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Pain with intercourse can be vaginal or pelvic. Vaginal pain can be caused by dryness, mechanical injury, infection, herpes, hormonal disturbances, and emotional problems. Vaginal pain should be addressed by a local gynecologist. 

Pain in the belly with intercourse can be caused by such conditions as endometriosis, ovarian cysts, adhesions (internal scarring), and infection.  

The medical term for painful sex is dyspareunia. Dyspareunia can significantly impair a woman=s sexuality and destroy important relationships. If dyspareunia lasts for six months or more and is not relieved by oral contraception, non-steroidal anti-inflammatory medications, or antibiotics then a significant disease process such as endometriosis must be suspected.   

Early diagnosis and treatment of endometriosis can often eliminate the pain, prevent major surgery, and protect a woman's fertility. Other causes of chronic dyspareunia, such as adhesions (internal scarring), ovarian cysts, and infection can be treated effectively as well.

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