Sexual intercourse can be an expression of love between a woman and her partner. However, for some, sex can be impossible to enjoy due to pain that occurs. Pain that occurs during sex is more common than many women realize. Unfortunately, due to the highly intimate nature of this concern, many women may not feel comfortable discussing it. The first step to help resolve painful intercourse, or dyspareunia, is to identify the underlying cause. That's why the reproductive healthcare providers at Gynecology Associates of Gwinnett are here to explain some of the most common causes of pain during sex for women.

What Causes Pain During Sex for WomenVaginal Dryness

Vaginal dryness is perhaps the most common cause for pain during sex. Dryness can result from several things including cigarette smoking, potentially irritating soaps and personal deodorants, and taking certain prescription medications. However, it is most commonly associated with menopause due to changes in the level of estrogen produced by the body during this time. At Gynecology Associates of Gwinnett, we perform FemTouch™ Non-Surgical Vaginal Rejuvenation and offer both hormonal and non-hormonal medications for women who experience pain related to vaginal dryness.


Endometriosis is another cause of frequent pelvic pain including pain during sex. This condition causes tissue that is typically found in the lining of the uterus to grow on the outside of the reproductive organs, leading to discomfort during sex and during menstruation, as well as other symptoms. Endometriosis can be treated with hormone-based medications like birth control pills or gynecological surgery.


Another potential source of pain during intercourse for some women is a condition known as Vaginismus. Vaginismus causes involuntarily contractions of the vaginal, or pelvic floor, muscles during any form of vaginal penetration. These muscle contractions can happen during sexual intercourse, while inserting a tampon, or during a routine gynecologic exam. Although the underlying cause of vaginismus can be difficult to identify, the most effective vaginismus treatment plans combine physical and emotional therapies (including the use of a vaginal dilator) to help make a woman more comfortable with the idea of vaginal penetration.

The first step in treating pain during sex is visiting with a board-certified gynecologist in order to receive an accurate diagnosis. Only then can we work to find the most helpful and appropriate treatment plan for your needs. For more information or to schedule an appointment with one of our gynecological healthcare providers, please contact Gynecology Associates of Gwinnett today. And follow us on Facebook and Twitter for additional tips, news, and updates on our upcoming Health & Wellness events.

Despite the large number of women in the US affected by urinary incontinence, there still seems to be a bit of hesitation when it comes to discussing this condition. Thankfully, urinary incontinence is a treatable condition. Depending on a woman’s needs, we offer several possible treatment options.

How We Treat Urinary Incontinence at Gynecology Associates of GwinnettAt-Home Remedies

Some simple activities and lifestyle adjustments may be able to help treat urinary incontinence symptoms. Performing Kegel exercises can relieve both stress and urgency incontinence by strengthening the muscles of the pelvic floor that control urination. Since carrying extra weight can put additional pressure on the bladder, getting regular exercise and maintaining a healthy diet can also help. Cutting down on certain foods like chocolate and honey or beverages that contain alcohol, caffeine or artificial sweeteners may also reduce symptoms of incontinence.


Urgency incontinence can be treated with certain medications. Anticholinergics like oxybutynin or tolterodine can help calm an overactive bladder. Similarly, Mirabegron can relax the bladder muscles and increase the amount of urine the bladder can hold, reducing the need to need for frequent urination. It’s important to be properly diagnosed before starting any new medication.

FemTouch™ Laser Vaginal Rejuvenation

We have helped many women treat the symptoms of stress urinary incontinence with FemTouch™ Laser Vaginal Rejuvenation. FemTouch™ can safely and effectively treat the symptoms of stress urinary incontinence by re-tightening the muscles that have become weak as a result of childbirth or natural aging. Since the treatment is non-surgical, no downtime is needed for recovery.

Behavioral Techniques

For women who may prefer to avoid medications or vaginal rejuvenation treatments, certain behavioral techniques like training the bladder to delay urination after getting the urge to go may be able to help. We recommend beginning with a short amount of time (just a few minutes) and gradually increasing it over time as the bladder gets more comfortable. Be careful not to overdo it. We can discuss an appropriate amount of time during an appointment. Other methods like scheduled bathroom trips (instead of waiting for the urge to go) can also help.

No woman should have to suffer through the inconvenience and anxiety of urinary incontinence. By highlighting a variety of treatment options, our hope is to offer a potential solution to every woman regardless of her treatment preference or what type of incontinence they experience. For more information on urinary incontinence or to schedule an appointment with one of our gynecological healthcare providers, please contact Gynecology Associates of Gwinnett today. Please follow along with us on Facebook and Twitter for more tips, news, and updates on our upcoming Health & Wellness events.

Irregular menstrual bleeding is among the most common gynecological concerns. Irregular bleeding (whether it is especially light, heavy, or happening at unpredictable times) can be caused by a number of factors. While the primary cause of irregular bleeding is caused by changes in hormone levels, these hormone shifts can occur for many different reasons. That’s why the gynecological healthcare providers here at Gynecology Associates wanted to provide some helpful information about the potential causes of irregular bleeding.

Ask the Gynecologists What Causes Irregular BleedingQuestion #1: Is it true that simple lifestyle adjustments can help prevent the occurrence of irregular bleeding?

This is true. While it can be a symptom of an underlying health condition, for most women, irregular menstrual bleeding is simply caused by certain habits or lifestyle choices that can be addressed. Too much stress is a common cause of irregular bleeding. Additionally, working out too much, being overweight, and travel can lead to irregular bleeding.

Question #2: How does birth control affect menstrual bleeding? 

Women can be affected in contrasting ways by different birth control methods. Since most birth control pills contain the hormones estrogen and progestin (or just progestin), going off birth control or changing birth control pills can lead to irregular bleeding. In some cases, birth control pills that contain only progestin may cause bleeding between periods. Additionally, using a hormonal IUD or birth control implant can lead to a decrease in monthly menstrual bleeding. 

Question #3: Is irregular bleeding always a leading symptom of endometriosis?

While endometriosis is very common in women and irregular bleeding is one of the leading symptoms of this condition, other gynecological health concerns can also cause irregular bleeding. These include polycystic ovary syndrome (PCOS), uterine fibroids, and pelvic inflammatory disease. It’s important for women who experience irregular bleeding to speak with a board-certified gynecologist in order to get an accurate diagnosis of any conditions they may be experiencing and receive the treatment they need. 

While irregular bleeding may not be a sign of anything serious, it’s still important for women to be proactive and make sure that they are in good reproductive health. Our skilled, experienced gynecological healthcare providers can help provide a proper diagnosis and develop the most helpful treatment plan for every woman’s unique needs. For more information 

or to schedule an appointment, please contact Gynecology Associates of Gwinnett. You can also follow us on Facebook and Twitter for additional news, tips, and more.

Here at Gynecology Associates of Gwinnett, we consistently strive to provide first-class reproductive and gynecological health services to women in the metro Atlanta area. Whether we are seeing someone for their first visit to our office or working with someone we have been seeing for years, it is our goal to provide the absolute best-possible experience during every single appointment.

We Are Proud of Our Positive Patient ExperiencesI have been seeing Dr. Gould for about 12 years and I absolutely love her! She is very personable and understanding. You're not just another number to check off of her list for the day. Her staff and nurses are also amazing! They are always very courteous, professional, and have awesome bedside manner. I would absolutely recommend for any woman to see Dr. Gould and her staff.

- JJ

After my gynecologist of 6 years suddenly retired, I was super anxious about trying a new doctor. When a medical emergency arose, Dr. Gould was so kind and answered my call after just hours and fit me in first thing the next morning. I met with their Physician Assistant, Nikki and have nothing but good things to say. She was kind and attentive and went over every possible thing with me. She even gave me a snack and water after my procedure had concluded. Their office is very clean and decorated nicely, and all of the staff that I had contact with were professional and courteous.

- BT

A few weeks ago I had an appointment at Gynecology Associates of Gwinnett. Physician Assistant, Nikki McCann was kind and provided me with excellent service. They also provided me with a translator since I am not a native English speaker. I want thank Stefanie the translator, Nikki, and their entire gynecological health staff for making me feel so comfortable!


Thank you to everyone who took the time to leave us such kind words. It’s also great to hear back from women who we have been able to successfully treat and see the difference we have made in their lives. For more information, to leave a testimonial of your own, or to schedule an appointment with board-certified gynecologist Dr. Kristine Gould or one of our other reproductive health providers, please contact Gynecology Associates of Gwinnett. And don’t forget to follow us on Facebook and Twitter for additional reproductive health information, news, and details on our upcoming Health & Wellness events.

For women with chronic pelvic pain, it can often be challenging to determine the cause of their discomfort. Pelvic pain can arise from the digestive system, the reproductive system, or the urinary system. A number of gynecological conditions including endometriosis, menstrual cramping, cancer or cysts in the ovaries, pelvic inflammatory disease (PID), and uterine fibroids can trigger pelvic pain. Damage to the muscles and connective tissue in the pelvic floor can contribute as well.

Diagnosing Causes Finding Solutions for Pelvic PainThere are a number of at-home solutions that we recommend to women who experience pelvic pain. Nonprescription anti-inflammatory medications like ibuprofen, Tylenol, or Pamprin can provide relief. Since heat can relieve pain by improving blood flow, applying a heating pad or warm compress to the pelvic area (or taking a warm bath) can help ease pain symptoms. Getting regular daily exercise can also get the blood flowing and reduce pain in some cases.

If these at-home methods don’t help, it’s time for a visit with a board-certified gynecologist to get the bottom of what is causing this pain. Diagnosing the cause of pelvic pain can be challenging. We may perform an internal and external pelvic exams to look for signs of abnormalities. An unltrasound or CT scan can help detect the cause of pelvic pain. For some women, a minor surgical procedure called a laparoscopy may be required to provide a direct look at the structures in the pelvis and abdomen to better diagnose a potential issue.

Once a diagnosis is made, we work with women to determine the most helpful and appropriate treatment plan for their unique needs and preferences. We may prescribe birth control pills or hormone treatment for issues related to menstruation. Some women opt for surgical procedures to remove a growth or cyst from the pelvic area that is causing their issue. Pelvic pain can also be treated with antibiotics and other non-hormonal medications.

Regardless of what is causing your pelvic pain, we recommend getting it checked out as soon as possible to confirm that there is nothing serious going on and to relieve pain symptoms in a timely fashion. The earlier major gynecological issues are diagnosed; the sooner and more effectively they can be treated. For more information or to schedule an appointment with one of our gynecological healthcare providers, please contact Gynecology Associates of Gwinnett today. And don’t forget to follow us on Facebook and Twitter for additional reproductive healthcare news, tips, and more.

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Gynecology Associates of Gwinnett
601 Professional Drive, Suite 330
Lawrenceville, Georgia 30046   
Phone: 678.380.1980   
Fax: 678.380.7348

Our Hours

Monday 8:30AM–4:30PM
Tuesday 8:30AM–4:30PM
Wednesday 8:30AM–4:30PM
Thursday 8:30AM–4:30PM
Friday 8:30AM–12PM
Saturday Closed
Sunday Closed

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