Pain During Intercourse: When to Seek Medical Advice

Walking can be painful?

I have been taking birth control pills for six months.
Previously, I did not experience pain during intercourse.
In the first few instances, there was brief bleeding, but it stopped quickly.
I'm not sure if it was vaginal bleeding or external bleeding.
In the last four days, during sexual activity, the first two times were pain-free, but during the third time, I experienced pain when going deep.
I'm unsure if this is normal and whether I need to see a doctor.

Xiao Qi, 30~39 year old female. Ask Date: 2015/08/03

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description, it is possible that after taking contraceptive pills, there may be less vaginal lubrication and dryness in the perineal area, which could cause pain or tearing during intercourse.
You might try using lubrication beforehand and proceeding slowly.
If the symptoms persist, it is important to check for any abnormalities.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2015/08/03

More Info

Experiencing pain during intercourse can be concerning, and it’s important to understand the various factors that could contribute to this discomfort. Based on your description, it seems that you have been on birth control pills for about six months, and while you initially did not experience pain during intercourse, you have recently encountered some discomfort, particularly during deeper penetration. Additionally, you mentioned experiencing some bleeding after intercourse, which can also be a sign that warrants further investigation.

First, let’s discuss the potential causes of pain during intercourse, known as dyspareunia. There are several reasons why you might be experiencing this discomfort:
1. Hormonal Changes: Birth control pills can affect your hormonal balance, which may lead to changes in vaginal lubrication. Insufficient lubrication can cause friction and pain during intercourse. If you notice that you are not as aroused or that your body is not producing enough natural lubrication, consider using a water-based lubricant to alleviate discomfort.

2. Infections: Conditions such as yeast infections, bacterial vaginosis, or sexually transmitted infections (STIs) can cause pain during intercourse. If you have any unusual discharge, itching, or odor, it’s essential to consult a healthcare provider for evaluation and treatment.

3. Physical Factors: Anatomical issues, such as vaginismus (involuntary tightening of the vaginal muscles) or pelvic floor dysfunction, can lead to pain during penetration. If you feel that the pain is related to muscle tension or spasms, pelvic floor physical therapy may be beneficial.

4. Cervical Issues: Pain during deep penetration could indicate an issue with the cervix, such as cervical inflammation or conditions like cervical ectropion. If the pain is localized to the deeper areas, it may be worth discussing with a healthcare provider.

5. Psychological Factors: Anxiety, stress, or past trauma can also contribute to pain during intercourse. If you feel anxious about sexual activity or have experienced discomfort in the past, addressing these psychological factors through counseling or therapy may help.

Given that you have experienced bleeding, even if it was brief, it’s important to seek medical advice. Bleeding after intercourse can be a sign of various conditions, some of which may require treatment. It’s advisable to schedule an appointment with a gynecologist or healthcare provider to discuss your symptoms in detail. They may perform a pelvic exam, conduct tests for infections, and assess any anatomical issues that could be contributing to your pain.

In summary, while some discomfort during intercourse can be common, especially when experiencing hormonal changes, it’s crucial to pay attention to your body’s signals. Since you have experienced pain and bleeding, seeking medical advice is a prudent step. A healthcare provider can help identify the underlying cause of your symptoms and recommend appropriate treatment options to enhance your sexual health and overall well-being. Don’t hesitate to reach out for help; your comfort and health are important.

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Hello, based on your description of symptoms, I recommend that you gradually adapt for a period of time. If the symptoms persist or worsen, please consult a physician for diagnosis and treatment. Thank you! Wishing you peace and health, Dr. Chang.

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