Patient's question:
Detailed medical condition and consultation purpose Recently, when having sex with my boyfriend, I often feel a bit of pain down there. It's only one side that hurts while the other side doesn't. When not having sex, everything is fine. It's normal. What's going on with this?~!Doctor's answer:
Hello: First, it is necessary to rule out the possibility of incorrect sexual positions based on your situation.The characteristics of dyspareunia (pain during intercourse) include: localized pain in the vagina 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 main organic conditions that can cause dyspareunia include: excessive 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 hymenolysis (hymen closure). 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 may be caused by an allergic reaction. Some women may be highly sensitive to male semen and contraceptive devices such as vaginal or condoms. 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 the contraceptive method can gradually alleviate or eliminate the symptoms.
Sometimes, pain may occur if the male inserts into the vagina without adequate lubrication or if excessive force is used, causing abdominal pressure to rise. This can affect the movement of the uterus, bladder, and intestines, even leading to reverse peristalsis in the intestines, resulting in intermittent abdominal pain.