Patient's question:
I and my girlfriend have tried to have sex many times, but she is always afraid of pain. Every time I prepare to enter, she can't take it, and I am also very troubled! I want to ask what should I do!Doctor's answer:
Hello: Based on your situation, it should be a psychological effect from your girlfriend. The characteristics of dyspareunia (pain during intercourse) include: 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: retroversion of the 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 (hymen closure). These pathological factors need to be treated based on examination results. At the same time, psychological comfort 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 sensitive to semen, vaginal barriers (such as diaphragms or condoms), and other contraceptive tools. 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 contraception methods can gradually alleviate or eliminate the symptoms.
Sometimes, pain is caused when the male inserts into the vagina without adequate lubrication or with roughness, leading to pain. Alternatively, excessive force from the male can 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.
Treating female dyspareunia should first identify the cause, and then tailor the treatment based on different conditions and