Patient's question:
Because of abnormal leukorrhea, I went to the hospital for a check-up, and the doctor prescribed some medication. After taking it, the leukorrhea disappeared, but the external genital itching became worse than before, and I also experienced pain during intercourse and pain when urinating after intercourse. Are these symptoms of candidal vaginitis? I don't want to go to the hospital again. Could you please recommend some medication for these symptoms? Thank you! Also, is the pain during intercourse more intense during entry or during the process?Doctor's answer:
Hello: According to your condition, it is important to actively treat vaginitis. The characteristics of dyspareunia (pain during intercourse) are: pain in the vaginal area 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 papillae, rigid hymen, or hymenolysis (hymen closure). 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 cured, mental tension can still affect sexual activity.
Some cases of dyspareunia are caused by allergic reactions. Some women are highly sensitive to male semen and contraceptive tools such as vaginal (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 contraceptive methods can gradually alleviate or eliminate the symptoms.
Sometimes, pain is caused by the male inserting into the female's vagina without adequate lubrication or in a rough manner. 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, leading to intermittent abdominal pain.
Treating female dyspareunia should first identify the cause and then treat the condition based on the specific diagnosis and underlying reasons.