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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes painful intercourse?

Hi, whenever I had tried to have ontercourse with my husband, during penetration that is sharp pain for me. Involuntarily I close in and not allow penetration. While trying fingering, one finger works however when 2 fingers inserted there is sharp pain, very painful. Is this normal? This was bothering and weighing down on us phychologhically too. I decided to meet my gyne and she prescribed lignocaine 2 % gel. However the pharmacy dint have lignocaine and gave me an option to use lidocaine hydrochloride. Here are my questions: 1) can use of lidocaine hydrochloride help me overcome pain. Can this be substituted for lignocaine gel? 2) what steps would you advise for me and hubby for psychologically fell better. We both love each other madly. But intercourse seem to bog us down due to my pain 3) also doc advice me to use dialator with the gel. How many times I can use this ok on me before trying intercourse.
Wed, 23 Jul 2014
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Psychiatrist 's  Response
Hello ,
You seems to be suffering from probably vaginismus which is one of the cause of dyspareunia(painful intercourse).
If it is vaginismus your psychological evaluation should be done to reduce anxiety and stress as it is contraction of vaginal muscle just before intercourse.Kegel exercise can be helpful, ask your docotr about that.
Now your answer,
1. lidocain and lignocaine are the same thing, name are different.So it is not even substitute, your chemist have given right thing.
2. For psychological relief two things, I would like to suggest.,
As you love both each other and there is only remaining thing is sexual dissatisfaction, you can both help to each other during masturbation until your sex problem solved.
Another thing just consult psychiatrist which not only help you to feel psychological better but may help you to get rid of your painful intercourse as normally psychiatrist are the only qualified sexologist.
3.Dilators comes in different size. Start from smaller diameter , gradually increase size of diameter. You can use until you can insert two fingers without pain in your vagina.Go slowly and use daily until your problem solved.
Thanks for using healthcaremagic.
Hope I have answered your query satisfactorily.
Regards, Dr.Chintan Solanki
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What causes painful intercourse?

Hello , You seems to be suffering from probably vaginismus which is one of the cause of dyspareunia(painful intercourse). If it is vaginismus your psychological evaluation should be done to reduce anxiety and stress as it is contraction of vaginal muscle just before intercourse.Kegel exercise can be helpful, ask your docotr about that. Now your answer, 1. lidocain and lignocaine are the same thing, name are different.So it is not even substitute, your chemist have given right thing. 2. For psychological relief two things, I would like to suggest., As you love both each other and there is only remaining thing is sexual dissatisfaction, you can both help to each other during masturbation until your sex problem solved. Another thing just consult psychiatrist which not only help you to feel psychological better but may help you to get rid of your painful intercourse as normally psychiatrist are the only qualified sexologist. 3.Dilators comes in different size. Start from smaller diameter , gradually increase size of diameter. You can use until you can insert two fingers without pain in your vagina.Go slowly and use daily until your problem solved. Thanks for using healthcaremagic. Hope I have answered your query satisfactorily. Regards, Dr.Chintan Solanki