Hello,

Thanks for writing to us. I am trying to solve this problem.

I can assume that she feels burning sensation during sexual intercourse and it does not occur during foreplay (without penetration). It is called dyspareunia in medical term and has several underlying etiology like:

Vaginal dryness and fear of sex are the most common causes for above said condition.

Others are 1) Rough sex with using chemical substance like lubricant/ jelly with condom.
2) Using soap/ detergent/ other bath products/ douching can cause repeated friction & irritation inside vagina.
3) Inserting foreign objects during foreplay or excitation may cause the same.
4) Concurrent practice of vaginal and anal intercourse in alternate way during same session.
5) Non-maintenance of genital hygiene properly or irritation caused by long time using of tampons/ panty-liner.
6) Other associated pathology- vaginal atrophy, endometriosis, Co-existence of asymptomatic vaginal/ urinary infection etc.

Here, you should consult with her gynecologist for clinical & pelvic examination along with relevant investigation to rule out underlying pathology if any.

The following measures can be helpful to alleviate above condition:

1) Take healthy diet with anti oxidant (like Vit-E/ C, selenium, zinc, lycopene etc) supplements. Drink plenty of water/ juice for better systemic circulation.
2) Do not touch/ wipe out genital area too much. Also avoid inserting objects or douching inside vagina.
3) Apply sexual technique like switch your sexual position, communicate longer time during foreplay, use water based lubricant or vagisil cream before intimation to alleviate vaginal dryness.
4) Proper medication is needed to treat other associated pathology after consultation with your doctor.
5) Doing kegel exercise, sex therapy, proper counseling and hormonal therapy (mainly estrogen cream) are also beneficial to treat the same.
6) Wear only clean & cotton underwear. Don't wear any tight fitting cloths or pants to avoid repeated friction/ irritation.
7) Avoid using any type of chemical cosmetics or soap or condoms. Maintain genital hygiene with proper shaving & cleaning with plain water only.
8) Try to avoid stress and take sound sleep with complete body relaxation.

In addition, unable to achieve or maintain orgasm being more excited is called anorgasmia in medical term. It is one type of sexual dysfunction & more common in female. About 15% of women face difficulties with orgasm in the United States.

Anorgasmia is mostly due to psychological factor with co-existence of vaginal dryness, pelvic infection, hormonal imbalance or neurological causes associated with reduce sensitivity to clitoris. Gynecologist can help her to rule out underlying etiology through relevant investigations and give proper guidance.

Here, 1) Keep more time on foreplay with your partner and give time to arouse her more & more before actual vaginal penetration or ejaculation.
2) Specific treatment- by means of hormonal patches (estradiol) or medication to correct other hormonal imbalances, using clitoral vacuum pump devices or vibrator and drugs to improve blood flow/ sexual sensation/ arousal. In recent study, drugs like sildenafil/ vardenafil (though used in men) are quite useful in the reversal of female sexual dysfunction. Also she needs to treat other underlying causes if any.

Hope I have answered your query. If you have any further questions I will be happy to help.

For any future query, you can directly ask me by viewing this page WWW.WWWW.WW
Wish your good health & take care herself.

Regards,
Dr Soumen.

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Hello,

Thanks for follow up query.

First of all, you should follow above mentioned guideline while you are involved in sexual activity either foreplay or vaginal penetration.

Second thing, you have to use water based lubricant or vagisil cream before intimacy to lighten up burning sensation due to repeated friction.

Third thing, you should arouse her to extreme level by other methods instead of continuous rubbing on clitoris. Give more time on foreplay and sexual fantasy. Clitoral stimulation is advised in circular fashion and you repeat it with some interval or gap.

Fourth thing, when she feels much wet and top level of excitation, only then you should do vaginal penetration to achieve her orgasm. Practice sex in slow and steady manner with change in position.

Fifth thing, one urine test for routine examination and vaginal swab test can help to rule out asymptomatic bacterial infection which can more precipitate above condition. Consult with her gynecologist for relevant examination.

Hope, above steps are helpful from my insight. If you do not have any clarifications, you can close the discussion and rate the answer.

Take care yourself. Good luck.

Regards,
Dr Soumen

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