Why You May Be Experiencing Pain During Sex (for Wives)

01/08/20 • 22 min

If you experience pain during sex, you are certainly not alone. Pain during sex is called dyspareunia, and research shows that about 7% of women experience pain it.[1] Of those 7%, about one-quarter of them reported that the pain had been occurring frequently or every time they had intercourse over at least 6 months. Today, we’d like to look at some of the most common causes so that if you’re experiencing dyspareunia you maybe have a starting point to know how to explore and hopefully resolve this challenge. Pain during sexual intercourse is a relatively common issue. Of course, the lifetime prevalence is going to be higher, and I would expect that every person is likely to have at least some discomfort if not some pain during the course of their sexual interactions with their spouse over the lifetime of their marriage. This can be tough to talk about for some people, so we hope that today’s show serves as a bit of an icebreaker and introduction to the subject. We’re not sexologists, sex therapists or medical professionals. I am a marriage counselor so we do address sexual issues, but just be reminded that if you are experiencing pain your wisest course of action is first of all to talk to your doctor or gynaecologist, and possibly to book an appointment with a sex therapist. There are more reasons for pain during sex than what we will cover, for example, we are not going to address urinary tract infections or sexually transmitted infections. But anxiety and menopause are two major causes so we’ll start with them. Sexual Anxiety Sexual anxiety (or sexual performance anxiety) is something that affects men and women of all ages, regardless of how much experience they have had with sexual intercourse. There are a variety of possibilities here. A newly married wife may be too self-conscious to tell her husband what she does not enjoy: this could lead to some trepidation or anxiety about having sex which could result in pain during sex.[2] In some cases, the anxiety may be short-lived and go away on its own. In other cases, it may be something that occurs on a regular basis and interferes with a healthy sex life.[3] According to sex educator Amy Jo Goddard (n.d.), two things are generally the root cause of sexual performance anxiety. She states, "this response is conditioned by the way in which we were brought up to think about certain aspects of sex and our own bodies, and by social expectations that impact our relationship with our own sexuality."[4] This means that messages from your family of origin, your church, or from locker-room discussions or friends at school — all those sources could potentially contribute to anxiety during sex. Other times it may simply be a lack of sex education: perhaps not that you don’t understand how sex works, but that you’re just not prepared for all the realities of sexual encounters with your husband. Everyone functions differently and has different needs when it comes to sex, and not being well educated can lead you to feel unsure about the techniques of giving, achieving or receiving pleasure. Additionally, you may experience fear because of myths concerning pregnancy, or myths about how your body is supposed to react during sex, and these beliefs can be very anxiety-inducing.[5] Of course, anxiety impacts arousal, which impacts your body’s ability to prepare itself for penetration and intercourse. It’s also important to note that the anxiety doesn’t have to be sexual performance anxiety. It could be anxiety about anything: how you’re going to pay the bills, your child’s health, the family get-together that’s coming up, whatever. General anxiety can also impact your sexual experience, potentially resulting in discomfort or pain. What to do About Anxiety Obviously, with such a wide variety of potential sources for anxiety it is challenging to cover all the possible solutions.

Previous Episode

Betrayed By Your Wife? 5 Things You Need to Do

Back in episode 209, we did a show on the five things you need to know if you’ve been betrayed by your husband. Today we want to look at the experience of a husband who has been betrayed. Men and women both experience betrayal, but have different ways of responding to it. Betrayal trauma is the result of a shocking disclosure of a relational breach, whether that’s unfaithfulness or some other form of broken trust or loss of confidence in your marriage. These breaches can come from things like spousal neglect, cheating or various forms of infidelity, dishonesty, deception, betrayal, rejection, or other circumstances that cause you to stop trusting your spouse.[1] Men Process Betrayal Trauma Differently Than Women Unfortunately, there is much less research on men dealing with betrayal trauma than on women. Men definitely experience pain and have to go through a process of healing after they are betrayed, but they tend to process it differently than women. According to Douglas Weiss (2019), a psychologist who sees both women and men dealing with betrayal trauma, men tend to compartmentalize more than women and they tend to block out painful experiences such as betrayal.[2] Research shows that men tend to go in one of two directions when dealing with infidelity: either they divorce their spouse or they give them one more chance.[3] Women are actually more likely to experience symptoms of trauma and PTSD after betrayal, whereas men don’t end up with the same PTSD symptoms. Keep in mind that this is a general statement. There are men who do experience trauma and PTSD symptoms after betrayal. They also should look for professional help, grieve what has happened, and deal with the hurt, anger and betrayal that they’ve endured.[4] Betrayal can Have Lasting Effects Just because you have not developed symptoms of PTSD, this does not necessarily mean you are free and clear of any lasting effects. Even without adverse ongoing symptoms, you still have to take time to process the hurt, anger and betrayal. You have to grieve the loss of an unadulterated marriage and other effects of what has happened. There are some feelings that betrayed men experience that are common to both genders. For example, shame. It could be shame of believing that others will see them as sexually incompetent, thus prompting their spouse to go outside the marriage. It could also be believing that they are relationally or emotionally inadequate, again prompting the spouse to seek to meet their needs outside the marriage. However, where other women will typically rally around one of their own when betrayed, a man in the same situation may find himself with friends who don’t know how to support him in this very vulnerable and emotionally raw stage after he discloses the affair to them. Finally, it’s always helpful to remember that everyone processes betrayal differently. And every kind of betrayal is different. For example, a financial betrayal (e.g., a hidden gambling loss) will prompt a very different reaction than the discovery of an affair. One thing both genders need to do is to consider, process and express the emotions generated by the betrayal. If you have friends, a mentor, or someone in your support network who can be there with you as you do this work, that is a huge help. It’s also a good idea to reach out to your therapist for counseling. If you haven’t worked with a therapist before we have a number of our team members at OnlyYouForever who work with betrayal situations in marriage too. 5 Ways To Heal From Betrayal We’d like to give you the five things you can do to help you recover from a betrayal. 1. Give Yourself Time It’s important to understand that there is no quick fix to a situation like this. Recovery from betrayal is a painful process. It takes time to heal. It is totally normal during this time to feel anger and distress.

Next Episode

Is Your Spouse Taking You For Granted?

Is your spouse taking you for granted? Well, you may be expecting us to pick on that nasty spouse of yours: but as we often point out, the only person you can change is yourself. Today we’re going to look at how a people pleasing personality or a codependent personality can lead you to feeling very much taken for granted, and what to do about it. There can be a number of reasons why you may be feeling that you are being taken for granted by your spouse. I think all of us go through at least brief phases in our marriage when we feel that way. Often this comes up around the issues of fair distribution of household labour or emotional labour. If you think that this may be a shorter-term imbalance, those two episodes/articles are definitely worth checking out. On the other hand, feeling taken for granted may be due to relationship or personality dynamics in yourself. That’s what we want to consider today as another possible explanation for how you arrived at a place where you’re feeling very taken for granted. First of all, we want to consider marital roles and then two personality dynamics: the people pleasing personality and codependency as two possible explanations. Codependency and people-pleasing are two tendencies that can make you more easily taken for granted by others, including your spouse. These tendencies are not the same thing. Someone is usually one or the other, though there are times when a person displays some of the attitudes of both codependency and people-pleasing.[1] Roles in Marriage Sometimes couples have a more traditional view of marriage: the husband makes a lot of the decisions and the wife is supportive of the husband. This isn't a bad thing as long as it's agreeable to both spouses, but you want to be sure that the arrangement is considered to be fair by both spouses, and especially that the wife's needs and wants are not overlooked in the relationship. The dominant vision of marriage in the twentieth-century was created during the interwar years. Before this period, husbands and wives were seen to represent complementary but separate natures and existences. Today, couples with a less traditional view of marriage generally negotiate household arrangements in a more "fluid and individualized fashion" than their parents’ generation had.”[2] While old norms were based on separate spheres and an elevated appreciation for female self-sacrifice, modern norms are based on comradeship and self-expression.[3] For example, it's more common in modern marriages for the wife to contribute financially to the family than it was in previous generations.[4] A woman’s role in marriage was more set with the old norms, whereas women who adopt more modern norms have more expectations to manage than men because of the way things have changed. They need to "mediate tensions between experimentation and stability--between the old norms based on separate spheres and female self-sacrifice and new norms of comradeship and self-expression” in order to find a healthy balance.[5] In marriages with a more traditional view of the husband and wife role, it can be easy to set up the expectation that the wife will always be willing to sacrifice her own needs and wants for those of her husband, and will always be supportive of what he does at the expense of her own needs and wants. Having a traditional model certainly doesn’t always lead to the wife feeling taken for granted. But this model does set the stage for that possibility. In any marriage, regardless of whether or not the wife is working or not, it's important for there to be space for her own individual self-expression, as well as room to connect to one another as peers. This requires creating space for one another's thoughts and feelings. For husbands, it means not dominating or controlling your wife and allowing her space to have her own voice.