Pain during Sexual Intercourse (Dyspareunia): Therapy

General measures

  • Avoidance of psychosocial stress:
    • Mental conflicts
    • Stress

Nutritional medicine

  • Nutritional counseling based on nutritional analysis
  • Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
    • A total of 5 servings of fresh vegetables and fruit daily (≥ 400 g; 3 servings of vegetables and 2 servings of fruit).
    • Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
    • High-fiber diet (whole grain products).
  • Selection of appropriate food based on the nutritional analysis
  • See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
  • Detailed information on nutritional medicine you will receive from us.

Conventional non-surgical therapy methods

  • Vaginal fractionated laser therapy (vulvovaginal laser therapy) – innovative, minimally invasive, non-surgical and non-hormonal procedure for the treatment of vulvovaginal dysfunctions, mostly recurrent, difficult to treat, especially concerning sexuality and diseases in the intimate area. Predominantly women in premenopausal/menopausal or other estrogen deficiency situations suffer from it. Mild forms of urinary incontinence (bladder weakness), urge symptoms, nocturia (nocturnal urination), chronic recurrent cystitis (recurrent bladder infections), and descensus complaints can also improve. Particularly noteworthy are the excellent results in the treatment of lichen sclerosus, usually eliminating the need for cortisone therapy.Impressive is the minimal rate of side effects and the absence of complications with this method, as well as the possibility of use after chemotherapy or radiation therapy. However, evaluation by controlled studies is still lacking. For details see chapter: “Vulvovaginal laser therapy“, “Laser therapy for bladder problems in women“, laser therapy for lichen sclerosus“.

Psychotherapy

  • If the cause lies in a psychological conflict, then psychological counseling or sex therapy can help to cure dyspareunia. For this purpose, no standardized therapeutic procedure has been established so far.
  • Detailed information on psychosomatics (including stress management) can be obtained from us.