The World of Pregnancy

Pains During & After Sexual Intercourse

Recent studies show that pains during sexual contact, more or less frequent, are present at around 60% of women.

Most of the times, women feel pain around the area of labia minor and the entry of the vagina (usually a sense of burning or itching), around the perineum, in the lower abdomen, in the depth of the abdomen and lower back (the pain around this area is usually long and dull).

This type of pains is considered a major cause of problems that involve sexual intercourses for both men and women.

Pains during intercourse can be a consequence of certain gynecological diseases, but may also depend on some characteristics of the actual sexual contact.

Pain in Early Sexual Activity

It`s something completely normal for young women who just start their sexual life to experience some pain. This pain during intercourse can be present a few times at first, but it should diminish until complete disappearance.

In some cases, there may be a small vaginal bleeding besides pain during intercourse, but this is also something completely normal.

To reduce pain during sexual contacts, you should use special water-based lubricants, which can be found in pharmacies.

It isn`t recommended the use of oil-based lubricants, especially in combination with condoms. Latex condoms become less resistant and can break in contact with oil-based lubricants.

Insufficient Secretion of Vaginal Lubrication

This is the major cause of pain and discomfort at the beginning of the sexual intercourse in women.

Vaginal lubricants are secreted by 2 major glands, which are located in the interior of the labia majora and have the opening canals at the entrance of the vagina. The activity of these glands depends by the woman`s sexual arousal. Because women reach sexual arousal slower than men, the sexual intercourse may often occur before the woman is excited enough and be secreted a sufficient amount of vaginal lubricant required for a better slide of the penis.

In the case of young women who have no gynecological disease, the problem can be resolved by extending the foreplay before the actual sexual intercourse or by using water-based lubricants.

Psychological Tension, Stress, Hostility towards the Sex Partner, Vaginismus

The psychological tension during the intercourse may have several causes, such as fear to be discovered, fear of pregnancy, fear of displeasing the partner, hostility towards the partner, etc.

Fear, stress and other negative emotions in women during intercourse can lead to severe muscle contractions of the perineum and vagina, which in turn can lead to a lot of pain and discomfort.

To eliminate pain and discomfort during intercourse (those associated with stress and negative emotions), it`s necessary to create a peaceful and pleasant emotional atmosphere. Think about what can frighten you or disturb you when you are having sex and try to improve these aspects.

If you don`t have any reason to be afraid or abstain from sex, but you still aren`t able to relax, it`s maybe best to get in touch with a sex therapist.

The Specific of the Position and Compatibility between Partners

Often, pains during intercourse, such as dull abdominal pain after intercourse is conditioned by the sex position or by incompatibility between the genital organs of the partners. Especially, positions which allow a deep penetration in the vagina can be very painful if the male has a big penis or the woman has short or not too large vagina.

The pain associated with the particularities of the sex position can be eliminated by choosing another position. In this case, how partners understand each other in bed is very important. In no way you should be shy or support pain in the hope that it will pass. Sex should bring pleasure and if you notice a certain sex position gives you pain, ask your partner to change the position and “show” him how doesn`t hurt you.

An Allergic Reaction to Various Chemicals

An allergy at various products of hygiene (soap, shower gel, deodorant), latex condoms, detergent or spermicides may cause severe irritations to the genital organs, severe itching and pains during intercourse.

If you suspect that the pain or itching you feel in your genital area can be related to some irritant chemical substances:

  • Try not to use any product of personal hygiene. Wash your genitals only with warm water.
  • Only wear cotton underwear that doesn`t make you uncomfortable. Always wash any new underwear before wearing it. Use special detergents – hypoallergenic without fragrances.
  • Use colorless and unscented toilet paper.
  • Try not to use spermicides.

If you`ve tried to apply all the recommendations above, but despite this the pains during intercourse remain, you should talk to your gynecologist. In such a case, your solution to the problem may stay in the hands of a specialist.

Pain during Intercourse, Associated with Gynecological Diseases

In many cases, prolonged pains during and after intercourse can be a sign of gynecological diseases.

Below we`ll show which are the signs which can indicate the fact that any experienced pains during intercourse is related to gynecological diseases.

Pain during Intercourse & Vaginal Inflammation (Vaginitis)

In some cases, acute pains, burnings and severe itching during intercourse can be caused by vaignitis.

Vaginitis is, most of the times, the result of various infections (Gardnerella, Chlamydia, ureaplasma, trichomonas, etc) which require special treatment.

Besides pain during sexual contact, vaginal infections listed above manifest by severe itching, vaginal discharges with bad odor, either purulent or cheesy.

In case you experience such symptoms, you need to get in touch with your doctor immediately for examination and prescribe you appropriate treatment.

Pain during Intercourse and Diseases of the Cervix, Uterus, Ovaries and Fallopian Tubes

Lots of diseases of the uterus, cervix, ovaries or fallopian tubes may manifest as pain during sexual intercourse.

The internal genital organs have a decreased susceptibility. Due to this fact, various diseases which appear at this level manifest only by minor dull pains or a stretching sensation. In this case, the pain`s intensity is lots of times disproportionately lower in relation with the severity of the disease.

The main diseases of the uterus and uterine annexes, which can lead to pain during intercourses are: cervicitis, uterine cervix erosion, endometritis, salpingo-oophoritis, endometriosis, cervical cancer, uterine cancer, uterine fibroids or ectopic pregnancy.

All these diseases require special treatment, so it`s best to contact your doctor immediately if:

  1. You experience persistent pains, either deep inside the abdomen, above the pubis or on the left or right side.
  2. Pain during intercourse followed by bad odor.
  3. Vaginal discharges accompanied by blood, which aren`t associated with menstruation.
  4. The pains spread the lower back, into the rectum, the perineum and tailbone.
  5. You noticed an increase in abdominal volume.
  6. You tried, but you cannot conceive a child.
  7. The pains during intercourse have suddenly changed their character.
  8. You suddenly experience a strong abdominal pain.pains during sexual intercourse

Pain & Bloating After Intercourse

Lots of women complain about the appearance of abdominal pain and bloating after sexual contact. The causes of these symptoms may include the following phenomena:

  • The entrance of a small quantity of air during intercourse. This phenomenon doesn`t present a serious threat for the woman`s health, but it can be rather unpleasant. Some sexual positions allow the air to enter into the vagina more easily, and this may often be the cause of strong abdominal pains (especially, the lower abdomen). The air that entered the vagina often exists after intercourse with a specific sound.
  • Ingesting a large quantity of air during sexual contact due to rapid and irregular breathing often causes strong abdominal pains and in some cases nausea.

If you noticed any pains or bloating after intercourse that are more or less severe, follow the below steps:

  1. Notice the sexual positions in which your vagina gets the most amount of air (lots of women feel when this happen) and try to change something to these positions (e.g. angle of entry of the penis, the woman`s pelvis angle). Preferably use those positions in which your abdomen is compressed.
  2. Place a pillow under your abdomen with the idea of creating the necessary pressure.
  3. Before inserting the penis into the vagina, press your abdomen above the pubis with your hand to eliminate the excess of air from your vagina. Repeat the same procedure after the intercourse (preferably in private because it may be accompanied by a sound similar to the elimination of gas from the intestines).
  4. During sexual intercourse, try to breathe easily and quietly.
  5. Notice if you have the habit of keeping your breath or swallow air during intercourse. If so, it`s best to try and avoid it if possible.
  6. After the sexual contact, lie on your abdomen; this will facilitate the removal of gas.
  7. If bloating causes you severe abdominal pains, try to use Simethicone -based medications. They are sold without prescription and are harmless.

Pain during Intercourse in Women over 40 Years Old or Women with No Ovaries

For women with ages of over 40 years old who have reached menopause, or women who suffered a surgical intervention of removing the ovaries, the pains during intercourse can be caused by dryness and vaginal atrophy.

You may resolve this problem by using lubricants. If they won`t help, or if in addition to pain during sexual contact you also experience itching, you should visit your doctor with your problem. He may prescribe you some special creams with estrogen.

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