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What Causes Painful Intercourse In Women?

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Posted on Tue, 29 Apr 2014
Question: hi Doc..I am married since last 4 months. my wife has a really small vaginal opening. we have tried fingering many times but in vain.it causes pain while fingering. My penis is not able to penetrate into her vagina. my wife had never done fingering before marriage .she has regular menstrual cycle. Can you please suggest me some lotion or medicine which will be really helpful for us..?
doctor
Answered by Dr. Dr. Soumen Patra (57 minutes later)
Brief Answer: DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for writing to us. First time sexual intercourse is mostly painful among women due to intact hymen, narrow vagina or insufficient arousal state. When she will arouse or excite, the vaginal canal lengthens & expands so that you can enter your penis and she will produce vaginal lubrication (to prevent uncomfortable friction from thrusting). She might be just nervous if it was first time sex which may cause her vaginal muscles to tighten, making penetration or fingering more difficult and painful. Steps to be done for easy and smooth sexual intercourse: 1) Next time, you must indulge in lots of foreplay to arouse her in top level to increase her vaginal lubrication before penetration. 2) She would be in more relaxed state and both of you will create a romantic environment so that she can focus and enjoy her sex. 3) It will also help if you add water-based lube (like KY gel or VAGISIL etc) to her vagina for easier penetration. Make it a part of preplay by having you lube her, then return the favor and ask her to apply it on condom-covered erected penis right before you enter her. 4) It's important that you must communicate to her what feels good and what doesn't. You can let her know what she needs 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 her 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, she needs to undergo some investigation under the guidance of Gynecologist to rule out pelvic organic disease like endometriosis, vaginal septa, hypoplasia of introitus, vaginal or pelvic infection etc. Hope, I have answered your query. Kindly, close the discussion if you don't have any other query. Wish your good health and take care yourself. Regards, Dr Soumen You can revert back to me directly through http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dr. Soumen Patra (32 minutes later)
Thanks for your advice...i wanted to know that how and where to apply ky gel and vagisil....which one is better...will it cause any irritation or any side effect later...after applying the lotion shall i wait for some minutes or should i apply and penetrate instantly or should i wait for sometime...her hymen still not break so even when i fingering her she have lots of pain.we tried many things like i did arouse her but after her vagina got wet but still no result...
doctor
Answered by Dr. Dr. Soumen Patra (2 hours later)
Brief Answer: FOLLOW THE ADVICE. Detailed Answer: Hello, Thanks for follow up queries. 1) The first thing, hymen should be broken for proper sexual intercourse. It can be done either by fingering or penetration. Slight pain and bleeding may occur for 2 to 3 days. However, no medical treatment is usually required. 2) KY gel is a water based lubricant and it should be used 15 to 20 min prior to actual intimation or fingering. It is applied inside vagina with circular motion. Alternatively, VAGISIL INTIMATE LUBRICANT CREAM can be used. They have NO side effect or irritation inside vagina. SUGGESTION: Following use of lubricant gel and apply above said methods, if problem persists continuously, I suggest to proceed one pelvic examination to her gynecologist for next level management. Hope, it helps for your information. Kindly, close the discussion. Good luck and all the best. Regards, Dr Soumen
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Soumen Patra

OB & GYN Specialist

Practicing since :2011

Answered : 4059 Questions

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What Causes Painful Intercourse In Women?

Brief Answer: DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for writing to us. First time sexual intercourse is mostly painful among women due to intact hymen, narrow vagina or insufficient arousal state. When she will arouse or excite, the vaginal canal lengthens & expands so that you can enter your penis and she will produce vaginal lubrication (to prevent uncomfortable friction from thrusting). She might be just nervous if it was first time sex which may cause her vaginal muscles to tighten, making penetration or fingering more difficult and painful. Steps to be done for easy and smooth sexual intercourse: 1) Next time, you must indulge in lots of foreplay to arouse her in top level to increase her vaginal lubrication before penetration. 2) She would be in more relaxed state and both of you will create a romantic environment so that she can focus and enjoy her sex. 3) It will also help if you add water-based lube (like KY gel or VAGISIL etc) to her vagina for easier penetration. Make it a part of preplay by having you lube her, then return the favor and ask her to apply it on condom-covered erected penis right before you enter her. 4) It's important that you must communicate to her what feels good and what doesn't. You can let her know what she needs 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 her 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, she needs to undergo some investigation under the guidance of Gynecologist to rule out pelvic organic disease like endometriosis, vaginal septa, hypoplasia of introitus, vaginal or pelvic infection etc. Hope, I have answered your query. Kindly, close the discussion if you don't have any other query. Wish your good health and take care yourself. Regards, Dr Soumen You can revert back to me directly through http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326