Understanding Dyspareunia: Painful Intercourse and the Role of Oxalates

Dyspareunia, or painful intercourse, is a distressing condition that affects many women. Activities as simple as inserting tampons, getting a pelvic exam, or engaging in physical activities like horse riding or sitting for prolonged periods can become uncomfortable and painful. While the underlying causes of dyspareunia can vary, one potential factor that deserves attention is the presence of oxalates in the body. Oxalates are known to form crystals resembling razor blades, which can lead to various symptoms, including kidney stones, joint issues, and even discomfort in the vaginal area. In this blog post, we will explore the potential connection between oxalates and dyspareunia and discuss dietary and lifestyle changes that may help alleviate the symptoms.

Understanding Dyspareunia

The Role of Oxalates in Dyspareunia

Understanding Oxalates and their Effects

  • Exploring the formation of oxalate crystals and their resemblance to razor blades
  • Highlighting the possible symptoms associated with oxalate deposition, such as kidney stones and pseudogout
  • Discussing how oxalate crystals can affect the vaginal area and contribute to dyspareunia

Debunking the Lack of Scientific Studies

  • Addressing the skepticism surrounding the connection between oxalates and dyspareunia
  • Emphasizing the importance of individual experiences and the potential effectiveness of non-studied remedies
  • Exploring the influence of profit-driven research on the availability of scientific studies

Dietary Recommendations to Reduce Oxalates

Foods to Avoid

  • Identifying high-oxalate foods that may exacerbate dyspareunia symptoms
  • Listing common culprits like spinach, beets, grains, beans, potatoes, almonds, peanuts, and more
  • Explaining the rationale behind avoiding these foods due to their high oxalate content

Mitigating Oxalate Effects with Calcium

  • Discussing the role of calcium in binding with oxalates to reduce absorption
  • Suggesting the consumption of dairy products alongside oxalate-rich foods to minimize their impact
  • Highlighting the potential benefits of calcium citrate supplementation before bed

Low-Oxalate Food Options

  • Providing a list of low-oxalate food alternatives that can be included in the diet
  • Recommending meats, fish, seafood, eggs, healthy fats, and low-oxalate vegetables such as arugula, cabbage, avocado, cauliflower, and lettuce
  • Addressing concerns about dietary restrictions and weighing the advantages of symptom resolution

Additional Considerations and Supplements

Vitamin B6 and Oxalate Levels

  • Exploring the connection between low levels of vitamin B6 and higher oxalate levels
  • Advising the use of P5P form of vitamin B6 supplementation, as discussed in a related video (link included)
  • Highlighting the potential benefits of maintaining adequate B6 levels in managing dyspareunia symptoms

The Role of a Diversified Microbiome

  • Discussing the influence of gut microbes on oxalate metabolism and breakdown
  • Speculating on the potential impact of antibiotic use and gut microbiome diversity
  • Encouraging the maintenance of a strong and diverse microbiome through healthy dietary choices and lifestyle habits

Supplementary Support for Vaginal Discomfort

  • Introducing a product called NAG (N-acetyl-glucosamine) that may help build the lining of the vaginal canal and alleviate discomfort
  • Emphaszing the importance of choosing a suitable supplement brand and providing additional information and resources for further research
  • Mentioning CMO (Cetyl Myristoleate), another potential supplement worth exploring for symptom relief

Dyspareunia can significantly impact a woman’s quality of life and intimate relationships. While scientific studies may be limited in exploring the connection between oxalates and dyspareunia, many women have found relief through dietary modifications and supplementation. By avoiding high-oxalate foods, incorporating calcium-rich dairy products, consuming low-oxalate alternatives, and considering additional supplements, women with dyspareunia can take proactive steps to alleviate their symptoms. It’s essential to work closely with healthcare professionals, maintain a diversified gut microbiome, and explore individualized approaches to find the most effective solutions for each person’s unique situation.


  1. What is dyspareunia?
    • Answer: Dyspareunia is a condition characterized by painful intercourse. It can also make activities like inserting tampons, getting pelvic exams, or engaging in physical activities uncomfortable.
  2. How can oxalates affect dyspareunia?
    • Answer: Oxalates can form crystals resembling razor blades, potentially leading to discomfort in the vaginal area and contributing to dyspareunia.
  3. What are oxalates?
    • Answer: Oxalates are compounds found in certain foods that can form sharp crystals in the body, leading to various symptoms including kidney stones and joint issues.
  4. Are there scientific studies linking oxalates to dyspareunia?
    • Answer: There’s skepticism and a lack of extensive scientific studies directly linking oxalates to dyspareunia. However, individual experiences suggest a potential connection.
  5. What foods are high in oxalates?
    • Answer: Foods high in oxalates include spinach, beets, grains, beans, potatoes, almonds, and peanuts.
  6. Why should I avoid high-oxalate foods if I have dyspareunia?
    • Answer: Avoiding high-oxalate foods may help reduce the formation of oxalate crystals that could contribute to vaginal discomfort and dyspareunia.
  7. How can calcium help with oxalate absorption?
    • Answer: Calcium can bind with oxalates in the digestive tract, reducing their absorption and minimizing their impact.
  8. What are some low-oxalate food options?
    • Answer: Low-oxalate food options include meats, fish, seafood, eggs, healthy fats, and low-oxalate vegetables like arugula, cabbage, avocado, cauliflower, and lettuce.
  9. Can vitamin B6 affect oxalate levels?
    • Answer: Low levels of vitamin B6 have been associated with higher oxalate levels. Supplementing with P5P form of vitamin B6 might help manage dyspareunia symptoms.
  10. How does the gut microbiome influence oxalate metabolism?
    • Answer: A diversified gut microbiome can help break down oxalates, potentially reducing their accumulation and related symptoms.
  11. What is NAG and how can it help with dyspareunia?
    • Answer: NAG (N-acetyl-glucosamine) is a supplement that may help build the lining of the vaginal canal and alleviate discomfort associated with dyspareunia.
  12. What is CMO and how might it relieve dyspareunia symptoms?
    • Answer: CMO (Cetyl Myristoleate) is a supplement worth exploring for its potential to provide symptom relief for dyspareunia.
  13. Is it important to consult a healthcare professional for dyspareunia?
    • Answer: Yes, working closely with healthcare professionals is essential for diagnosing and managing dyspareunia effectively.
  14. Can dietary changes alone alleviate dyspareunia?
    • Answer: While dietary changes can be beneficial, they should be part of a comprehensive approach that may include lifestyle modifications and medical treatment.
  15. What are the benefits of a diversified microbiome for dyspareunia?
    • Answer: A diversified microbiome can help with oxalate breakdown, potentially reducing symptoms related to oxalate accumulation, including dyspareunia.
  16. Should I take calcium citrate supplements for oxalate-related dyspareunia?
    • Answer: Calcium citrate supplementation, especially before bed, may help reduce oxalate absorption and alleviate symptoms.
  17. Can antibiotics affect oxalate levels and dyspareunia?
    • Answer: Antibiotic use can impact gut microbiome diversity, potentially influencing oxalate metabolism and related symptoms.
  18. What should I consider when choosing a supplement brand for dyspareunia?
    • Answer: It’s important to choose reputable supplement brands and conduct thorough research or consult healthcare professionals before starting any supplementation.
  19. How does dyspareunia impact a woman’s quality of life?
    • Answer: Dyspareunia can significantly affect a woman’s quality of life, intimate relationships, and overall well-being.
  20. Is it possible to find effective solutions for dyspareunia related to oxalates?
    • Answer: Many women have found relief through dietary modifications, supplementation, and individualized approaches, despite limited scientific studies.