{"id":11999,"date":"2021-04-11T10:21:35","date_gmt":"2021-04-11T15:21:35","guid":{"rendered":"https:\/\/naturalwomanhood.org\/?p=11999"},"modified":"2024-05-20T14:34:45","modified_gmt":"2024-05-20T19:34:45","slug":"tratamiento-de-la-raiz-del-dolor-en-las-relaciones-sexuales","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/es\/treatment-for-root-cause-of-painful-sex\/","title":{"rendered":"\u00bfPor qu\u00e9 tantas mujeres tienen relaciones sexuales dolorosas?"},"content":{"rendered":"

Hay unas 17.000 b\u00fasquedas mensuales en Google de la frase \"sexo doloroso\". Resulta revelador que todas las primeras p\u00e1ginas que aparecen bajo una b\u00fasqueda de \"sexo doloroso\" est\u00e9n dirigidas a mujeres, no a hombres. En una estudio publicado en 2017<\/a> Tomando muestras de m\u00e1s de 15.000 mujeres, los investigadores observaron que \"el dolor en las relaciones sexuales (dispareunia) es un problema de salud femenino frecuente pero desatendido. Se calcula que la prevalencia en la poblaci\u00f3n var\u00eda entre 3 y 18% en todo el mundo, y las estimaciones a lo largo de la vida oscilan entre 10 y 28%\". Eso son muchas mujeres que experimentan dolor por lo que deber\u00eda ser una experiencia placentera. Y lo que es peor, probablemente hay muchas m\u00e1s mujeres que sufren en silencio, quiz\u00e1 por la verg\u00fcenza o la frustraci\u00f3n que a veces acompa\u00f1an a las relaciones sexuales dolorosas. <\/p>\n\n\n\n

En un art\u00edculo para Natural Womanhood, Liz Escoffery hablaba del fen\u00f3meno del sexo doloroso antes de la menstruaci\u00f3n<\/a>y c\u00f3mo el seguimiento del ciclo y el tratamiento con un fisioterapeuta especializado en el suelo p\u00e9lvico pueden ayudar. Pero, adem\u00e1s de las relaciones sexuales dolorosas antes de la menstruaci\u00f3n, las mujeres tambi\u00e9n experimentan dolor en distintos momentos de su ciclo, lo que pone de manifiesto que las relaciones sexuales dolorosas pueden deberse a distintas causas en distintas mujeres. Para profundizar un poco m\u00e1s en las distintas causas de las relaciones sexuales dolorosas, habl\u00e9 con Dr. Nicholas Kongoasa, MD, FACOG<\/a>.<\/p>\n\n\n\n

El Dr. Kongoasa, o \"Dr. K\" como le llaman sus pacientes, ejerce la ginecolog\u00eda y la medicina reproductiva reparadora (MRR) en Medicina Reproductiva y Ginecolog\u00eda<\/a>Tambi\u00e9n es director m\u00e9dico de la Centro de Cirug\u00eda Reproductiva Reparadora<\/a>ambos en el \u00e1rea de Atlanta, GA. El Dr. Kongoasa es un ginec\u00f3logo y obstetra certificado, que tambi\u00e9n est\u00e1 formalmente capacitado en los m\u00e9todos Creighton y FEMM de conocimiento de la fertilidad y sus protocolos m\u00e9dicos reproductivos restaurativos. Est\u00e1 familiarizado con las diversas causas de las relaciones sexuales dolorosas en las mujeres y c\u00f3mo identificarlas y tratarlas de manera que se respete y restablezca la salud reproductiva de la mujer.<\/p>\n\n\n\n

El dolor muscular como origen de las relaciones sexuales dolorosas <\/strong><\/span><\/h2>\n\n\n\n

Como se explica en el libro Natural Womanhood art\u00edculo<\/a> \"Sexo doloroso antes de la regla\", el sexo doloroso suele deberse a dolores musculares. Por eso la fisioterapia del suelo p\u00e9lvico, que puede ayudar a relajar los m\u00fasculos p\u00e9lvicos tensos, puede proporcionar un alivio eficaz para el sexo doloroso. Pero el Dr. Kongoasa afirma que, antes de recurrir a la fisioterapia del suelo p\u00e9lvico, es imprescindible profundizar un poco m\u00e1s: para llegar al fondo de las relaciones sexuales dolorosas, hay que averiguar primero cu\u00e1l es la causa del dolor muscular.<\/p>\n\n\n\n

\"Creo que el dolor muscular, aunque es un factor importante del dolor p\u00e9lvico, es s\u00f3lo secundario a algo m\u00e1s\", dice el Dr. Kongoasa. \"El dolor muscular es un dolor reactivo, lo que significa que suele haber una causa subyacente que provoca el espasmo muscular\". Por ejemplo, una causa com\u00fan del dolor p\u00e9lvico y de las relaciones sexuales dolorosas es endometriosis<\/a>. La endometriosis provoca inflamaci\u00f3n y cicatrices, que a su vez causan dolor. \"La respuesta natural del cuerpo a este dolor es tensar los m\u00fasculos que rodean la zona para protegerla (piense en un disco abultado que causa dolor de espalda)\", explica el Dr. Kongoasa. \"Y, si un m\u00fasculo est\u00e1 en un estado de tensi\u00f3n perpetua, se debilita, y el m\u00fasculo d\u00e9bil sufre espasmos m\u00e1s r\u00e1pidamente\". Este espasmo \"provoca una magnificaci\u00f3n de ese dolor p\u00e9lvico\".<\/p>\n\n\n\n

Por este motivo, el Dr. Kongoasa considera que la fisioterapia del suelo p\u00e9lvico suele ser m\u00e1s eficaz si la causa subyacente del dolor p\u00e9lvico de la paciente tambi\u00e9n se trata o controla adecuadamente. En el caso de la endometriosis, esto significar\u00eda el control de la inflamaci\u00f3n, que es m\u00e1s eficaz mediante la extirpaci\u00f3n quir\u00fargica de las lesiones endometriales.<\/p>\n\n\n\n

\"Por otra parte\", dice el Dr. Kongoasa, \"si no se trata adecuadamente la ra\u00edz del dolor p\u00e9lvico, la fisioterapia del suelo p\u00e9lvico puede ser beneficiosa s\u00f3lo temporalmente\", o el fisioterapeuta puede \"toparse con un obst\u00e1culo despu\u00e9s de unas pocas sesiones\", incapaz de sacar el m\u00fasculo del espasmo. Por lo tanto, llegar a la ra\u00edz de la causa del espasmo muscular es imprescindible para un tratamiento adecuado.<\/p>\n\n\n\n

Determinar la(s) causa(s) de las relaciones sexuales dolorosas <\/strong><\/span><\/h2>\n\n\n\n

El Dr. Kongoasa afirma que los m\u00fasculos de la pelvis pueden sufrir espasmos que provoquen dolor p\u00e9lvico y relaciones sexuales dolorosas debido a varias causas fundamentales. Las clasifica en las siguientes categor\u00edas:<\/p>\n\n\n\n

1. Trastorno inflamatorio focal  <\/strong><\/span><\/h3>\n\n\n\n

Esto incluye trastornos que se sabe que causan inflamaci\u00f3n en la regi\u00f3n p\u00e9lvica, como la endometriosis, la cistitis intersticial y la s\u00edndrome de ovario poliqu\u00edstico (SOP)<\/a>etc. Una vez que el Dr. Kongoasa ha deducido que el dolor p\u00e9lvico es consecuencia de alg\u00fan tipo de trastorno inflamatorio focal, recomendar\u00e1 un tratamiento para reducir la inflamaci\u00f3n. La primera l\u00ednea de tratamiento suele consistir en cambios en la nutrici\u00f3n y el estilo de vida, y suplementos antiinflamatorios, as\u00ed como en la elaboraci\u00f3n de gr\u00e1ficos para ayudar en el diagn\u00f3stico de uno o m\u00e1s de estos problemas. Despu\u00e9s de este enfoque de primera l\u00ednea, el trabajo posterior indicar\u00e1 si la cirug\u00eda u otros tratamientos m\u00e1s agresivos est\u00e1n justificados.<\/p>\n\n\n\n

2. Trastorno inflamatorio general  <\/strong><\/span><\/h3>\n\n\n\n

Esto incluye trastornos como sensibilidad al gluten<\/a>, la colitis ulcerosa y la tiroiditis de Hashimotos, entre otras, que se sabe que causan una inflamaci\u00f3n generalizada en todo el cuerpo. \"Si el cuerpo est\u00e1 inflamado\", dice el Dr. Kongoasa, \"magnifica tu dolor\". Dice que puedes pensar en ello \"como si tuvieras la gripe y adem\u00e1s una herida en la mano por un corte. Tu herida ser\u00e1 m\u00e1s dolorosa y sanar\u00e1 m\u00e1s lentamente si tienes gripe al mismo tiempo\".<\/p>\n\n\n\n

3. Infecci\u00f3n <\/strong><\/span><\/h3>\n\n\n\n

Esto incluye cosas como la endometritis cr\u00f3nica y la vaginitis, entre otras. En el caso de un origen infeccioso de dolor p\u00e9lvico en un paciente, el Dr. Kongoasa dice que mantener un tabla del ciclo de fertilidad<\/a> ser\u00e1 especialmente \u00fatil, ya que \"el gr\u00e1fico mostrar\u00e1 signos de hemorragia persistente\".<\/p>\n\n\n\n

4. Estado hipoestrog\u00e9nico  <\/strong><\/span><\/h3>\n\n\n\n

Las mujeres con una carencia grave de estr\u00f3genos presentan un estado denominado hipoestrogenismo. Entre las mujeres en estado de hipoestrogenismo se incluyen las siguientes posmenop\u00e1usica<\/a>mujeres cuyos ciclos son suprimidos por anticonceptivos hormonales<\/a>mujeres deportistas con amenorrea hipotal\u00e1mica, mujeres bajo una enorme cantidad de estr\u00e9s<\/a>o mujeres con trastornos alimentarios<\/a>. Una vez m\u00e1s, el Dr. Kongoasa se\u00f1ala que el historial menstrual de una mujer puede ser una fuente de informaci\u00f3n inestimable para determinar si el dolor p\u00e9lvico puede deberse a un estado hipoestrog\u00e9nico.<\/p>\n\n\n\n

5. Anomal\u00edas uterinas  <\/strong><\/span><\/h3>\n\n\n\n

\"\u00bfEs el propio \u00fatero el causante del dolor?\". pregunta el Dr. Kongoasa. Por ejemplo, las mujeres con adenomiosis (una enfermedad en la que el revestimiento del \u00fatero crece dentro de la pared del \u00fatero) \"tendr\u00e1n dolor con las relaciones sexuales que es muy espec\u00edfico del dolor uterino, causando una sensaci\u00f3n dolorosa de que el \u00fatero est\u00e1 siendo 'golpeado' durante el sexo.\" La adenomiosis \"tambi\u00e9n se asocia a hemorragias abundantes, y cuanto m\u00e1s abundante es la hemorragia, mayor es el dolor.\" \"De nuevo\", apunta el doctor Kongoasa, \"es necesaria la correlaci\u00f3n con una tabla de fertilidad\".<\/p>\n\n\n\n

6. S\u00edndrome de sensibilizaci\u00f3n central (fibromialgia, etc.) <\/strong><\/span><\/h3>\n\n\n\n

En mujeres con s\u00edndrome de sensibilizaci\u00f3n central<\/a>, el Dr. Kongoasa afirma que \"el cerebro se reprograma para percibir ciertos est\u00edmulos\/toques normales como dolor\". Se\u00f1ala que esta causa fundamental de las relaciones sexuales dolorosas es especialmente dif\u00edcil de tratar. Afortunadamente, se est\u00e1 investigando este misterioso conjunto de s\u00edndromes, que tambi\u00e9n puede incluir la endometriosis. El Departamento de Obstetricia y Ginecolog\u00eda de la Universidad de Columbia Brit\u00e1nica notas<\/a> eso:<\/p>\n\n\n\n

\"Las personas con sensibilizaci\u00f3n central experimentan una mayor sensibilidad al dolor y pueden sentir dolor incluso con un tacto leve. El Laboratorio de Investigaci\u00f3n sobre Endometriosis y Dolor P\u00e9lvico descubri\u00f3 que las personas con sensibilidad en la vejiga y\/o el suelo p\u00e9lvico y\/o s\u00edndrome de vejiga dolorosa, que se consideran marcadores cl\u00ednicos de la sensibilizaci\u00f3n central, presentaban un dolor sexual m\u00e1s intenso con la penetraci\u00f3n profunda, independientemente de la gravedad de la endometriosis. Estos resultados sugieren que, en algunas personas, la sensibilizaci\u00f3n central puede desempe\u00f1ar un papel en el dolor sexual con la penetraci\u00f3n profunda m\u00e1s que las lesiones de endometriosis. Ahora estamos estudiando m\u00e1s a fondo la sensibilizaci\u00f3n central y su relaci\u00f3n con este dolor, ya que esto puede conducir a planes de tratamiento individualizados y a una mejor atenci\u00f3n.\"<\/p>\n\n\n\n

Tratamiento m\u00e9dico reproductivo restaurador para las relaciones sexuales dolorosas <\/strong><\/span><\/h3>\n\n\n\n

Despu\u00e9s de averiguar cu\u00e1l de las categor\u00edas anteriores es la causa probable del dolor p\u00e9lvico de una mujer, \"entonces bajamos al m\u00fasculo\", dice el Dr. Kongoasa. \"El m\u00fasculo, al fin y al cabo, est\u00e1 reaccionando a una o varias de las causas anteriores\". <\/p>\n\n\n\n

Este enfoque cuidadoso y metodol\u00f3gico para abordar las causas profundas de las relaciones sexuales dolorosas, tal y como lo expone el Dr. Kongoasa, es un excelente ejemplo del poder del Medicina Reproductiva Restaurativa (RRM)<\/a>. El RRM no busca una soluci\u00f3n \"r\u00e1pida\" para tapar los s\u00edntomas, sino que trata de curar el problema de ra\u00edz protegiendo la capacidad reproductiva de las mujeres.<\/p>\n\n\n\n

Si tiene relaciones sexuales dolorosas, no tiene por qu\u00e9 vivir con ello el resto de su vida. Con 10-28% de mujeres que declaran haber tenido relaciones sexuales dolorosas a lo largo de su vida<\/a>En el caso de las mujeres, se trata de un problema al que se presta poca atenci\u00f3n, pero no est\u00e1 sola y, como se detalla en este art\u00edculo, existen tratamientos disponibles. Te mereces la atenci\u00f3n compasiva de alguien que tratar\u00e1 y curar\u00e1 tu enfermedad de forma eficaz, para que puedas disfrutar del sexo de forma natural.<\/p>\n\n\n\n

Lecturas complementarias:<\/span><\/h4>\n\n\n\n

\u00bfTe duele el sexo antes de la regla? C\u00f3mo el seguimiento de tu ciclo puede ayudarte a que el sexo deje de dolerte<\/a><\/p>\n\n\n\n

Sexo despu\u00e9s del parto: c\u00f3mo saber si est\u00e1s preparada (y cu\u00e1ndo)<\/a><\/p>\n\n\n\n

Impactantes razones por las que los anticonceptivos reducen el deseo sexual de las mujeres<\/a><\/p>\n\n\n\n

Cuando los problemas de libido no est\u00e1n s\u00f3lo en su cabeza<\/a><\/p>\n\n\n\n

Los ciclos y el cambio: La fertilidad despu\u00e9s de los 35<\/a><\/p>\n\n\n\n

5 maneras en que el estr\u00e9s puede afectar a tu periodo y al resto de tu ciclo<\/a><\/p>","protected":false},"excerpt":{"rendered":"Hay unas 17.000 b\u00fasquedas mensuales en Google de la frase \"sexo doloroso\". Resulta revelador que todas las p\u00e1ginas m\u00e1s buscadas...","protected":false},"author":31,"featured_media":12000,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[5364,5181],"tags":[5487,5407,5417],"class_list":{"0":"post-11999","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-endometriosis","8":"category-reproductive-and-menstrual-disorders","9":"tag-shes-not-herself-when-someone-you-love-is-struggling-with-birth-control-side-effects","10":"tag-relationship-health-nfp-vs-birth-control","11":"tag-reproductive-and-menstrual-disorders","12":"cs-entry","13":"cs-video-wrap"},"acf":[],"yoast_head":"\nWhy are so many women experiencing painful sex? - Natural Womanhood<\/title>\n<meta name=\"description\" content=\"There are several potential root causes of painful sex. Getting help from a restorative reproductive medical provider can help.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/naturalwomanhood.org\/es\/tratamiento-de-la-raiz-del-dolor-en-las-relaciones-sexuales\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Why are so many women experiencing painful sex?\" \/>\n<meta property=\"og:description\" content=\"There are about 17,000 Google searches per month for the phrase \u201cpainful sex.\u201d Tellingly, all the top pages that come up under a \u201cpainful sex\u201d search are\" \/>\n<meta property=\"og:url\" content=\"https:\/\/naturalwomanhood.org\/es\/tratamiento-de-la-raiz-del-dolor-en-las-relaciones-sexuales\/\" \/>\n<meta property=\"og:site_name\" content=\"Natural Womanhood\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NaturalWomanhood\" \/>\n<meta property=\"article:published_time\" content=\"2021-04-11T15:21:35+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-05-20T19:34:45+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/naturalwomanhood.org\/wp-content\/uploads\/AdobeStock_185375351-scaled.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1440\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Grace Emily Stark\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@naturwomanhood\" \/>\n<meta name=\"twitter:site\" content=\"@naturwomanhood\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Grace Emily Stark\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/naturalwomanhood.org\/treatment-for-root-cause-of-painful-sex\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/naturalwomanhood.org\/treatment-for-root-cause-of-painful-sex\/\"},\"author\":{\"name\":\"Grace Emily Stark\",\"@id\":\"https:\/\/naturalwomanhood.org\/#\/schema\/person\/e8907d2c87316a263008c2fb254772ed\"},\"headline\":\"Why are so many women experiencing painful sex?\",\"datePublished\":\"2021-04-11T15:21:35+00:00\",\"dateModified\":\"2024-05-20T19:34:45+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/naturalwomanhood.org\/treatment-for-root-cause-of-painful-sex\/\"},\"wordCount\":1527,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/naturalwomanhood.org\/#organization\"},\"image\":{\"@id\":\"https:\/\/naturalwomanhood.org\/treatment-for-root-cause-of-painful-sex\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/naturalwomanhood.org\/wp-content\/uploads\/AdobeStock_185375351-scaled.jpeg\",\"keywords\":[\"\\\"She's not herself.\\\" When someone you love is struggling with birth control side effects\",\"Relationship health: NFP vs Birth Control\",\"Reproductive and Menstrual Disorders\"],\"articleSection\":[\"Endometriosis\",\"Reproductive and Menstrual Health Issues\"],\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/naturalwomanhood.org\/treatment-for-root-cause-of-painful-sex\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/naturalwomanhood.org\/treatment-for-root-cause-of-painful-sex\/\",\"url\":\"https:\/\/naturalwomanhood.org\/treatment-for-root-cause-of-painful-sex\/\",\"name\":\"Why are so many women experiencing painful sex? - Natural Womanhood\",\"isPartOf\":{\"@id\":\"https:\/\/naturalwomanhood.org\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/naturalwomanhood.org\/treatment-for-root-cause-of-painful-sex\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/naturalwomanhood.org\/treatment-for-root-cause-of-painful-sex\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/naturalwomanhood.org\/wp-content\/uploads\/AdobeStock_185375351-scaled.jpeg\",\"datePublished\":\"2021-04-11T15:21:35+00:00\",\"dateModified\":\"2024-05-20T19:34:45+00:00\",\"description\":\"There are several potential root causes of painful sex. 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