Patient's question:
Detailed medical condition and consultation purpose: I have been living with my for 2 years, and we had good sexual compatibility half a year ago. However, in the past six months, I have had vaginitis and cervicitis, which I treated with medication and cured. Recently, I have experienced some of the previous symptoms again. During sexual intercourse with my boyfriend, I feel no excitement, and there is no discharge after intercourse, making it very dry and causing pain. We have a good relationship and no conflicts, but I am worried that my condition will affect my future life. I am very troubled.Duration and course of the current illness: One week after my menstrual period, I took Mirena for a month in October due to persistent mild bleeding, but I stopped it.
Medical history: Bladder
Doctor's answer:
Hello: There are many causes of dyspareunia, and sometimes it can be the result of an interaction between several factors. The organic conditions that can cause dyspareunia mainly include retroversion of the uterus, cervical polyps, genital inflammation (such as vulvitis, vaginitis, pelvic inflammatory disease, etc.), pelvic tumors, endometriosis, hemorrhoids, vulvar lacerations, poor healing of episiotomy wounds, vulvar dryness, urethral papillae, rigid hymen, hymen atresia, and so on. These pathological factors need to be treated according to the examination results. At the same time, psychological comfort is also necessary, because even after the organic condition is cured, mental tension can still affect sexual life.Sometimes dyspareunia is caused by an allergic reaction, as some women are highly sensitive to male semen and contraceptive tools such as vaginal and condoms. Upon contact, the perineum or even the entire body may experience an allergic reaction, which can lead to lower abdominal pain during intercourse. Changing the contraceptive method can gradually alleviate or eliminate the symptoms.
Sometimes, pain may occur if the male inserts into the vagina without sufficient lubrication or uses excessive force, causing the abdominal pressure to rise and affecting the movement of the uterus, bladder, and intestines, or even causing reverse peristalsis in the intestines, leading to intermittent abdominal pain.
Considering your history of vaginitis and cervical inflammation, it is possible that the inflammation has recurred. Active anti-inflammatory treatment can be administered.