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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?

In the last week or so I've recently found that I've been experiencing a moderate sharp pain/sting when having sex with my boyfriend. I feel it just as he enters me; it reaches a point where it starts to hurt but the pain doesn't occur when one or two fingers are inside fully. What's more is that if we continue to have sex and he keeps entering the pain goes away until he pulls out and then I feel it again and today was the first time that when I urinated I felt some pain afterwards. I am sure that my boyfriend is faithful and we have both been tested for sexually transmitted infections so I was wondering what could be causing this pain.
Wed, 23 Mar 2016
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OB & GYN Specialist 's  Response
Hello,

Thanks for writing to us.

Sexual intercourse may be painful due to partial rupture of hymen (some part intact) Or, you wasn'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.

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. Sexual intercourse may be painful due to partial rupture of hymen (some part intact) Or, you wasn 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. 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.