Managing Perineal Pain After First Sexual Experience: Care Tips

Vulvar wound

Hello, Dr.
Huang.
After my first sexual intercourse, I felt a slight stinging sensation in the perineum, which is particularly noticeable after urination.
It seems like a minor tear, but it is not very visible to the naked eye.
Is it safe to apply tetracycline hydrochloride eye ointment to that area? Would it be problematic if the wound comes into contact with KY lubricant? My menstrual period is approaching in about two days.
Since my skin is quite sensitive, I am concerned that menstrual blood and sanitary pads might worsen the perineal injury.
What is the best way to care for it? I am currently taking Yaz birth control pills, and I have one pink pill left and four inactive pills remaining.
Would it be feasible to start the next pack of Yaz with the pink pills for a few days and then continue with the remaining four inactive pills to slightly delay my period, allowing the wound to heal first? Thank you.

Niming, 20~29 year old female. Ask Date: 2019/08/15

Dr. Huang Jianzhong reply Obstetrics and Gynecology

After my first sexual intercourse, I felt a slight stinging sensation in the perineum, which became particularly noticeable after urination, as if there were a minor tear that isn't very visible to the naked eye.
Can I apply tetracycline hydrochloride eye ointment to that area?
Answer: Yes, you can.
However, if the wound comes into contact with KY lubricant, it may not be ideal.

In 2-3 days, I will be close to my menstrual period, and I expect it to arrive in about 2 days...
I have sensitive skin and am concerned that menstrual blood and sanitary pads might worsen the perineal injury.
How should I best care for it?
Answer: Keep the area dry and well-ventilated.

I am currently taking Yaz birth control pills, and I have 1 pink pill left and 4 inactive pills remaining.
If I start the next pack of Yaz with the pink pills for a few days and then continue with the remaining 4 inactive pills from the previous pack, to slightly delay my period and allow the wound to heal first, is this method feasible?
Answer: The approach is to start the next pack of Yaz with the pink pills and discard the remaining 4 inactive pills from the previous pack to slightly delay your period, but it may not necessarily be successful.

Reply Date: 2019/08/15

More Info

Managing perineal pain after your first sexual experience can be a sensitive and concerning issue, especially if you are experiencing discomfort that feels like a mild tear. It’s important to approach this situation with care and understanding of your body’s needs. Here are some tips and considerations for managing your symptoms effectively.

Understanding Perineal Pain
Perineal pain after first sexual intercourse is not uncommon, especially if there was any discomfort or tension during the experience. The perineum, which is the area between the vaginal opening and the anus, can become sensitive or even slightly injured during intercourse, particularly if there was insufficient lubrication or if penetration was forceful.

Immediate Care Tips
1. Avoid Irritants: It’s advisable not to apply any topical medications, such as tetracycline eye ointment, to the perineal area unless specifically directed by a healthcare professional. This area is sensitive, and using inappropriate medications can lead to irritation or allergic reactions.

2. Gentle Cleansing: After using the bathroom, gently cleanse the area with mild soap and water. Avoid harsh soaps or products that may cause further irritation.

3. Lubrication: If you need to use lubrication, opt for water-based lubricants like KY Jelly, which are generally safe for sensitive areas. However, if you have an open wound or irritation, it’s best to avoid applying anything until the area has healed.

4. Monitor Symptoms: Keep an eye on your symptoms. If you notice increased pain, swelling, or signs of infection (such as redness or discharge), it’s important to consult a healthcare provider.

5. Rest and Recovery: Allow your body time to heal. Avoid any activities that may exacerbate the pain, including further sexual activity until you feel comfortable.

Managing Menstrual Concerns
As your menstrual period approaches, you may have concerns about how menstruation will affect your healing process. Here are some considerations:
- Menstrual Hygiene: Use unscented, hypoallergenic sanitary products to minimize irritation. Change them frequently to maintain hygiene and reduce the risk of infection.

- Pain Management: If you experience menstrual cramps in addition to perineal pain, over-the-counter pain relievers like ibuprofen can help alleviate discomfort. Always follow the recommended dosage.

Regarding Birth Control Pills
You mentioned taking Yaz birth control pills and considering adjusting your regimen to delay your period. While it is possible to skip the placebo pills and start a new pack to delay your period, it’s crucial to consult with your healthcare provider before making any changes to your medication. They can provide personalized advice based on your health history and current situation.

When to Seek Medical Attention
If your pain persists beyond a few days, or if you experience severe discomfort, it’s essential to seek medical attention. A healthcare provider can assess for any underlying issues, such as infections or more significant injuries, and provide appropriate treatment.

Conclusion
Managing perineal pain after your first sexual experience requires a combination of gentle care, monitoring your symptoms, and ensuring proper hygiene. Avoid using unapproved topical treatments, and consult with a healthcare provider if you have any concerns about your healing process or if your symptoms worsen. Remember, it’s essential to listen to your body and give it the time it needs to recover.

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