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 if I treat it seriously?Additionally, I haven't had sexual intercourse with my boyfriend for several months because it causes severe pain during intercourse, making it impossible to engage in the act. I suspect it might be cervical erosion. During the last check-up, it was classified as mild. Will the cervical erosion worsen to moderate or severe without sexual intercourse? 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: 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 papillae, rigid hymen, or hymen atresia, and so on. 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 resolved, mental tension can still affect sexual activity.
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 or condoms. Upon contact, the perineum or even the entire body may experience an allergic reaction, which can lead to lower abdominal pain during intercourse. Changing the contraceptive method can gradually alleviate or eliminate the symptoms.
Sometimes, pain is caused when the male inserts into the vagina without adequate lubrication or with excessive force, leading to pain. Alternatively, excessive force may 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.
Treatment for female dyspareunia should first identify the cause and then address the condition based on different symptoms and underlying causes.
Due to psychological