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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain In Vagina Along With Difficulty In Penetration During Intercourse?

Hello... I tried to have intercourse with my husband for the first time but was unable to achieve penetration, indeed I could only feel the pain. After that, we tried many times, but only partial penetration was possible, and I felt the pain was unbearable. I am unable to enjoy it. What could be the possible reason behind it? And what should I do to improve this situation?
Wed, 26 Apr 2023
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General & Family Physician 's  Response
Hi,

There are several possible causes of pain during intercourse, including vaginal dryness, vaginismus, vulvodynia, infections, endometriosis, and certain medical conditions. Vaginal dryness may occur due to a lack of arousal or hormonal changes, such as during menopause. It can cause discomfort or pain during intercourse and can be treated with lubricants or hormone therapy.

Vaginismus is a condition where the muscles of the vagina involuntarily contract, making penetration difficult or impossible. It can be caused by anxiety, fear, trauma, or certain medical conditions. Treatment may involve relaxation techniques, counseling, and pelvic floor exercises.

Vulvodynia is a condition where the vulva (outer genitals) becomes chronically painful, and may cause discomfort during intercourse. It can be caused by nerve damage, hormonal changes, or other medical conditions. Treatment may involve medication, physical therapy, and counseling. Infections such as yeast infections, bacterial vaginosis, or sexually transmitted infections (STIs) can cause pain during intercourse, as well as other symptoms such as itching or discharge. Treatment will depend on the specific infection and may include medication.

Endometriosis is a condition where the tissue that normally lines the inside of the uterus grows outside of it and can cause pain during intercourse, as well as other symptoms such as heavy periods or infertility. Treatment may involve medication, surgery, or other options.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Priyanka, General & Family Physician
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What Causes Severe Pain In Vagina Along With Difficulty In Penetration During Intercourse?

Hi, There are several possible causes of pain during intercourse, including vaginal dryness, vaginismus, vulvodynia, infections, endometriosis, and certain medical conditions. Vaginal dryness may occur due to a lack of arousal or hormonal changes, such as during menopause. It can cause discomfort or pain during intercourse and can be treated with lubricants or hormone therapy. Vaginismus is a condition where the muscles of the vagina involuntarily contract, making penetration difficult or impossible. It can be caused by anxiety, fear, trauma, or certain medical conditions. Treatment may involve relaxation techniques, counseling, and pelvic floor exercises. Vulvodynia is a condition where the vulva (outer genitals) becomes chronically painful, and may cause discomfort during intercourse. It can be caused by nerve damage, hormonal changes, or other medical conditions. Treatment may involve medication, physical therapy, and counseling. Infections such as yeast infections, bacterial vaginosis, or sexually transmitted infections (STIs) can cause pain during intercourse, as well as other symptoms such as itching or discharge. Treatment will depend on the specific infection and may include medication. Endometriosis is a condition where the tissue that normally lines the inside of the uterus grows outside of it and can cause pain during intercourse, as well as other symptoms such as heavy periods or infertility. Treatment may involve medication, surgery, or other options. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician