Pain After Intercourse: Is It Normal or a Cause for Concern? - Obstetrics and Gynecology

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I have a question.
My girlfriend and I have been together for a long time, and since our first sexual experience (we are both inexperienced), it has been about four months.
We have only had intercourse about seven times, but after each time, my girlfriend experiences cramping that often makes her cry.
I want to know if this is a normal phenomenon or if there is an underlying issue.

Xiao Wu, 20~29 year old female. Ask Date: 2004/09/24

Dr. Shi Chengyang reply Obstetrics and Gynecology


Please come to our hospital for a consultation and examination.

Reply Date: 2004/09/24

More Info


Experiencing pain after intercourse can be concerning, and it is important to understand the potential causes and when to seek medical advice. In your case, since your girlfriend has consistently experienced significant pain after each encounter, it is advisable to consider several factors that could contribute to this discomfort.

Firstly, pain during or after intercourse, known as dyspareunia, can arise from various physical or psychological factors. Physically, one common cause is insufficient lubrication, which can lead to friction and discomfort during penetration. This is particularly relevant if either partner is feeling anxious or tense, as this can inhibit natural lubrication. It is essential to ensure that both partners are adequately aroused and comfortable before engaging in intercourse. Using a water-based lubricant can also help alleviate discomfort.

Another potential physical cause could be an underlying medical condition. Conditions such as vaginismus, where involuntary muscle contractions make penetration painful, or vulvodynia, which is chronic pain in the vulvar area, can lead to significant discomfort. Additionally, infections such as yeast infections, sexually transmitted infections (STIs), or pelvic inflammatory disease (PID) can also cause pain during or after intercourse. If your girlfriend has any unusual symptoms, such as itching, burning, or unusual discharge, it is crucial to consult a healthcare provider.

Psychological factors can also play a significant role in sexual pain. Anxiety, stress, or past traumatic experiences related to sexual activity can lead to tension and discomfort during intercourse. Open communication between partners is vital to ensure both feel safe and comfortable, which can help reduce anxiety and improve the overall experience.

Given that your girlfriend experiences pain severe enough to cause crying, it is essential to encourage her to seek medical advice. A healthcare professional can conduct a thorough evaluation, including a physical examination and possibly tests, to determine if there are any underlying medical issues contributing to the pain. They can also provide guidance on treatment options, which may include physical therapy, counseling, or medication, depending on the diagnosis.

In summary, while some discomfort can be normal, consistent and severe pain after intercourse is not typical and should be addressed. Open communication with your partner about her feelings and experiences, along with seeking medical advice, will be crucial in understanding and resolving the issue. It is essential to prioritize both partners' comfort and well-being in any intimate relationship.

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