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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain During Sex?

I am a 23 year old female, 230 pounds, 5' 2". I started metfiromin in January 2008 for pcos. In july 2008 i developed swollen tonsils that never went away and eventually had a tonsilectomy. The cause was never found. Then in like septmber 2008 after being on antibiotics for my tonsils i developed burning outside the vaginal opening and the skin around the urethral area up to the vaginal opening. I had recently had oral sex around july 2008 also. Have been tested for std's and everything was negative. I recently started having sex in July 2010 and have never been able tyo have sex for more than a few minutes without an inense burning in the area mentioned. This has been a constant problem ever since. I have been treated for yeast infections and bacterial vaginosis multiple times since september 2008 and it never seems to completely go away. Sex is painful for me to the point that i cant even get into it emotionally either. What could be causing this?
Tue, 29 Mar 2016
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OB & GYN Specialist 's  Response
Hello,

Thanks for writing to us. Followings are my comments:

1) Burning sensation during sexual intercourse may be due to incomplete rupture of hymen, vaginal infection, rough sex, more friction with less lubrication, dry vagina Or you weren't sufficiently aroused.

When you will arouse or excite, the vaginal canal lengthens & expands so that your partner can enter his penis and you will produce vaginal lubrication (to prevent uncomfortable friction from thrusting).

It is also possible that you were just nervous and fear of pain during sexual intercourse which may cause your vaginal muscles to tighten, makes penetration more difficult and painful.

Urinary tract infection and STD should be ruled out by routine urine examination and STD profile. Vaginal swab test should be done.

2) You may not get bleeding on first sexual intercourse due to tough hymen or partial rupture.

Steps to be done for easy and smooth sexual intercourse:

1) Next time, you must indulge in lots of foreplay to arouse yourself in top level to increase your vaginal lubrication before penetration.

2) You would be in more relaxed state and both of you will create a romantic environment so that you can focus and enjoy your sex.

3) It will also help if you add water-based lube (like KY gel or VAGISIL etc) to your vagina for easier penetration. Make it a part of preplay by having he lube you, then return the favor and ready to apply it on condom-covered erected penis right before he enters.

4) It's important that you must communicate to him what feels good and what doesn't. You can let him know what you need by saying like a little slower or harder or just like that and so on.

5) Also, you can try a woman-on-top position, which will put you in control of the depth and rhythm. Once you get used to the ins and outs of sex, it should be a lot more comfortable and fun.

Last thing, if pain during sexual intercourse (termed as Dyspareunia) continues, you need to undergo some investigation under the guidance of Gynecologist to rule out pelvic organic disease like endometriosis, vaginal septa, hypoplasia of introitus, ovarian cyst, vaginal or pelvic infection etc.

Hope, it helps for you. Good luck.
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What Causes Pain During Sex?

Hello, Thanks for writing to us. Followings are my comments: 1) Burning sensation during sexual intercourse may be due to incomplete rupture of hymen, vaginal infection, rough sex, more friction with less lubrication, dry vagina Or you weren t sufficiently aroused. When you will arouse or excite, the vaginal canal lengthens & expands so that your partner can enter his penis and you will produce vaginal lubrication (to prevent uncomfortable friction from thrusting). It is also possible that you were just nervous and fear of pain during sexual intercourse which may cause your vaginal muscles to tighten, makes penetration more difficult and painful. Urinary tract infection and STD should be ruled out by routine urine examination and STD profile. Vaginal swab test should be done. 2) You may not get bleeding on first sexual intercourse due to tough hymen or partial rupture. Steps to be done for easy and smooth sexual intercourse: 1) Next time, you must indulge in lots of foreplay to arouse yourself in top level to increase your vaginal lubrication before penetration. 2) You would be in more relaxed state and both of you will create a romantic environment so that you can focus and enjoy your sex. 3) It will also help if you add water-based lube (like KY gel or VAGISIL etc) to your vagina for easier penetration. Make it a part of preplay by having he lube you, then return the favor and ready to apply it on condom-covered erected penis right before he enters. 4) It s important that you must communicate to him what feels good and what doesn t. You can let him know what you need by saying like a little slower or harder or just like that and so on. 5) Also, you can try a woman-on-top position, which will put you in control of the depth and rhythm. Once you get used to the ins and outs of sex, it should be a lot more comfortable and fun. Last thing, if pain during sexual intercourse (termed as Dyspareunia) continues, you need to undergo some investigation under the guidance of Gynecologist to rule out pelvic organic disease like endometriosis, vaginal septa, hypoplasia of introitus, ovarian cyst, vaginal or pelvic infection etc. Hope, it helps for you. Good luck.