Vaginal Pain During Intercourse: Causes and Solutions

Vaginal pain during intercourse?

Hello Doctor, I experience pain during every sexual intercourse.
The pain is located at the vaginal opening and feels similar to a tearing sensation.
Despite having foreplay and using lubrication before penetration, I still experience pain.
Initially, the pain is not as severe, but it intensifies over time, making it impossible to continue.
After intercourse, I notice a white, milky discharge that has an unpleasant odor, and I also experience pain while urinating.
Touching the area is painful as well.
This condition seems to resolve itself after about seven days, but it recurs with any sexual activity.
Could this be a case of vaginitis or a problem related to my body’s constitution? Should I see a doctor? Thank you for your response.

Xuan, 20~29 year old female. Ask Date: 2018/03/04

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your symptom description, it is likely that you are experiencing perineal skin breakdown or inflammation.
It is recommended to keep the perineal area clean and dry, avoid tight-fitting clothing, and consider soaking in a bath to alleviate symptoms.
If symptoms persist or worsen, please consult a physician for diagnosis and treatment.
Thank you! Wishing you safety and health.
Dr.
Zhang

Reply Date: 2018/03/04

More Info

Vaginal pain during intercourse, especially when accompanied by symptoms such as a burning sensation, unusual discharge, and pain during urination, can be indicative of several underlying conditions. Based on your description, it seems that you are experiencing significant discomfort that affects your sexual health and overall well-being. Let's explore the potential causes and solutions for your situation.

Possible Causes of Vaginal Pain During Intercourse
1. Vaginal Infections: One of the most common causes of vaginal pain is an infection, such as bacterial vaginosis or a yeast infection. These infections can lead to inflammation and irritation, resulting in pain during intercourse. The presence of a foul-smelling discharge and discomfort during urination further supports this possibility.

2. Vulvodynia: This is a chronic pain condition affecting the vulva, which can cause burning, stinging, or rawness. It can occur without any identifiable cause and may be exacerbated by sexual activity.

3. Hormonal Changes: Hormonal fluctuations, particularly those related to menstrual cycles, pregnancy, or menopause, can lead to vaginal dryness and discomfort during intercourse. Even with adequate lubrication, hormonal imbalances can affect the vaginal tissues.

4. Physical Trauma: If there has been any previous trauma to the vaginal area, such as from childbirth or injury, it could lead to pain during intercourse. This may feel like a tearing sensation, especially if the tissues are sensitive or scarred.

5. Psychological Factors: Stress, anxiety, and past traumatic experiences can also contribute to pain during intercourse. Psychological factors can lead to muscle tension, making penetration uncomfortable.

Recommendations for Management and Treatment
1. Consult a Healthcare Provider: Given the complexity of your symptoms, it is crucial to consult a healthcare provider, preferably a gynecologist. They can perform a thorough examination, including pelvic exams and possibly cultures, to identify any infections or other underlying conditions.

2. Medication: If an infection is diagnosed, appropriate antibiotics or antifungal medications may be prescribed. For conditions like vulvodynia, pain management strategies, including topical anesthetics or nerve blocks, may be considered.

3. Lubrication and Moisturizers: While you mentioned using lubrication, ensure that you are using a water-based or silicone-based lubricant that is free from irritants. Vaginal moisturizers can also help alleviate dryness and discomfort.

4. Pelvic Floor Therapy: If muscle tension is contributing to your pain, pelvic floor physical therapy can be beneficial. A trained therapist can help you learn relaxation techniques and exercises to reduce pain.

5. Addressing Psychological Factors: If anxiety or stress is a factor, consider speaking with a mental health professional. Cognitive-behavioral therapy (CBT) or other forms of counseling can help address these issues.

6. Avoiding Irritants: Be cautious with soaps, douches, and other products that may irritate the vaginal area. Opt for gentle, unscented products to minimize irritation.

Conclusion
In summary, vaginal pain during intercourse can stem from various causes, including infections, hormonal changes, and psychological factors. It is essential to seek medical advice to determine the underlying cause and receive appropriate treatment. Early intervention can help alleviate symptoms and improve your sexual health and overall quality of life. Remember, you are not alone in this, and many women experience similar issues. Seeking help is a positive step towards finding relief and enjoying a fulfilling sexual experience.

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