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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Difficulty In Penetration During Intercourse?

Hi Doc, I am married for 5 months now. I haven t had intercourse with my wife yet as she is too scared. She starts shivering and pushes me away while trying to perform intercourse. Also, once I tried to penetrate her but my penis could not go in. Please suggest me on how to go about.
Wed, 17 Aug 2016
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General & Family Physician 's  Response
Many women may experience pain during intercourse. Common causes include vaginal dryness, yeast infections, having an STD, urinary tract infection, vulvodynia, vaginismus and friction from sex. Other gynecological causes include uterine fibroid, endometriosis, ovarian cyst. She might be suffering from vaginismus or vulvodynia. It is better for go to a gynecologist in your area for diagnosis and treatment. Vaginal dilator can be used to dilate vagina.
There are things you can do to help alleviate the pain:
1.     Communicate with one other, so that each person knows what is going on.
2.     Use lubricants to help with lubrication, as this can help make sex easier
3.     Consider switching positions, as this can sometimes help to alleviate the pain
4.     Don’t rush sex, as the longer that foreplay lasts, the more arousal, hence lubrication, will occur naturally
5.     You can try with sensate focus. This is a type of sex therapy that you and your partner do together. It starts with you both agreeing not to have sex for a number of weeks or months. During this time, you can still touch each other, but not in the genital area (or a woman's breasts). The idea is to explore your bodies, knowing that you will not have sex. After the agreed period of time, you gradually start touching each other's genital areas, which should eventually build up to penetrative sex
6.     A physiotherapist may be able to teach you pelvic floor exercises, such as squeezing and releasing your pelvic floor muscles, that can help you gain control over the muscles causing the vagina to close involuntarily.
Thanks!!
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What Causes Difficulty In Penetration During Intercourse?

Many women may experience pain during intercourse. Common causes include vaginal dryness, yeast infections, having an STD, urinary tract infection, vulvodynia, vaginismus and friction from sex. Other gynecological causes include uterine fibroid, endometriosis, ovarian cyst. She might be suffering from vaginismus or vulvodynia. It is better for go to a gynecologist in your area for diagnosis and treatment. Vaginal dilator can be used to dilate vagina. There are things you can do to help alleviate the pain: 1. Communicate with one other, so that each person knows what is going on. 2. Use lubricants to help with lubrication, as this can help make sex easier 3. Consider switching positions, as this can sometimes help to alleviate the pain 4. Don’t rush sex, as the longer that foreplay lasts, the more arousal, hence lubrication, will occur naturally 5. You can try with sensate focus. This is a type of sex therapy that you and your partner do together. It starts with you both agreeing not to have sex for a number of weeks or months. During this time, you can still touch each other, but not in the genital area (or a woman s breasts). The idea is to explore your bodies, knowing that you will not have sex. After the agreed period of time, you gradually start touching each other s genital areas, which should eventually build up to penetrative sex 6. A physiotherapist may be able to teach you pelvic floor exercises, such as squeezing and releasing your pelvic floor muscles, that can help you gain control over the muscles causing the vagina to close involuntarily. Thanks!!