Outercourse; Its Benefits and Side Effects You Should Know


Outercourse involves stimulation of the clitoris, vulva, perineum, and/or any other parts of the body outside of the vagina (or rectum!).

Outercourse literally involves stimulation of the outer part of the private part while you have your cloths on or without any penile penetrations. 

Sure, if that’s what you want to call it. But outercourse or “foreplay” can also be the main event and result in an orgasm. In fact, less than 20% of v3gina-owners are able to climax without clitoral stimulation… yet somewhere in the process of evolution, we were socially conditioned to believe that intercourse MUST involve penetration.

The medical term for pain with penetrative intercourse is dyspareunia, while vaginismus refers to the inability to insert anything into the vagina at all. In these situations, outercourse can be much more enjoyable.

But in some cases, outercourse can actually be MORE painful than intercourse. WHY?

Depending on an individual’s medical and gynecological history, pain with pressure, friction or stimulation of the external genitalia can be the result of a combination of contributing factors including:

▪️hormonal changes that disrupt vaginal lubrication & affect tissue sensitivity—i.e. postpartum, menopause, birth control, etc.
▪️pelvic floor muscle tension, or perineal scar tissue
▪️irritation of the nerves within the pelvis
▪️autoimmune deficiencies and/or genetics that affect vulva tissues
▪️recurring infections—i.e. yeast, UTI, etc.

Depending on the behaviour  or pattern of symptoms, some common medical diagnoses associated with painful outercourse are:

🌸vulvodynia or vestibulodynia
🌸pudendal neuralgia
🌸PGAD: persistent genital arousal disorder
🌸lichen sclerosus or lichen planus

If you suspect or have been diagnosed with any of those, you may be a candidate for pelvic floor physical therapy! The treatment approach and prognosis depend on your individual medical history and presentation.

Ask your provider(s) about pelvic floor PT & if they don’t know about it, educate them! Not all medical professionals are trained in the complexities of womxn’s health issues, so be prepared to advocate for yourself.

Image: IG: @cecile_hoodie
Source/Credit : IG: @drq_dpt

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