Pain is a signal
Pain can occur before, during or after sex: on penetration, when touched, as burning, stabbing or pressure. The medical term is dyspareunia. Sometimes the muscles at the vaginal entrance tighten involuntarily, making penetration difficult or impossible (vaginismus). Men can experience pain during sex too.
Anyone who has experienced pain several times often starts to expect it. The body tenses, arousal drops – and this can make the pain worse. This cycle can be broken.
Get a medical check-up
Before we start sex therapy, a medical assessment is important – for example with a gynaecologist or urologist. Possible causes include:
Physical and psychological factors often work together. That's why it can make sense to involve different professionals, such as a pelvic floor physiotherapist.
How sex therapy can help
Sex therapy is about perceiving your body better and shaping sexuality so that it feels safe and good. This can include, for example:
Sessions take place fully clothed; there is no physical contact. You do the exercises at your own pace and in your own privacy.
Frequently asked questions
Should I see a doctor first?
I recommend it. A medical assessment helps to identify and treat physical causes. Sex therapy can be useful at the same time or afterwards.
What is vaginismus?
With vaginismus, the muscles at the vaginal entrance tighten involuntarily. Penetration – even with a tampon or during a gynaecological examination – is then painful or impossible. Vaginismus is very treatable.
Can my partner come along?
Yes, of course. Pain during sex often affects both partners. But you can also start on your own.
Is it covered by health insurance?
Sessions are generally not covered by basic health insurance. If you have supplementary insurance, it is worth checking in advance. A session costs CHF 150 (individual, 50 min) or CHF 225 (couple, 75 min); a reduced rate is available on request.