Painful intercourse (dyspareunia) can be due to many causes:
1. Not enough excitement for the woman. This is the most common reason for painful sex but after wetness and relaxation, the pain disappears;
2. Vaginal atrophy in older women which makes the vagina not-elastic;
3. Congenital anomalies of the vagina;
4. Big vaginal tumors;
5. Adhesions and strictures after operations and infections;
6. Lesions of the vulva and vaginal entrance (painful scars, infections, fistulas, hemorrhoids, urethral disorders…);
7. Inflammations of the uterus, tubes and surrounding tissues;
8. Retroverted uterus;
9. Endometriosis of the sacro-uterine ligaments;
10. Spasms of the rectum, and
11. Psychogenic reasons.
In your case, you didn’t report me the result from the biopsy so I can’t tell you if there could be any organic reasons why you may be experiencing dyspareunia. For follow up, you can ask your gynecologist to help you determine and diagnose other possible causes.
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