Patient's question:
My husband experiences severe pain at the vaginal opening and inside during intercourse, but he doesn't feel this way with anyone else. His pubic hair is very stiff. We had a thorough medical examination at the hospital, and the results were normal. It has been 5 years, and the cause remains unclear. The details of previous treatments and...Doctor's answer:
Pain refers to the discomfort or even pain experienced during sexual intercourse between a married couple, rather than pleasure. The phenomenon of sexual intercourse pain can occur shortly after marriage, after a long period, or even during a woman's menopause. The pain may be localized to the external genitalia, the vaginal interior, or it may also affect the abdomen, waist, and back. Intercourse pain can occur during intercourse, after intercourse, or even persist for several hours or days after intercourse. If this condition occurs and is not addressed promptly or heals on its own, it can not only affect the normal sexual life of the couple but also impact their emotional bond.Medical Advice: [Edit this section]
Causes and Pathology:
There are many reasons for sexual intercourse pain, including various diseases of the reproductive and urinary systems, congenital deformities, and typical inflammations. One typical cause is the presence of endometrial nodules on the uterosacral ligaments reaching the posterior fornix of the vagina, intra-abdominal inflammation, and adhesions between visceral organs. When the penis enters and touches these nodules, friction with the vaginal mucosa can cause the peritoneum to move and stimulate the organs, leading to pain. Additionally, specific vaginal allergies, such as allergies to breastfeeding tools, can also cause pain. First-time intercourse after marriage, which involves tearing the hymen and expanding the vaginal opening, can also cause discomfort and slight difficulty in the initial days. Emotional excitement and the stress of married life may also lead to incomplete or unsatisfactory intercourse, requiring about 3-4 weeks to overcome this discomfort. Hasty intercourse, when the female's sexual arousal has not fully developed, with insufficient vaginal expansion and lubrication, can cause temporary discomfort or pain. This may suppress sexual arousal, and during friction, the pain may subside, especially in highly sensitive areas like the clitoris, which is rich in blood vessels and nerves. Without sexual arousal or dry conditions, not only will pain occur, but an unbearable sense of aversion may also arise psychologically.
In the absence of organic inflammation, sexual intercourse pain is primarily caused by insufficient vaginal lubrication, which is related to inadequate sexual arousal. The main reasons for this are:
1. Insufficient preparation for intercourse, such as insufficient foreplay actions like kissing, caressing, etc.
2. Anxiety, fear, or distraction during intercourse, as well as depression or unhappiness caused by past experiences.
The above advice addresses the question of "why sexual intercourse pain occurs without knowing the reason." It is hoped that this information will be helpful to you. Wishing you good health!