I am a 34-year-old woman, but I almost don't secrete lubrication during sexual activity.

Patient's question:

Patient Age: 34
Detailed Condition and Purpose of Consultation: I am a 34-year-old woman, but I almost do not secrete lubrication during sexual activity, which causes me great pain. How can this be treated?
Duration of Current Illness: 2 years
Current General Condition: There is black discharge after urination, almost no lubrication during sexual activity, great pain, intermittent lower back pain, and low libido
Medical History: None
Previous Diagnoses, Treatments, and Outcomes: None
Additional Tests: None

Doctor's answer:

Hello: The reasons for vaginal dryness cannot be explained in a few sentences. It involves a very wide range, including psychological, physiological factors, sexual life factors, or other factors, etc. Sometimes these factors are interwoven and interconnected.
A normal vagina maintains a certain level of moisture. During the process of sexual arousal leading to climax, due to the accumulation of sexual excitement, the vagina produces secretions from few to more, making the vaginal lubrication reach a high degree. These lubricating fluids mainly come from the secretion of the cervix, the exudate formed by congestion of the vaginal walls, and the secretion of the Bartholin's glands located at the vaginal opening. During sexual activity, these fluids can only be secreted and gradually increase when sexual excitement reaches a certain level. If sexual excitement is insufficient, these lubricating fluids may be secreted in small amounts or not secreted at all, naturally leading to vaginal dryness. Some women may not have experienced vaginal dryness before, but it may appear after a special reason, which is often caused by psychological or physiological factors.
1. Psychological factors: Psychological reasons are often related to changes in the environment, mood, and emotional life. For example, work stress, financial difficulties, changes in marital relationships, tension in interpersonal relationships, and so on. Such psychological pressures can lead to low sexual desire, delayed sexual arousal, and dull sexual response. Under obvious insufficient sexual excitement, the cervical glands and Bartholin's glands do not secrete, the vaginal walls do not become congested, so there is no exudate, and thus the vagina cannot be lubricated and becomes dry. Some infertile couples should follow medical advice to complete the "family assignment" style of sexual activity every time the woman is ovulating, at this time