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Dyspareunia is pain during sexual intercourse.

The pain of dyspareunia may be superficial, occurring in the genital area (in the vulva, including the opening of the vagina), or deep, occurring within the pelvis due to pressure on internal organs. The pain may be burning, sharp, or cramping.

Superficial pain during sexual intercourse has many causes. When women have sexual intercourse the first time, the membrane that covers the opening of the vagina (hymen), if still intact, may tear as the penis enters the vagina, causing pain and sometimes bleeding. When the vagina is inadequately lubricated, intercourse may be painful. (Inadequate lubrication usually results from insufficient foreplay or from the decrease in estrogen levels after menopause.) Inflammation or infection in the genital area (for example, affecting the vulva, vagina, or Bartholin's glands) or in the urinary tract can make intercourse painful. Herpes can cause severe genital pain. Other causes include injuries in the genital area, a diaphragm or cervical cap that does not fit properly, an allergic reaction to contraceptive foams or jellies or to latex condoms, a congenital abnormality (such as a rigid hymen or an abnormal wall within the vagina), and involuntary contraction of the vaginal muscles (vaginismus). Sexual intercourse may be painful for women who have had surgery that narrows the vagina (for example, to repair tissues torn during childbirth or to correct a pelvic floor disorder (see Pelvic Floor Disorders). Taking antihistamines can cause slight, temporary dryness of the vagina. During breastfeeding, the vagina may become dry because estrogen levels are low.

As women age, the lining of the vagina thins and becomes dry because estrogen levels decrease. This condition is called atrophic vaginitis. As a result, intercourse may be painful.

Deep pain after sexual intercourse may result from an infection of the cervix, uterus, or fallopian tubes. Other causes include endometriosis, pelvic inflammatory disease (including pelvic abscess), pelvic tumors (including ovarian cysts), and bands of scar tissue (adhesions) that have formed between organs in the pelvis after an infection or surgery. Sometimes one of these disorders results in the uterus bending backward (retroversion). The ligaments, muscles, and other tissues that hold the uterus in place may weaken, resulting in the uterus dropping down toward the vagina (prolapse (see When the Bottom Falls Out: Prolapse in the Pelvis). Such changes in position can result in pain during intercourse. Radiation therapy for cancer may cause changes in the tissues that make intercourse painful.

Psychologic factors can cause superficial or deep pain. Examples are anger or repulsion toward a sex partner, fear of intimacy or pregnancy, a negative self-image, and a traumatic sexual experience (including rape). However, psychologic factors may be difficult to identify.

Diagnosis and Treatment

The diagnosis is based on symptoms: when and where the pain occurs and when intercourse began to be painful. To try to identify the cause, a doctor asks the woman about her medical and sexual history and performs a pelvic examination.

Women should abstain from intercourse until the problem resolves. However, sexual activity that does not involve vaginal penetration can continue.

Superficial pain can be reduced by applying an anesthetic ointment and by taking sitz baths. Liberally applying a lubricant before intercourse may help. Water-based lubricants rather than petroleum jelly or other oil-based lubricants are preferable. Oil-based products tend to dry the vagina and can damage latex contraceptive devices such as condoms and diaphragms. Spending more time in foreplay may increase vaginal lubrication. Deep pain may be reduced by using a different position for intercourse. For example, a position that gives the woman more control of penetration (such as being on top) or that involves less deep thrusting may help.

More specific treatment depends on the cause. If the cause is thinning and drying of the vagina after menopause, using a topical estrogen cream or suppository or taking estrogen by mouth (as part of hormone therapy (see Menopause: Hormone Therapy) can help.

Inflammation and infection are treated with antibiotics, antifungal drugs, and other drugs as appropriate (see Some Vaginal Infections). If the cause is inflammation of the vulva (vulvitis), applying wet dressings of aluminum acetate solution may help. Surgery may be needed to remove cysts or abscesses, open a rigid hymen, or repair an anatomic abnormality. A poorly fitting diaphragm should be replaced with one that fits and is comfortable, or a different method of birth control should be tried.

If the cause of pain is the position of the uterus, a pessary, which resembles a diaphragm and is inserted into the vagina, can support and reposition the uterus. Using a pessary reduces the pain in some women.

2006-08-30 04:38:34 · answer #1 · answered by Xena 3 · 0 0

Me no, but other woman I have been with yes. If the man was of "larger size" then you are use to pain maybe from that. If it is all the time with everyone then you need a doctor, and may I say as fast as you can get one (most times you have to wait over 30 days for an appointment). There are many problems up in there, and pain is the first sign. I have been though everything (with my wife) from child birth to "leaps" (removing a few layers of the uterus wall) to even a complete hysterectomy with my partner, and it is nothing to play with if you can not explain the pain see a doctor. Pain every so often is sometimes possible, different ways of "doing it", new lubes, condoms etc. If this is the reason maybe explained, but you should see a doctor for both of you. There could be a growth or something being irritated, or even a yest infection or something just starting. There are I think times with every woman I have been with where they have maybe been a little sore for a day or maybe two, but every time my goal as a man is to please you, not hurt you, and soon you may want to stop due to you not wanting to not be sore, then your relationship may have problems. Please if it gets like I said see a doctor before it is too late, we wanted more kids, but could not due to waiting too long to see the doctor. Good Luck

2006-08-30 05:03:19 · answer #2 · answered by wmkinger 2 · 0 1

SOME pain is normal. But it should go away. You do not mention a lot of facts and that is OK, but IF you are fairly new at it then yes there will be some pain, some is from getting into it and some is muscles getting active and sore, like exercise.
IF it continues more than 2 weeks AND or gets worse you should see a doctor.

2006-08-30 05:05:09 · answer #3 · answered by Samuella BurrowShire 3 · 0 0

yes I have experienced this before, I talked to doctor and have done some reading on this subject. I am not real clear on if you are preggers or not this has something to do with pain during intercourse, (i.e. can bring on labor) and then to can be signs of endometriosis. I would discuss this with your doctor.

2006-08-30 04:47:17 · answer #4 · answered by hwyshoney_2000 2 · 0 0

Is your uterus retroflexed or differently positioned than the norm? Coz that can be a cause, as well as extra weight. Other causes can be tense muscles or virus, inflammation, etc. See an ob/gyn if there is bleeding or other abnormalities or you really want to know the cause.

2006-08-30 04:37:33 · answer #5 · answered by *babydoll* 6 · 0 0

how far along are you? i experienced that with my first pregnancy....it was very painful and i ended up miscarrying a few days later...i was 7 weeks. but ive had that with my last pregnancy too and this pregnancy and everything was fine...but this pain dont hurt like it did the first time. just be easy or maybe dont have any sex til you can talk to your doc about it.

2006-08-30 04:36:30 · answer #6 · answered by Anonymous · 0 0

Yes I do.... I started having pain after I had my daughter. The doctor told me that my cervix had changed its position. Don't take my word though. See your doctor.

2006-08-30 04:38:13 · answer #7 · answered by Wendy 1 · 0 0

Yes. For me its cause he's too ruff. Way too ruff. The last time I started to bleed. And when I peed. Ouch. Everything was sore. If its really bad pain and he isnt being ruff, you might want to get it checked out by dr.

2006-08-30 04:38:09 · answer #8 · answered by PinkDiamond 1 · 0 1

Yes, it happens. Tell your man that it hurts, and that it is not a marathon, or a "hump the hardest" contest. He needs to take it easy on you! Next time he gets rough, I would hand him a towel and some lotion, then he could yank as hard as he wants.

2006-08-30 04:38:26 · answer #9 · answered by Anonymous · 2 1

Occasionally, yes. If it happens all the time, seemingly for no reason, go see your family doctor or gynocologist.

2006-08-30 04:35:29 · answer #10 · answered by t79a 5 · 0 0

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