Patient's question:
My wife and I have been married for over a year, but we have never had normal sexual intercourse. Every time I try to insert, my wife feels pain as soon as it touches her, and she thinks her vagina might be too small to allow me to enter. I also find it difficult to enter and tend to slip to the side. Once, by chance, I tried inserting my finger, and she felt comfortable, as if she could reach orgasm. Since my wife is very reluctant to go to the hospital for a check-up, could you please provide some advice for us to consider? Thank you!Doctor's answer:
There are many causes of sexual intercourse pain, including various diseases of the reproductive and urinary systems, congenital deformities, and more. A typical condition is the presence of endometrial nodules on the uterosacral ligaments near the posterior fornix of the vagina. Inflammation in the pelvic cavity can cause adhesions between abdominal organs, and penile insertion may impact the cervix, causing peritoneal vibration and organ movement that leads to pain. Pain can also occur due to insufficient vaginal lubrication, inflammation and adhesions of pelvic organs in women, local scars, cervicitis, endometritis, ovarian cysts or tumors, and vaginismus.In the absence of organic lesions, sexual intercourse pain is primarily caused by insufficient vaginal lubrication, which can be attributed to two main reasons: first, inadequate preparation before intercourse, such as insufficient foreplay; second, anxiety, tension, lack of focus, and depression or unhappiness brought by work or life.