What causes vaginal pain after intercourse

Patient's question:

What causes vaginal pain after intercourse? Pain can also occur during intercourse.

Doctor's answer:

Hello: The characteristics of dyspareunia (pain during intercourse) include: local vaginal pain or lower abdominal pain; severe and recurrent pain that often subsides several hours after intercourse; but sometimes pain may not appear until several hours after intercourse.
There are many causes of dyspareunia, and sometimes it can be the result of multiple factors interacting. The organic conditions that can cause dyspareunia mainly include retroverted 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, or hymenolysis. These pathological factors need to be treated based on examination results. At the same time, psychological reassurance is also necessary, as even after organic conditions are resolved, mental tension can still affect sexual activity.
In some cases, dyspareunia is caused by an allergic reaction. Some women may be highly sensitive to male semen and contraceptive tools such as vaginal or condoms, leading to allergic reactions in the perineum or even the entire body upon contact. This can result in lower abdominal pain during intercourse, and changing contraceptive methods may gradually alleviate or eliminate the symptoms.
Sometimes, pain is caused by the male inserting into the vagina without adequate lubrication or forcefully, leading to pain. Alternatively, excessive force by the male may increase abdominal pressure, affecting the movement of the uterus, bladder, and intestines, or even causing reverse peristalsis in the intestines, resulting in intermittent abdominal pain.
Treatment for female dyspareunia should first identify the cause and then proceed with treatment based on the specific condition and reason.
Due to psychological factors

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