Painful intercourse, also known as dyspareunia, refers to persistent or recurrent pain during sexual intercourse.

It can occur in both males and females and can have physical, psychological, or relational causes.

The O Concept™ was created by Dr. Wakil to bring a wide range of non-surgical treatments now available for treating painful intercourse, but are not well known.

The O Concept™ is a bespoke program where the patient receives a treatment protocol that is tailor-made especially for her and the specific painful intercourse condition in order to achieve the best results. The O Concept™ is the only treatment protocol that combines treatments in specific order and at precise intervals based on each individual patient and their specific condition.

Referred to as the God Father of Sexual Aesthetics, Dr. Wakil has been awarded multiple national and global awards for his work in sexual rehabilitation and vaginal rejuvenation treating over 25,000 cases worldwide.

Treatment cost

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* After consultation the doctor will confirm the cost.

Treatment Summary at a glance

Procedure Time

Dependent on the number of treatments our doctors will recommend.

recommended No. of Treatments

Every treatment protocol is tailored to each patient.
The number of treatment sessions will vary accordingly.


Most of our procedures do not require anaesthesia, however, topical anaesthesia may be required dependent on the nature of the procedure.

How can we help you?

A 2017 survey by counselling organisation Relate found that only a third (34%) of UK adults are satisfied with their sex lives, while 32% have experienced a sexual problem.

Dr. Sherif Wakil and his team of qualified health professionals have helped diagnose and treat thousands of patients worldwide with the groundbreaking multi-factorial  O Concept™ protocol developed by Dr Wakil in early 2013.

The patient receives a treatment protocol that is tailor-made especially for her and her specific painful intercourse in order to achieve the best results following the diagnosis based on a combination of clinical assessment, medical history, and patient-reported symptoms.

We offer interest FREE finance plans to patients. Please contact our experienced team to learn more.


Common causes for a painful intercourse include physical and psychological causes, namely:

Physical Causes

  1. Vaginal dryness: Insufficient lubrication can lead to friction and discomfort during intercourse. It can be caused by hormonal changes, medications, breastfeeding, or inadequate arousal.
  2. Infections or inflammation: Infections such as yeast infections, urinary tract infections, or sexually transmitted infections can cause pain during intercourse. Inflammation of the vagina or cervix can also contribute to discomfort.
  3. Pelvic floor muscle dysfunction: Tight or overactive pelvic floor muscles can cause pain during penetration. This can be a result of conditions like vaginismus or pelvic floor dysfunction.
  4. Endometriosis: This is a condition where the tissue lining the uterus grows outside of it, leading to pain during intercourse.
  5. Fibroids or ovarian cysts: These growths in the reproductive organs can cause pain or discomfort during intercourse.

Psychological Causes

  1. Anxiety or stress: Emotional factors such as anxiety, stress, or a history of trauma can lead to pain during intercourse.
  2. Relationship issues: Problems within a relationship, poor communication, or unresolved conflicts can contribute to painful intercourse.

The treatment for painful intercourse depends on the underlying cause. Some of the common approaches include:

  • Lubricants and moisturisers: Using water-based or silicone-based lubricants during intercourse can help reduce friction and discomfort caused by vaginal dryness. Vaginal moisturisers used regularly can improve vaginal tissue health and lubrication.
  • Addressing underlying medical conditions: Treating underlying infections, inflammation, endometriosis, fibroids, or ovarian cysts can alleviate the pain associated with intercourse.
  • Pelvic floor physical therapy: Working with a specialised physical therapist can help identify and address pelvic floor muscle dysfunction through exercises, relaxation techniques, and manual therapy.
  • Hormonal therapy: For conditions like vaginal dryness due to hormonal changes, hormone replacement therapy or localised estrogen treatments may be prescribed.
  • Sexual Therapy: Psychological support from a therapist who specialises in sexual health can help address emotional factors contributing to painful intercourse, such as anxiety, stress, or trauma.
  • Couple’s therapy: In cases where relationship issues are involved, couple’s therapy can improve communication, intimacy, and sexual satisfaction.

The most popular treatments for painful intercourse are limited, which doesn’t always suit every patient, or get the best results.

The O Concept™ protocol founded by Dr. Wakil uses the latest cutting-edge non-surgical treatments that achieve results in just a few sessions, approx. 20-40 mins each, with no to very little down-time, and no side effects reported.

Dr SW Clinics

An awarding winning clinic