Pain during sexual intercourse in men: causes and treatment

Sexual intercourse is undoubtedly a pleasant thing, otherwise people would not engage in it without pursuing a direct, “procreative” goal. But intimate life can be overshadowed by unpleasant and painful sensations in women during coitus. Unfortunately, women are often embarrassed to address this issue to a gynecologist. Under no circumstances is dyspareunia normal.

If you experience pain during sexual intercourse, do not put off visiting a gynecologist under any circumstances.

Discomfort during sexual intercourse is a relatively normal phenomenon during defloration (deprivation of virginity). If you are an experienced woman and are experiencing such difficulties in the intimate sphere, be sure to consult a gynecologist at our clinic in St. Petersburg. Typically, this symptom signals hidden pathological processes in the pelvic organs, which can be successfully treated. Our specialists quickly and accurately recognize the location and type of your disease in order to select adequate therapy taking into account the individual characteristics of your body.

Symptoms of discomfort during sex

Discomfort during sex in women can manifest itself in two ways:

  • Burning and pain occur on the surface of the mucosa. In this case, a woman may suffer from discomfort in the labia, urethra, clitoris, and vagina. The sensations can vary from itching to pain (like touching damaged skin).
  • The pain is deep, proximity makes you experience discomfort in the area of ​​the internal genital organs or lower back, sides, abdomen. The sensations are aching, shooting, pressing, bursting, cramping.

No entry allowed

Feel

When excited, throbbing pain occurs in the labia. Sometimes it can be so strong that sexual intercourse is simply impossible. You can also feel lumps near the entrance to the vagina.

Probable Cause

Bartholinitis is an inflammation of the Bartholin glands (they are located on the inner labia and are responsible for the secretion of lubricant during sexual arousal), while the channels become clogged and swelling and discomfort appear. Similar symptoms are observed with glandular cysts; if they appear on both sides, then entry into the vagina will be extremely difficult. In this case, you need to contact a gynecologist as soon as possible.

Gynecological factors

"First time"

Discomfort, cutting, acute pain during the first sexual intercourse are normal and should not be a cause for concern. Discomfort may occur the next few times, but if it does not go away later, the girl is advised to visit a gynecologist.

STI

Among the diseases that provoke discomfort during sex there may be infections: chlamydia, candidiasis, trichomoniasis, ureaplasmosis, syphilis, etc. Moreover, in this case, you are endangering your partner, so you should under no circumstances delay contacting a gynecologist.

Inflammatory processes

Also, discomfort and pain during sex are provoked by inflammatory diseases: vaginitis, vulvitis. As a rule, these pathologies manifest themselves not only by itching, but also by a change in the nature of the discharge: its color, smell, and consistency change. Extramenstrual bleeding and menstrual irregularities are possible. Inflammatory diseases require thorough treatment under the supervision of a gynecologist.

Polyps

If a woman has polyps on the cervix, when the penis penetrates deeply into the vagina, they can be injured, which leads to pain and bleeding after coitus.

Lack of local immunity

When the vaginal microflora changes due to diseases, antibiotics, malnutrition, stress and other factors, diseases such as bacterial vaginosis and cervicitis can develop against this background. In this case, the unpleasant sensations will be concentrated both inside the vagina and outside it.

HPV (condylomas)

If a woman has condylomas, they are mechanically damaged due to friction of the penis. Violation of their integrity leads not only to painful sensations during and after intimacy, but to local bleeding.

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Endometriosis

Pathological growth of the endometrium can also cause pain after coitus. Patients with this pathology report sharp, rolling pains in the lower third of the abdomen.

Inflammation of the ovaries, cysts

In this case, the pain is localized on the right or left, less often on both sides. Discomfort can be felt both during sex and postcoital.

Myomas, uterine fibroids

If you have fibroids or fibroids, the patient may experience nagging, aching pain after sex.

Recovery after childbirth

Doctors usually do not recommend having sex after childbirth for 1.5 months. This period is important for the full restoration of the body, including damaged cervix, vagina, and the entrance to the vagina. If after a longer period, when you resume sexual activity, the pain persists, you should see a gynecologist.

Mucosal atrophy

Age-related changes thin the mucous tissue, it becomes drier. As a result, coitus without the use of lubricant can be uncomfortable.

Insufficient discharge

An insufficient volume of natural vaginal secretions to ensure comfortable penetration of the penis inside can cause a sensation of friction and pain - and the pain can continue several days after sexual intercourse. The solution to this problem is the use of water-based lubricants. From the point of view of gynecological possibilities, the doctor may suggest that you eliminate the cause of dryness by restoring the moisture of the mucous tissue using biorevitalization.

Causes of pain during sexual intercourse

There are many reasons for pain during intercourse:

  • Acute and chronic infectious diseases of the genitourinary system and female genital organs - vulvitis, vaginitis, cervicitis, adnexitis, inflammatory processes in the bladder, etc.
  • Sexually transmitted infections;
  • Vaginal atrophy;
  • Injuries sustained during childbirth or after surgery;
  • Endometriosis, pelvic congestion, adhesions
  • Cervical erosion
  • Hormonal disorders
  • Uterine fibroids
  • Ovarian cyst, tumors of various origins
  • Vaginal atrophy,
  • Side effects when taking certain medications
  • Allergic reactions to condoms, synthetic clothing, some contraceptives,
  • Congenital pathologies in the formation of the genital and pelvic organs
  • Vaginal dryness
  • Age-related changes - menopause or menopause
  • Irritable bowel syndrome
  • and others.

Anatomically determined causes of discomfort during sex

Physiologically, partners may not be suitable for each other. Discomfort occurs when the sizes of the penis and vagina do not match: their length, diameter. If the difference is critical, during coitus the mucous membrane is injured and microtears appear. If the mucous membrane is injured regularly, chronic inflammation will occur. Injuries in the genital area increase the risk of infection entering the body and negatively affect the state of local immunity.

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