Patient's question:
During sexual activity, vaginal pain always reappears, sometimes with skin breakdown. Usually, there is no sensation.Doctor's answer:
There are many reasons for sexual intercourse pain: congenital abnormalities in genital organ development, such as thickened hymen, hymenal prolapse, vaginal atresia, stenosis or shortening, vaginal septum or transverse septum. Adhesion of labia and vaginal orifice, scars, vulvitis, bartholinitis, cysts, etc., often cause local burning pain, sharp pain, or pain like being struck. When there are vaginal infections, psychological trauma, or vaginal atrophy, due to factors like the lack of estrogen, the acid-base balance of vaginal and cervical mucus changes, and the pain is often sharp or mild, occurring at the vaginal orifice or inside the vagina. Besides chocolate cysts, endometriosis, vaginitis, and cervical erosion, other conditions can also lead to sexual intercourse pain.