Pain during intercourse or penetration

The vaginal penetration you want is usually unharmed, especially if you and your partner make sure you are stimulated enough to be fully aroused.

However, sometimes there may be discomfort or pain during intercourse or penetration, even if it looks like your body is ready. If penetration during sex is painful, find out why and what can be done about it. Gynecologists can help determine if there is an underlying physical cause and recommend treatment.

The following conditions and conditions may cause or cause pain during intercourse or other forms of penetration.

First sexual assault or penetration

The first few times you have sex or experience vaginal penetration, you may feel a small to moderate degree of pain at the vaginal entrance. There may be some bleeding or no bleeding at all - both are normal. The cause of the pain is not always clear, but it is usually temporary.

Inadequate lubrication

In most women, the vaginal wall responds to arousal by producing fluid that moistens the vagina and its entrance, making penetration easier. Sometimes not enough lubrication - you may need more time to stimulate, or you may be tense or tense.

Some women experience insufficient lubrication during and after perimenopause and may need to look for signs other than vaginal wetness to indicate arousal. Others, regardless of age, produced less lubricant.

Even if you don't experience painful penetration, using lubricants can significantly improve sexual comfort, pleasure and endurance - especially if you use condoms.

Local infection

Even if you don't see any signs, some vaginal infections, such as candida (yeast) or trichomoniasis, may occur. Friction between the penis, dildo, or fingers moving through the vulva or vagina can cause an infection to flare up, causing tingling and itching. Pain from genital herpes can cause friction pain.

Local stimulation

Contraceptive foams, creams or jellies can cause vaginal irritation. If stimulation persists, it may be in response to spermicides. Alternative spermicides are hard to find, so you might want to consider another method of birth control.

Although latex allergy is uncommon, some people are sensitive to latex condoms, membranes and gloves. Alternatives include polyurethane condoms, including female condoms.

Tension at the entrance to the vagina

In some cases, size matters - for example, if the male partner has a large penis and a small vagina. But remember, a woman's size has nothing to do with her vagina size.

The difficulty women have with penetration is sometimes attributed to vaginal cramps, which are thought to be intense, involuntary tightening of the vaginal muscles, which is a third of the way through the vagina.

Pain deep in PELVIS

Sometimes, the penetrating thrust hurts inside. This pain may be caused by torn ligaments and scarring (called adhesions) that support the uterus (caused by improper obstetric management during delivery, miscarriage, pelvic surgery, rape or excessive rough sex); Infections of the cervix, uterus and tubes (such as pelvic inflammatory disease - the result of many untreated sexually transmitted infections in women); Endometriosis; A cyst or tumor on the ovary; The vagina shrinks with age; Or the tilted pelvis.

Chronic pudendal pain

Vulvodynia is a general term to describe chronic vulvodynia with no clear cause.

When pain occurs around the vaginal opening (vestibule) when touched or pressed, it is called local vulvodynia. Older terms for the condition include vestibular pain, vulval vestibulitis, or local vulval dullness.

If symptoms appear in different parts of the vulva, at different times, and sometimes even when the vulva is not touched, it is called systemic vulvodynia.

Pelvic floor physiotherapy, hormone creams and low-dose tricyclic antidepressants can sometimes help. Some women report that the same treatment with fibromyalgia relievers the pain, leading to an exaggerated response to pain.