Patient's question:
Why do women feel pain after sex, and what is the reason for this?Doctor's answer:
The characteristics of dyspareunia include: localized 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 retroverted 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, hymen atresia, and so on. These pathological factors need to be treated according to the examination results. At the same time, psychological reassurance is also necessary, as even after organic conditions are cured, mental tension can still affect sexual activity.
In some cases, dyspareunia is caused by an allergic reaction. Some women are highly sensitive to semen and contraceptive tools such as vaginal and condoms, and an allergic reaction may occur in the perineum or even the entire body upon contact, 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 female's vagina without adequate lubrication or with roughness; or when the male exerts excessive force, 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.