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And finally, don't feel alone.

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Moisture is key and without it, penetrative sex can cause friction that leads to micro-tears and irritation.

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Some couples may benefit from seeing a sex therapist, Chavez says, who can do exercises with couples to teach them how to enhance pleasure and avoid things that cause pain.

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They can cause tears and scarring that make sex very painful upon entry, especially if there's a wound that isn't fully healed.

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Fear and anxiety around penetration can create a mental barrier, Chavez says, which can lead someone to unconsciously tense up their pelvic floor muscles during sex, which causes a physical barrier for penetration-based activity.

Description: These injuries could be caused by an accident, surgery, pelvic trauma, female circumcision, piercings gone wrong, or an incision made to widen the birth canal episiotomy. Treating these disorders may involve surgery, Minkin says, or using vaginal dilators.

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