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Painful intercourse, bleeding after sex. Is this a problem?

Hi....Am 23 years old and i and my husband had (tried) intercourse first time a month ago and it hurt a lot. Now i understand first time might not always be easy - it hurt and i bled a little. Then again we tried after a week and it was better than the first time but i still couldnot insert it fully ...it hurt inside. Is this a problem...i have never mastrubated on my own ...never liked the idea of manual mastrubation...but now i worry if that might be the reason. but for the first time we inserted the fingers ..its alright... but the intercourse isnt easy.
Asked On : Tue, 2 Oct 2012
Answers:  2 Views:  47
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Pathologist and Microbiologist 's  Response
Hello and thanks for posting your query on HCM
The difficulty that you are facing during intercourse is a normal problem.
The tone of vaginal muscles is high so it does not allow the insertion of the penis.
However, the tone will decrease with repeated insertion.
So, don't worry.

Take care
Answered: Tue, 2 Oct 2012
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General & Family Physician Dr. Ramakant's  Response
Dear customer,

The bleeding during first time sex is a common since it results in rupture of the hymen membrane.If the bleeding still persist then other causes of bleeding during sex should be ruled out first.

The common causes of pain during sexual intercourse are

1) vaginism

2) Womb trouble: various womb disorders, including fibroids, can cause deep intercourse pain

3) Endometriosis: this very common disorder often affects the womb and surrounding tissues

4) Ovary problems: cysts on the ovary can cause deep pain.

5) Pelvic inflammatory disease (PID): this is caused by infection, like chlamydia.

6) vaginal infection,

7) lack of lubrication

8) vulvitis

9) vulvodynia

10) cancer, etc

You should have the relevant investigations done as well to rule out any infection and abnormality causing pain.The vaginal lubrication cream may be helpful in case the inadequate lubrication is the problem.

The treatment is according to the underlying cause.The psychotherapy is helpful in psychological causes.

Thank you!
Answered: Tue, 2 Oct 2012
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