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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Painful Intercourse?

I m currently 24 1/2 weeks pregnant and I have noticed that even before I got pregnant that my husband would say to me during sex that my vagina was extremely tight...I understand that somewhat but recently he has said that my vagina has gotten even tighter and it s actually starting to hurt me when we are having intercourse...
Tue, 26 Apr 2016
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OB & GYN Specialist 's  Response
Hello,

Thanks for writing to us. Followings are my comments:

1) Pain during sexual intercourse may be due to tight or narrow vagina, incomplete rupture of hymen, vaginal infection, rough sex, more friction with less lubrication, dry vagina Or you weren't sufficiently aroused.

2) When you will arouse or excite, the vaginal canal lengthens & expands so that your partner can enter his penis and you will produce vaginal lubrication (to prevent uncomfortable friction from thrusting).

3) It is also possible that you were just nervous and fear of pain during sexual intercourse which may cause your vaginal muscles to tighten, makes penetration more difficult and painful.

4) Urinary tract infection and STD should be ruled out by routine urine examination and STD profile. Vaginal swab test should be done.

Steps to be done for easy and smooth sexual intercourse:

1) Next time, you must indulge in lots of foreplay to arouse yourself in top level to increase your vaginal lubrication before penetration.

2) You would be in more relaxed state and both of you will create a romantic environment so that you can focus and enjoy your sex.

3) It will also help if you add water-based lube (like KY gel or VAGISIL etc) to your vagina for easier penetration. Make it a part of preplay by having he lube you, then return the favor and ready to apply it on condom-covered erected penis right before he enters.

4) It's important that you must communicate to him what feels good and what doesn't. You can let him know what you need 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 you 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.

Hope, it helps for you. Good luck.
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What Causes Painful Intercourse?

Hello, Thanks for writing to us. Followings are my comments: 1) Pain during sexual intercourse may be due to tight or narrow vagina, incomplete rupture of hymen, vaginal infection, rough sex, more friction with less lubrication, dry vagina Or you weren t sufficiently aroused. 2) When you will arouse or excite, the vaginal canal lengthens & expands so that your partner can enter his penis and you will produce vaginal lubrication (to prevent uncomfortable friction from thrusting). 3) It is also possible that you were just nervous and fear of pain during sexual intercourse which may cause your vaginal muscles to tighten, makes penetration more difficult and painful. 4) Urinary tract infection and STD should be ruled out by routine urine examination and STD profile. Vaginal swab test should be done. Steps to be done for easy and smooth sexual intercourse: 1) Next time, you must indulge in lots of foreplay to arouse yourself in top level to increase your vaginal lubrication before penetration. 2) You would be in more relaxed state and both of you will create a romantic environment so that you can focus and enjoy your sex. 3) It will also help if you add water-based lube (like KY gel or VAGISIL etc) to your vagina for easier penetration. Make it a part of preplay by having he lube you, then return the favor and ready to apply it on condom-covered erected penis right before he enters. 4) It s important that you must communicate to him what feels good and what doesn t. You can let him know what you need 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 you 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. Hope, it helps for you. Good luck.