Patient's question:
Please ask the expert:Every time after intercourse, there is some pain in the lower body. It only gets a bit better when there is discharge from the vagina during ovulation days. Should I use some lubricant before intercourse, or is there a way to take medication to regulate it? Thank you for the expert's reply. If medication can be used to regulate it, how many courses should I take? Please provide detailed information. Thank you.
Doctor's answer:
Hello:For most couples, sexual life is a source of physical and mental pleasure, but many women view sexual intercourse as a daunting experience due to dyspareunia (pain during intercourse).
The characteristics of dyspareunia include: localized pain in the vagina or lower abdomen; 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 papillomas, rigid hymen, or hymenolysis. These pathological factors need to be treated according to the examination results. At the same time, psychological reassurance is also necessary, as even after the organic condition is cured, mental tension can still affect sexual life.
Some dyspareunia is caused by allergic reactions, as some women are highly sensitive to male semen and contraceptive devices such as vaginal and condoms. Upon contact, they may experience allergic reactions in the perineum or even throughout the body, which can lead to lower abdominal pain during intercourse. Changing the contraceptive method can gradually alleviate or eliminate the symptoms.
Sometimes, pain is caused by the male inserting into the female's vagina without adequate lubrication in a rough manner; or excessive force used by the male may increase intra-abdominal pressure, affecting the movement of the uterus, bladder, and intestines, or even causing reverse peristalsis in the intestines.