Feeling pain during sexual intercourse reduces sexual desire, and in most women, pain turns sexual desire into reluctance. Approximately 20% of women experience vaginal pain during foreplay or intercourse. Pain may be intermittent or continuous, and may be caused by many reasons such as infections, sexually transmitted diseases, drug reactions, nerve damage, and chronic diseases. Unfortunately, most women who experience pain during sexual intercourse are accused of being reluctant, having psychiatric problems, or causing trouble, although these complaints have justified medical reasons.
Causes of Pain During Sexual Intercourse
1. Insufficient Sexual Stimulation: When women are sexually stimulated, the lips, clitoridis and vagina in their sexual areas expand and natural lubricants are secreted from the vagina. These protect the woman from pain during sexual intercourse. If these natural protective mechanisms are not provided, the vaginal tissue will become dry and sensitive, causing painful friction and even tearing during intercourse. In this case, the woman tries to endure the pain and asks her partner to end the relationship as soon as possible, which increases the pain even more.
If you have such a complaint: Consult a gynecologist for a gynecological examination to diagnose the causes of sexual pain. Using lubricant during foreplay and intercourse will make you feel more comfortable. It is recommended to make at least 30 minutes of preparation before intercourse.
2. Vaginal Tightness: If you have had recurring painful events in the past, you may be afraid of intercourse. When intercourse is painful, women involuntarily contract their vaginal muscles to narrow the space where the penis will enter, which makes intercourse even more difficult.
If you have such a complaint: You need to consult a physician who deals with sexual problems.
3. Penis Size: While most men are worried about their penis being small, most women complain that their penis is too big. If the length or diameter of the penis is too large, it may cause pain during sexual intercourse.
If you have such a complaint: You can apply for sexual therapy. You can adjust intercourse positions and rhythms that will make you comfortable.
4. Menopause: Menopause Due to the decrease in estrogen hormone, the skin on the lips and vaginal tissue, which are the external sexual organs of women, becomes thinner and the lubrication decreases. However, in middle age, his or his partner's desire for sexual intercourse decreases. Unfortunately, infrequent intercourse is also a reason for thinning of the vaginal skin.
If you have such a complaint: Discuss with your gynecologist whether you are suitable for hormone therapy or vaginal estrogen cream. Once intercourse becomes painless, take care to have regular sexual intercourse to maintain the health of the vagina.
5. Vestibulitis: This pain is described as a burning complaint, mostly in the lower half of the vaginal entrance, called the vestibule, at the 4 and 7 o'clock positions. The vaginal opening is generally red. If this red line is not visible, it may be overlooked during the gynecological examination.
If you have such a complaint: Consult a gynecologist for a gynecological examination.
6. Vaginismus: It is the inability of the penis to penetrate the vagina. The main reason that prevents penetration due to vaginal contraction and pain is anxiety. Fear of intercourse, painful gynecological examinations or difficulties during the use of tampons are among the reasons.
If you have such a complaint: After gynecological evaluation, sexual therapy will gradually provide painless penetration.
7. Gynecological Diseases of the External Sexual Area: Problems at the lips and vaginal entrance, which are the external sexual area, or vaginal problems may cause pain during intercourse. Skin diseases of the sexual area, allergic reactions on the skin, trauma and irritations, genital herpes, fungal infections, sexually transmitted diseases, vaginal infections, prolapse of the uterus and bladder, episiotomy scar
If you have such a complaint: The cause of pain is determined through gynecological examination and appropriate treatment is required.
8. Deep Pain During Sexual Intercourse: Many gynecological diseases such as myoma or other uterine tumors, endometriosis, intra-abdominal adhesions, ovarian cysts, scar tissue due to previous operations or radiotherapy, pelvic infections, uterine problems, uterine prolapse, mass in the lower abdomen, etc. causes pain deep inside It may be possible.
If you have such a complaint: Gynecological examination often gives clues about the causes of deep pain. Your doctor may recommend laparoscopy to look at your abdomen and reproductive organs. Laparoscopy can also be used to treat some of these problems.
9. Digestive System and Urinary Tract Diseases: They rarely cause pain. Inflammatory bowel diseases (Crohn's disease-Diverticulitis), constipation, diseases of the anus and rectum area such as hemorrhoids (piles), fistula and fissure, urethra or bladder problems can cause pain during and after defecation, as well as painful sexual intercourse due to close proximity. They may be.
If you have such a complaint: After the gynecological examination, your gynecologist will request the necessary tests and consultations.
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