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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Painful Sexual Intercourse, Smear Normal, Pelvic Scan Shows Bladder Full But Only 10cc Urine. Any Ideas ?

I have been to my obgyn times and times over again about painful sexual intercourse...the doc. Done a pap . Smear a pelvic exam and recently cathed me to see if i was retaining urine! Because this last time she done the pelvic exam she said my bladder felt full! So she cathed me and only got 10cc s of urine? Im just wonder if, if my bladder is swollen or whatever would it have anything to do with painful sex ? and could my emergency c section have any to do with my bladder?
Wed, 28 Nov 2012
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Critical Care Specialist,  's  Response


Hi thanks for your question.

There are many causes of painful sexual intercourse (dyspareunia).The commonest being, if there is not enough foreplay before the sex and vagina is dry.

The 2nd common cause is, if you’re tense during the sexual act and you’re not comfortable with your partner.

There are few more possibilities of painful sexual intercourse .Thses include:
Infection of uterus or cervix

Yeast infection of the vagina

Diseases of uterus and fallopian tubes.

Urinary tract infections

When no other cause of dyspareunis is found, there is condition called as vaginismus,which is characterized by involuntary tightness of vagina due to pubococcygeus muscle.

This condition require, combined approach of psychiatrist and your gynecologist

10 ml urine in bladder is normal, and has nothing to do with painful intercourse.

However adhesion secondary to emergency can be a cause of dyspareunia

I would suggest you to, relax during the sexual act,

Get yourself investigated on the above mentioned causes by a gynaecologist,though you have already taken some tests, which are normal.


Hope this answers your question.
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General Surgeon,  Dr. Suhith G Rao's  Response
hello mam,
There is no details about the findings of your examination or any other investigation you have underwent.
However your symptom of dysparunia could be related to vaginal or bladder pathology.Hence i suggest you get evaluated by a urologist for for treatment.
All the best
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Painful Sexual Intercourse, Smear Normal, Pelvic Scan Shows Bladder Full But Only 10cc Urine. Any Ideas ?

Hi thanks for your question. There are many causes of painful sexual intercourse (dyspareunia).The commonest being, if there is not enough foreplay before the sex and vagina is dry. The 2nd common cause is, if you’re tense during the sexual act and you’re not comfortable with your partner. There are few more possibilities of painful sexual intercourse .Thses include: Infection of uterus or cervix Yeast infection of the vagina Diseases of uterus and fallopian tubes. Urinary tract infections When no other cause of dyspareunis is found, there is condition called as vaginismus,which is characterized by involuntary tightness of vagina due to pubococcygeus muscle. This condition require, combined approach of psychiatrist and your gynecologist 10 ml urine in bladder is normal, and has nothing to do with painful intercourse. However adhesion secondary to emergency can be a cause of dyspareunia I would suggest you to, relax during the sexual act, Get yourself investigated on the above mentioned causes by a gynaecologist,though you have already taken some tests, which are normal. Hope this answers your question.