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It might be worse in certain positions. Treatments focus on the cause, and can help eliminate or lessen this common problem. In: Conn's Current Therapy Mayo Clinic does not endorse companies or products. Physical causes of painful intercourse differ, depending on whether the pain occurs at entry or with deep thrusting. Overview Painful intercourse can occur for reasons that range from structural problems to psychological concerns. It can be difficult to tell whether emotional factors are associated with dyspareunia.

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