Patient's question:
Detailed medical condition and consultation purpose: Due to being away for a long time and not being able to visit the hospital for timely check-ups, the last check-up was already in the summer. At Beijing Maternity and Child Hospital, the results showed no infection of mold or bacteria, and it was thought that the vaginitis had been cured. However, it has recurred several times since then, with very mild symptoms. I really want to get rid of it. How long will it take to be cured with serious treatment?Additionally, I haven’t had sexual intercourse with my boyfriend for several months because it causes severe pain during the act, and it’s impossible to proceed. I suspect it might be cervical erosion. During the last check-up, it was classified as mild. Will it progress to moderate or severe without sexual activity? How should it be treated with medication? How long will it take to be cured?
Doctor's answer:
Hello: The characteristics of dyspareunia (pain during intercourse) include: local vaginal pain or lower abdominal pain; 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: uterine retroversion, 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, hymen atresia, and so on. These pathological factors need to be treated according to the examination results. At the same time, psychological comfort is also necessary, as even after the organic condition is cured, mental tension can still affect sexual life.
In some cases, dyspareunia is caused by an allergic reaction, as some women are highly sensitive to male semen and contraceptive tools such as vaginal and condoms. Upon contact, the perineum or even the whole body may experience an allergic reaction, which can sometimes lead to lower abdominal pain during intercourse. Changing the contraceptive method can gradually alleviate or prevent recurrence.
Sometimes, pain is caused by the male inserting into the female vagina without adequate lubrication in a rough manner; or excessive force used by the male may compress the female's abdomen, increasing intra-abdominal pressure and affecting the movement of the uterus, bladder, and intestines, even causing reverse peristalsis in the intestines, leading to intermittent abdominal pain.
Treating female dyspareunia should first identify the cause and then treat it according to the specific condition and reason.
Due to psychological