Rockledge, Florida

Marja Sprock, M.D., FACOG, FPMRS Board Certified
Fellowship Trained Urogynecologist

Now Accepting New Patients      Phone:  321-806-3929

Recently Published

new  New Treatments for Vaginal Atrophy

new  The Healthy Weight Lifestyle Formula

new  Small Battery Can Fix Bowel Control Issues

new  Laser and the Vagina

new  Fecal Incontinence  - More Common Than You Think!

new  Overactive Bladder

new  Painful Bladder Syndrome / Interstitial Cystitis

new  Stress Urinary Incontinence

new  The Thrill is Gone

new  Chronic Constipation

Laser Treatment for Vaginal Atrophy

Have You Had Your Pap Smear?

Resources for Pelvic Floor Disorders

The Uterine Fibroid Dilemma

Are You Leaking ?

New Non-Surgical Laser Solution for Stress Urinary Incontinence

New Treatment Option for Stress Urinary Incontinence

Non-hormonal Vaginal Atrophy Treatment -- Non-painful Sex Without Estrogen

In-Office Painless Laser Vaginal Tightening

Central Florida UroGynecology Announces LASER 4D Aesthetics

Accidental Bowel Loss - A Socially Hidden Problem

Nerve Stimulation to Treat Urinary and Fecal Problems

Is UTI a Major Health Problem?

It Appeared to be an Overactive Bladder

Pessary Treatment of Prolapse

Overactive Bladder Evaluation Chart

Accidental Bowel Loss or Fecal Incontinence

Overactive Bladder Guidelines

Vaginoplasty and the “Designer Vagina”

Surgical Treatment of Stress Urinary Incontinence

Recurrent UTI - Urinary Tract Infection

Pads are "Out of Style"

Stool or Bowel Incontinence

Pain with Sex

Nightime Urination

A Tighter Vagina - the Answer to Happiness

Do not Let Urine Loss Color the Golden Years

Office Injection Procedure for Urinary Incontinence

Read a Magazine and Regain Urinary Continence

Position Statement on Mesh Midurethral Slings

Botox Covered by Insurance

Walk to Guard Against Disease!

Estrogen Treatment Possible Side-Effects Often Overstated -- Consider the Benefits!

What the doctor does not tell you…

Tips from Dr. Sprock
September 2013

Health and Feeling Good About Yourself

I have to Go All the Time

Treatments for Fecal Incontinence

Third Generation i-Lipo Xcell now available!  FIRST IN U.S.A.

Central Florida UroGynecology Opens Its New Facility on Eyster in Rockledge

Tips from Dr. Sprock
 March 19     March 10

But I don't have to go ...

Pelvic floor muscle training and the In Tone® device

Jessica Alba had i-Lipo, Would you?

Take Action in the New Year !!

InTone Home Device to Treat Urinary Incontinence

Regenlite Skin Tightening and Collagen Stimulation

New Options for Incontinence

Sexy Meshes ???

Control Incontinence.  Enjoy Being a Senior!

A Happy Patient Testimonial - Swimming Again After Bladder Procedure  <external>

Getting Rid of Adult Diapers

Nocturia, Nighttime Voiding

Dr. Sprock Connects with her Patients

Inches Off Where You Want Them Off - I-Lipo® Introduction

Another Incontinence Success Story

Space Coast Daily:  Dr. Sprock Does I-Lipo  <external>

Previously Published by Category








Technical & Educational Info

All Published Articles

Pain with Sex
By Marja Sprock, M.D. FACOG, FPMRS Board Certified

Approximately 40% of women in the United States have sexual concerns and pain with sex is one of them.

Pain with sex can be primary, meaning present at first intercourse or secondary; it developed after previously pain-free intercourse. Painful intercourse may have anatomical as well as physiological and psychological factors contributing. It may be localized at the vulva-the outer part, vagina or pelvis.

Hormones play a crucial role, not only in sexual desire, but also in the quality of the vulvar and vaginal tissue.

It is more common to have secondary pain with intercourse and a big contributor is menopause or peri-menopause. Hormones play a crucial role, not only in sexual desire, but also in the receptiveness and thickness of the vulvar and vaginal tissue. It is difficult to enjoy intercourse if your tissue feels like sandpaper and naturally your desire for intercourse will go down also. Extensive research has been done on hormones and all the pro’s and con’s. Some authors claim a lot of good for bioidentical hormones without much valid scientific proof that it is any better than synthetic hormones. There are numerous forms of bioidentical hormones available to help the hormonal balance of the vagina and of its owner. Newer are the estrogen/anti-estrogen combination drugs. A newer drug is available, taken orally which is an estrogen to the vagina, however, an anti-estrogen to the breast.

Monica, age 55, came to my office with her partner for microscopic blood in the urine. Since sexual questions are part of my work-up this was addressed also. The couple had stopped intercourse recently, since as he described it, penetration was like sticking a knife in her vagina. Monica had a family history of breast cancer and by her choice had not used any hormones after menopause. Even an entire tube of KY jelly or Astroglide® could not relieve her discomfort. The couple really missed the closeness of intercourse. Her options were carefully reviewed; she chose to have a ring inserted in the vagina which secretes a minute amount of estrogen on a daily basis. Even though the original issue of blood in the urine was addressed, the couple was more relieved that the sexual issue was resolved.

Sex is more important for some people than for others; however, it creates a connection between couples.

Surgeries on the vagina and pelvic organs can also contribute to painful sex. Removal of the ovaries, with or without a hysterectomy results in surgical menopause and drop in estrogen levels. Surgeries tightening the vagina are great if they are done correctly, but too tight can be cause for pain. I have met numerous women who underwent a vaginal hysterectomy with anterior (front vaginal wall) and posterior repair (backside of vagina) and were never even able to have sex again because it was so tight. The malpractice lawyers make you believe that inserting a mesh in the vagina for prolapse treatment will for sure cause pain with intercourse. This is not a given, even though any surgery on the vagina has the potential. If there are painful spots or areas, a series of local well placed injections can often get rid of the pain.

Gertrude, age 62, had undergone a posterior wall repair (backside of the vagina for a bulging rectum-rectocele) up North and had been suffering from pain and bleeding with intercourse ever since. Her surgeon had looked at it several times, however did not recognize that he had created a tissue ridge which would cause tension and tear with penetration. After resuturing and tissue advancement of this ridge, Gertrude went back up North able to have sex without pain, bleeding and stress. A simple solution for what had grown into a big problem.

Pain with intercourse can also occur with chronic or interstitial cystitis syndromes. Treatment of the syndrome, not only makes daily life better, but also the sexual relationship.

Painful masses on the urethra, like diverticula, can cause pain or sometimes there is an infection of the glands surrounding the urethra (tube which connects the bladder to the outside world).

Diseases such as lichen planus and lichen sclerosis can cause severe scarring and atrophy of the vulva and definitely require treatment even if you do not desire sexual activity. No, not with estrogen, but with steroids.

Not all pain with intercourse; itching, burning and vaginal dryness is due to low estrogen levels, diminishing vaginal lubrication and secondary thinning of the vaginal tissue.

If you have pain with intercourse and you would like to be sexually active again, you may want to check your treatment options at Central Florida UroGynecology in Rockledge. As you have read there are numerous different solutions available to several problems.

Sex is a normal part of life, without it we would not be here.

Marja Sprock M.D. at Central Florida UroGynecology in Rockledge is OB/GYN and Female Pelvic Medicine and Reconstructive Pelvic Surgery (Urogynecology) board certified and can be reached at 321-806-3929 or check us out at

"Central Florida UroGynecology where high tech and common sense meet"

Central Florida Urogynecology

101 Eyster Boulevard, Rockledge, FL 32955

Phone 321-806-3929

Copyright 2009-2016 Central Florida Urogynecology.  All Rights Reserved.


Please send Web Site Comments and Suggestions to RayDWebs

updated:  January 11, 2016