Patient's question:
Patient Age: 22 years oldDetailed Condition and Purpose of Consultation: What causes vaginal pain during intercourse? When the penis is inserted deep into the vagina, it feels like a hard object is pressing against it, causing intermittent pain. Sometimes, there is a slight pain in the lower abdomen after intercourse. This pain sometimes occurs and sometimes does not. Additionally, when relaxing during intercourse, the pain is somewhat relieved. I visited a doctor, who said it might be appendicitis. What is appendicitis?
Medical History: Last month, my menstrual cycle was irregular, and the doctor examined me and suspected appendicitis. First Follow-up Question: When in the female-on-top position, the penis...
Doctor's answer:
Hello, since the fallopian tubes are adjacent to the ovaries, when the fallopian tubes become inflamed, they are generally referred to as adnexa together with the ovaries. Therefore, tubo-ovarian inflammation is called adnexitis. Chronic adnexitis is very common, often developing from an acute inflammatory process that then becomes chronic. In some cases, the acute inflammatory process may not be apparent, and by the time it is discovered, it has already become chronic.Causes of adnexitis:
(1) It is often caused by infections after childbirth or miscarriage.
(2) Sometimes it is related to minor surgeries performed with non-sterile procedures, such as the insertion of an intrauterine device, tubal irrigation, oil contrast imaging, or curettage. Pathogens can enter the fallopian tubes from the uterine cavity. Sometimes, pathogens that have already been in the cervix or vagina can ascend and cause infection during surgical procedures.
(3) Premature or frequent sexual activity, as well as sexual intercourse during menstruation, can also lead to infection and cause fallopian tube inflammation.
Due to the above reasons, if acute tubal inflammation occurs, inflammatory secretions in the lumen often overflow through the fimbriae of the fallopian tubes, affecting the ovaries and causing peri-ovarian inflammation. The fallopian tubes and ovaries then become adhered to each other. Over time, this can lead to chronic adnexitis. After the fallopian tubes become inflamed, their mucous or serous layers often develop multiple adhesions, which may close the fallopian tube openings or block the lumen. Since most adnexitis is bilateral, it often results in infertility.
There are many causes of dyspareunia, and sometimes it can be the result of the interaction of several factors. The main organic lesions that cause dyspareunia include excessive retroversion of the uterus, cervical polyps, and genital inflammation (such as