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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain During Sexual Intercourse?

Hello, my problem is with pain during full-penetration sexual intercourse, after a complete hysterectomy, a little over 5 months ago. I had no complications with the surgery, and bounced back in no time. Except. With intercourse, I experience pain inside my pelvis as if something exploded. The pain reaches up to my rib cage. It continues like this for about 3 days, then slowly goes away. I can t have intercourse again for weeks. My doctor has treated me twice for granular tissue, with silver nitrate (not painful). Now she is prescribing me some estrogen cream. Cool, if this works. But is this much pain usually seen with granular tissue? If it s granular tissue, I can just wait it out, no problem. But I also have so much pain with bearing down even to have a bowel movement in the week after I have intercourse that I DON T bear down and live on Metamucil. If these problems are just do to granular tissue, I can wait it out, no problem. But I m wondering if granular tissue is a sufficient explanation for all that I m experiencing. Any thoughts? Thank you for your time!
Tue, 7 May 2019
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OB and GYN Specialist 's  Response
Hi,

The most common reason for painful sex in women who have had a hysterectomy and/or gone through the menopause is insufficient lubrication in other words vaginal dryness. This can be caused by falling oestrogen levels or with a lack of foreplay and it’s important to remember that you need less foreplay the younger you are and more as you get older to stimulate the glands around the vagina which help to produce the lubrication necessary for sexual intercourse. Medication such as anti-depressants, anti-histamines and sedatives can also play a part in reducing the ability of the body to lubricate itself.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Naira Jahangir, OB and GYN Specialist
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What Causes Pain During Sexual Intercourse?

Hi, The most common reason for painful sex in women who have had a hysterectomy and/or gone through the menopause is insufficient lubrication in other words vaginal dryness. This can be caused by falling oestrogen levels or with a lack of foreplay and it’s important to remember that you need less foreplay the younger you are and more as you get older to stimulate the glands around the vagina which help to produce the lubrication necessary for sexual intercourse. Medication such as anti-depressants, anti-histamines and sedatives can also play a part in reducing the ability of the body to lubricate itself. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Naira Jahangir, OB and GYN Specialist