Fellowship in Sexology and Psychosexual Counseling. For More Info WhatsApp- 9604715783/9359863878.  Dyspareunia painful coitus due to female perineal bacterial/fungal infections. Increased foreplay – Application of 20% xylocaine gel in and around the vagina, and after 15 minutes, wipe the gel off and try for coitus.  5. Vaginismus- Dilators can use. 6. Relaxation therapy. 7. Insertion of graduated sizes of dilators by the doctors, the female or the male partner is effective in reversing the conditioned spasm reaction.  8. Lax vagina  9. Usually follows childbirth. Exercises advised are contraction of perineal muscles by holding the urine for a few seconds and releasing it, 20 such contractions and relaxations three times a day, or vaginoplasty.