Sex hi thil hrehawm leh nuam lo tak a ni fo em? Chumi chungchang sawi chu i zak deuhin i hria em? Hei hi i tan chauh harsatna a ni lo. Mi tam takin he natna hi an tuar a ni. Mahse a tha ber chu enkawl theih a ni a, a chhan pawh hriat theih a ni. Chuvangin vawiin hian he natna hi tlang takin sawi ila, chu chu medical science-ah chuan dyspareunia an ti a ni.
A awlsam zawngin, dyspareunia chu eng nge ni?
Dyspareunia hi mipat hmeichhiatna hman hma emaw, inpawl lai emaw, inpawl hnu emawa awm reng emaw, lo lang leh emaw a ni. Hetiang dinhmun hi hmeichhiaah a tam zawk nachungin, mipaah pawh a nghawng thei a ni.
Hmeichhiaten he natna hi an hriat theihna hmun engemaw zat a awm. Mi thenkhat chuan vagina pawnah, labia bulah emaw, vagina hawnna hmunah emaw an hre thei. Mi dangte chuan taksa chhunga natna chu an hre mai thei. Entir nan:
- Pelvic floor taksa peng hrang hrang
- Vaginal canal-a vun
- Nausen pum (uterus) a ni
- Nausen pum pui puitu ligaments
- Pum hnuai lam
Mipa hian penis lu, shaft of the penis, testicles emaw pelvis emaw-ah natna an nei thei.
He natna hi taksa lamah chauh a na lo va, rilru lam pawh a ni thei hle. Nupa inkara inpawhna tlahniam leh inlaichînna lama harsatna a thlen thei a ni. Chuvang chuan hemi chungchang hi sawi chhuah a pawimawh hle.
Hetiang harsatna i neih chuan i doctor chuan sexual health specialist, gynecologist hnenah a refer thei che a, chu chuan i natna lan chhuah chhan bulpui chu a hre thei ang a, enkawlna dik ber a ruat thei ang.
Hetiang natna hi chi hrang hrang a awm em?
Ni e, hei hi i natna i hriatna hmun azirin i classified thei. Tichuan a chhan zawn a awlsam zawk ang.
| Natna chi hrang hrang | Thuziak leh a chhan awm thei te |
|---|---|
| Entry natna a ni | Hei hi mipat hmeichhiatna hman tan tirh atanga hriat a ni a, chu chu mipa zang chu vagina chhunga an dah luh hian a ni. A natna hi vaginal opening bulah a awm a. Hei hi hormone inthlak danglam vang te, vaginal dryness vang te, hun rei tak allergy vang te, infection vang te, hliam thenkhat vang te pawh a ni thei. |
| Positional pain a awm | Sex position thenkhatah chauh natna i neih chuan hetiang chi hi a ni thei. Hei hi pelvic floor muscle lama harsatna, vaginal dryness, infection vang a ni ber. |
| Natna thuk tak a ni | He natna hi penis hi vagina chhunga thuk taka dah luh hian a hriat theih a ni. He natna hi hmun thenkhatah chuan a na zual thei. Bladder emaw bowel natna, pelvic floor dysfunction, endometriosis ang chi natna te hian hetiang hi a thlen thei a ni. |
A natna a thlen hun a zirin kawng dangin a thliar hrang thei bawk:
- Primary pain: Hei hian he natna hi mipat hmeichhiatna i hman hmasak ber ni atang khan a awm tawh tihna a ni.
- Secondary pain: Tun hmaa hrehawmna awm lova sex i hman tawh a, he natna hi a hnua lo awm a nih chuan he chi zingah hian a tel ve a ni.
- Complete pain: Sex i hman apianga natna i hriat chuan.
- Situational pain: Hun engemaw chen emaw, dinhmun thenkhatah emaw, kawppui thenkhat nen emaw chauh natna hi a awm a nih chuan.
Hetiang dinhmun hi engtiang chiahin nge a awm?
Sex hman laia natna hi hmeichhiaah a hluar hle. Survey-a a lan dan chuan hmeichhia 4 zinga 3 chuan an dam chhungin engtik lai pawhin an tawng dawn a ni. Chutiang thupui sensitive tak a nih avangin mi tam tak chuan sawi chhuah emaw, damdawi lam thurawn lak emaw an hreh hle. Chuvangin, statistics dik tak chu a sang zawk hle mai thei.
Hetiang dinhmun hi hmeichhe naupai hnaih leh naupai hnua hmuh tur a awm tlangpui. A chhan ber chu hormone estrogen a tlahniam vang a ni. He hormone hi vagina tui leh flexibility vawng reng turin a pawimawh hle.
Mahse, i kum upat deuh deuh chuan hei hi thil pangngaiah ngai mai suh. Natna zawng zawng hi kum upat vang a ni lo.
Dyspareunia natna lan chhuah dan chu engte nge ni?
Sex hman laiin natna i neih chuan a danglam thei.
- Vagina chhunga luh emaw, tampon hman emaw pawha hriat theih natnaNatna nasa tak.
- Mipat hmeichhiatna hman laiin natna thuk tak.
- Sex hman zawh hnua kang emaw, natna emaw.
- Pelvic cramping a awm.
- Muscle stiffness emaw spasms emaw a awm.
- Bladder na a na.
He natna hi hliam tuar emaw, kang emaw, hnim hring emaw ang maiin a awm thei. Hmun khatah a awm thei a, mipat hmeichhiatna hmun zawng zawngah a darh thei bawk.
He natna hian thisen a chhuah tir em?
Thisen chhuah hi a awm ngai lo. Sex hman laiin thisen i chhuah chuan a hnuaia medical condition vang pawh a ni thei. Natna nen a inzawm thei a, a inzawm lo thei bawk. Mahse, sex hman laiin thisen i chhuah chuan thil pangngai a ni thei a, natna kai chhinchhiahna a ni thei a, a tlem berah chuan cancer chhinchhiahna a ni thei bawk a, chuvangin doctor pan ngei ngei tur a ni.
Hei hi a chhan berte chu engte nge ni?
Vawi tam tak chu, he natna thlentu ber chu insufficient lubrication , chu chu vaginal dryness tihna a ni. Amaherawhchu, hri kai, hliam, leh damdawi lam harsatna chi hrang hrangin a thlen thei bawk.
1. Damdawi lam dinhmun hrang hrang
- Endometriosis: Nausen pum chhung (endometrium) nausen pawn lam, hmun dangah (entir nan, fallopian tubes, abdominal cavity) line-a awm tissue lo thang lian.
- Vun natna: Vun natna, dermatitis, mipat hmeichhiatna hmuna awm.
- Pelvic floor dysfunction: Pelvic cavity chhunga thau leh ruh (ligament) te harsatna a awm.
- Intestinal problems: Intestinal natna chi hrang hrang, irritable bowel syndrome (IBS), ulcerative colitis, leh Crohn’s disease te.
- Bladder lama harsatna: Urinary tract infection (UTIs) leh interstitial cystitis (IC) ang chi natna te.
- Hormone inthlak danglamna: Hormone inthlak danglamna, a bik takin perimenopause laiin.
- Nervous system lama harsatna: Nerve nena inzawm harsatna, ruhro chhunga nerve pinched ang chi.
- Nu hnute pe: Nau hnute pek laia hormone inthlak danglamna hian vaginal dryness leh pain a thlen thei bawk.
- Vulvodynia: Hun rei tak chhung vaginal opening (vulva) vel a na.
- Vaginismus: Duh loh vanga, vagina ruhte khauh taka inzawm khawm. Hei hi a hmaa trauma emaw, natna hlauhna emaw avanga lo awm thei a ni.
2. Trauma emaw hliam emaw
- Operation emaw nau neih emaw hnu lawka sex hman .
- Vagina emaw, vaginal opening vel emaw a hliam. Entirnan, nau neih laiin vaginal tear emaw episiotomy emaw.
3. Hri kai te
- Vaginal infection: Hri kai tlangpui, yeast infection emaw bacterial vaginosis emaw ang chi.
- Sexually transmitted infections (STIs): Mipat hmeichhiatna lama natna hrik leh herpes ang chi natna.
Engtin nge he dinhmun hi kan hriat theih ang?
I doctor chuan i medical history a zawt ang che a, a chhan hriat tumin physical exam a ti ang che. He taksa enfiahnaah hian i pelvis, i pum, i vagina leh uterus te enfiah a ni thei.
A natna chhan dik tak hriat nan a hnuaia test te hi tih theih a ni:
- Pelvic exam: Hetih lai hian vaginal discharge sample emaw, zun sample emaw lak theih a ni a, infection a awm leh awm loh enfiah theih a ni.
- Ultrasound scan: Transvaginal ultrasound hmang hian i reproductive system chhunga taksa peng hrang hrangte chu a tha hle.
- Laparoscopy: Hei hi tih a tlem hle. Hei hi surgical procedure a ni a, test dangin a chhan an hmuh theih loh chuan camera te tak te hmangin pum chhung lam an enfiah thin.
Hetiang harsatna chungchang hi doctor nena sawi dun chu zak suh. A pangngai a ni. I doctor hian heng thilte hi a lo hre tawh a, i tanpui turin an awm reng tih hre reng ang che.
I doctor chuan hetiang zawhna hi a zawt thei che a ni:
- Khawiah nge a natna chu i hriat?
- Eng chen nge natna hi a lo awm thin?
- He natna hi eng chen nge a awm tawh?
- Eng ang nge a natna chu a hriat? (e.g., kang, natna?)
- Eng damdawi nge i hman?
- Tun hmain surgery i nei tawh em?
Engtin nge enkawl a nih?
Enkawl dan tur chu a natna chhan a zirin a ni. Entirnan, natna hi pelvic floor dysfunction vang a nih chuan physical therapy hmasa ber tur a ni.
- Damdawi: Vaginal dryness hi estrogen tlakchham vang a nih chuan estrogen awmna cream a awm a, chu chu vagina-ah hnawih theih a ni. Infection emaw, natna dang emaw enkawlna atan damdawi pawh pek theih a ni bawk.
- Lubricants: Vaginal dryness hi a chhan ber a nih chuan tui emaw silicone emaw hmanga siam lubricant hman hian a pui thei hle.
- Thurawn dang: Mipat hmeichhiatna hmunah hian sahbawn rimtui tak tak, bubble bath, sanitary pad rimtui tak tak, leh toilet paper hman loh tur.
In lama natna enkawl dan tur thil i tih theih
- Sex hman hmain tui emaw silicone hmanga siam lubricantsLubricant hmang rawh.
- Mipat hmeichhiatna lam thil dang emaw, natna thlen lo position dang emaw chu ti ve rawh.
- Sex hman hmain paracetamol ang chi over-the-counter pain reliever ei hmasa phawt ang che.
- Sex hman hmain chawlh hahdam leh de-stress hun hmang rawh.
- Sex zawhah ice pack hmangin vaginal opening vel ah hnawih thin ang che.
He natna hi eng chen nge a awm tih hi a chhan leh a enkawl dan azirin a inang lo. A châng chuan enkawl ṭan hnuah pawh hahdamna i nei nghâl mai thei. A châng dangah chuan enkawlna dik tak hmuh theih nân hun engemaw chen a la ngai thei bawk.
A tha ber chu, hei hian hahdamna a thlen thei fo thin. Chuvangin beiseina bansan suh.
Take-Home Thuchah a ni
- Sex hman laia natna (Dyspareunia) hi a awm fo thin. Zahpui emaw, mahni chauha tuar emaw a ngai lo.
- He natna hi taksa leh rilru lam thil vang a ni thei a, chuvangin a chhan dik tak zawn chhuah a pawimawh hle.
- Hei hi tar chakna pangngai angin ngaihthah suh. Natna tinreng hian chhan leh damdawi a nei vek.
- Sex hman laiin natna thar i neih chuan, thisen chhuah, emaw, sex atanga chhuak danglam tak i neih chuan doctor pan ngei ngei tur a ni.
- Hemi chungchang hi i kawppui nen zalen taka sawi dun hi inlaichinna atan a pawimawh hle. Inhriatthiam tawn dan tur leh inhnaih tawnna, hrehawm lo tak siam dan tur sawiho rawh.
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