Pain During Intimacy

Dyspareunia symptoms vary but often include:

• Burning, stinging, or throbbing pain during or after sex
• Sharp or cramping pelvic pain with deep thrusting
• Pain at the vaginal opening or penile shaft
• Muscle spasms or tightness
• Discomfort or swelling after intimacy
• Vaginal dryness or tearing
• Emotional distress or anxiety around intimacy

If you’re avoiding sex due to pain, losing interest in intimacy, or experiencing persistent discomfort, it’s time to seek support.

Evaluation and Diagnosis at Macie Medical

At Macie Medical in Houston, our process begins with a safe, supportive, and private consultation.

Comprehensive Evaluation:

• Medical & Sexual History: We take time to understand your symptoms, timeline, medications, trauma history, and relationship concerns.
• Pelvic or Genital Exam: Gentle examination checks for signs of infection, irritation, or structural abnormalities.
• Diagnostic Testing: We may recommend hormone panels, vaginal swabs, ultrasound imaging, or referral for physical therapy assessment.

Our goal is to uncover the full picture—not just mask the symptoms.

Effective Treatment for Painful Sex in Houston, TX

Once we identify the root cause, we offer personalized treatment strategies that may include one or more of the following:

Medical and Hormonal Treatments:

• Topical Estrogen or Vaginal Moisturizers: Rehydrates thinning tissues post-menopause.
• Antibiotics or Antifungals: Clears infections causing inflammation.
• Hormone Replacement Therapy (HRT): For systemic estrogen deficiency.
• Nerve Pain Medications: For vulvodynia or neuropathic causes.

Pelvic Floor Therapy:

• Guided by specialized physical therapists
• Focuses on strengthening or relaxing pelvic muscles
• Includes biofeedback, internal massage, and relaxation techniques

Counseling and Sex Therapy:

• For those with anxiety, depression, or trauma histories
• Helps couples improve communication and intimacy
• Addresses performance anxiety and fear of pain

Lifestyle & Wellness Recommendations:

• Stress Management: Mindfulness, yoga, and breathing exercises
• Lubricant Education: Choosing pH-balanced, fragrance-free products
• Nutrition Counseling: Support for hormonal balance and inflammation reduction
• Exercise Plans: To improve circulation and reduce pain sensitivity

Minimally Invasive Procedures:

• Laparoscopy: For endometriosis or fibroids
• Trigger Point Injections: For persistent muscle pain

Treatment is a journey. We’re here for every step of it.