Hymen Myths: Pain During Intercourse Explained - Obstetrics and Gynecology

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No hymen?


Doctor, I asked my girlfriend, and she said that she didn't bleed during her first time and hasn't had any injuries.
She doesn't feel pain during intercourse, but she experiences pain afterward that lasts for several days.
This happens every time.

SSS, 10~19 year old female. Ask Date: 2011/09/04

Dr. Chen Xuhui reply Obstetrics and Gynecology


The hymen is merely a thin membrane tissue at the vaginal opening, and its structure varies from person to person.
It does not necessarily lead to bleeding during first intercourse, nor does it guarantee that one will experience abdominal pain for several days afterward.
Possible causes for such symptoms may include infection or, less commonly, internal bleeding due to endometriosis.
It is advisable to consult a specialist for diagnosis and treatment.

Reply Date: 2011/09/04

More Info


When it comes to understanding pain during intercourse, particularly in relation to the hymen and its myths, it’s important to clarify several points. The hymen is a thin membrane that partially covers the vaginal opening, and it has long been surrounded by myths regarding its role in virginity and sexual activity. One common misconception is that the hymen must break or bleed during a woman's first sexual intercourse, which is not necessarily true. Many women do not experience bleeding or pain during their first sexual encounter, and the hymen can stretch or tear from various activities, including exercise, tampon use, or medical examinations.

In your girlfriend's case, the absence of bleeding during her first intercourse does not indicate any issues with her hymen or sexual health. Pain during intercourse, especially if it occurs consistently, can be attributed to several factors. Here are some potential causes:
1. Vaginal Dryness: Insufficient lubrication can lead to friction and discomfort during intercourse. This can be due to hormonal changes, stress, or lack of arousal. Using a water-based lubricant can help alleviate this issue.

2. Tension and Anxiety: Psychological factors such as anxiety or fear about sexual activity can lead to muscle tension, particularly in the pelvic area, which can cause pain during and after intercourse. It’s essential for both partners to feel comfortable and relaxed.

3. Infections or Medical Conditions: Conditions such as vaginitis, pelvic inflammatory disease, or endometriosis can cause pain during intercourse. If the pain persists, it’s crucial for her to consult a healthcare provider for a thorough evaluation.

4. Vaginismus: This is a condition characterized by involuntary contractions of the vaginal muscles, making penetration painful or impossible. It can be a psychological response to fear or anxiety about intercourse.

5. Structural Issues: In some cases, anatomical factors such as a tight hymen or other structural abnormalities can lead to discomfort.
Given that your girlfriend experiences pain for several days after intercourse, it is advisable for her to seek medical advice. A healthcare professional can conduct a thorough examination to rule out any underlying conditions and provide appropriate treatment options.
In summary, pain during intercourse is not uncommon, and it can arise from a variety of physical and psychological factors. Open communication between partners is essential, as is seeking professional guidance when necessary. Understanding the myths surrounding the hymen can help alleviate some of the anxiety and misconceptions about sexual health, leading to a more positive and comfortable sexual experience.

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