Patient's question:
After urination, there is black discharge when wiping. During sexual activity, almost no lubrication is secreted, which is very painful. There is also intermittent lower back pain, low libido, and excessive white discharge.Doctor's answer:
Common causes of vaginal dryness include the following:1. The primary reason for vaginal dryness is insufficient sexual arousal before intercourse, as the female's sexual excitement has not been fully stimulated. The blood vessels of the female reproductive organs are not sufficiently dilated or congested, and the Bartholin glands do not produce enough sexual excitement, leading to inadequate secretion of lubricating fluid in the vagina. In such cases, sexual intercourse may cause discomfort due to dryness.
2. Next, negative psychological factors can also cause dryness and discomfort. For example, lack of mental preparation for intercourse, fear or anxiety about pain during sex, dissatisfaction with one's partner, or incorrect perceptions of sex can all lead to reduced vaginal secretions, resulting in dryness.
3. Physiological factors: Any factors that lower estrogen levels while increasing progesterone levels can cause vaginal dryness. For instance, postmenopausal women have lower estrogen levels due to weakened ovarian function, leading to insufficient vaginal secretions. Similarly, breastfeeding women have lower estrogen levels, combined with physical and mental exhaustion from caring for infants, which reduces sexual desire and can also cause vaginal dryness. During ovulation and menstruation, elevated progesterone levels can also lead to vaginal dryness.
4. Medication factors: Certain medications, such as antihistamines, blood pressure medications, anticholinergic drugs, and sedatives, can also reduce vaginal secretions.
It is recommended that you visit a gynecological department in a hospital for relevant examinations. After diagnosis, appropriate treatment should be administered.