Pain During Intercourse: Common Concerns for Newlyweds - Obstetrics and Gynecology

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Pain..?


Hello, I recently got married (about a month ago).
During my first time having intercourse with my husband, it was very painful.
Since then, we have had intercourse several times, but it still hurts (though not as much as the first time).
Is this normal??? How long is the female vagina? If ejaculation occurs only at the vaginal opening, can I still get pregnant??? Thank you!!

Jing, 20~29 year old female. Ask Date: 2004/02/24

Dr. Zhan Deqin reply Obstetrics and Gynecology


1.
It is normal for many people to experience pain shortly after getting married.
2.
The average length of the female vagina is approximately 8 to 10 centimeters.
3.
Although the chances are low, it is still possible to become pregnant.

Reply Date: 2004/02/24

More Info


Experiencing pain during intercourse, especially for newlyweds, is a common concern and can stem from various factors. It is important to understand that while some discomfort can be normal, persistent pain is not and should be addressed.
Firstly, pain during intercourse, known as dyspareunia, can occur for several reasons. One of the most common causes is insufficient lubrication, which can lead to friction and discomfort. This can be particularly prevalent in newlywed couples as they may still be adjusting to sexual intimacy. Emotional factors such as anxiety, stress, or fear about sexual performance can also contribute to tension in the pelvic muscles, leading to pain. Additionally, physical factors such as infections, hormonal changes, or conditions like vaginismus (involuntary contraction of the vaginal muscles) can cause discomfort during intercourse.

Regarding the length of the female vagina, it typically ranges from about 3 to 4 inches (7.5 to 10 cm) when not aroused, but it can expand significantly during arousal. This means that even if penetration feels uncomfortable, it is essential to communicate with your partner and ensure that both of you are comfortable and relaxed. Using water-based lubricants can also help alleviate discomfort.

As for the concern about pregnancy, it is possible to conceive if sperm comes into contact with the vaginal opening, even if ejaculation occurs outside the vagina. Sperm can swim and may still enter the vagina, leading to potential pregnancy. Therefore, if you are not planning to conceive, it is advisable to use contraception consistently.

If the pain persists, it is crucial to consult a healthcare provider. They can help identify any underlying medical conditions and provide guidance on how to improve your sexual experience. This may include pelvic floor therapy, counseling for anxiety, or other treatments tailored to your specific needs.

In summary, while some discomfort during intercourse can be normal, ongoing pain should not be ignored. Open communication with your partner, ensuring adequate lubrication, and consulting with a healthcare professional if necessary are essential steps to take. Remember, sexual health is an important aspect of overall well-being, and seeking help is a positive step toward a fulfilling sexual relationship.

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