Pain Near the Perineum After Sexual Activity: Possible Causes and Solutions

Pain near the lower end of the labia minora close to the perineal area?

Two days ago, I had sexual intercourse, and now I feel a slight pain in the area just above the anus, approximately at the perineum.
It feels like it's part of the labia, and the discharge is normal in color and not increased.
However, I experience pain when wiping or walking.
Could this be inflammation? Since today is Sunday, I couldn't find a gynecologist or a pharmacist to consult, so I bought some topical ointment.

lala, 10~19 year old female. Ask Date: 2015/09/13

Dr. Lü Lizheng reply Obstetrics and Gynecology

The pain in the genital area is likely due to localized inflammation.
To determine the specific type of inflammation, it is best to seek medical attention for confirmation.
Mupirocin is a comprehensive ointment that contains anti-inflammatory, antibiotic, and antifungal components, which can be effective for mild localized infections.
However, if the bacteria or fungi have developed resistance, it may not be effective, and it is also ineffective against viral infections.
Sincerely, Dr.
Li-Cheng Lu, Taoyuan Hospital.

Reply Date: 2015/09/13

More Info

Experiencing pain near the perineum after sexual activity can be concerning and may arise from various causes. The perineum is the area between the anus and the genitals, and discomfort in this region can result from several factors, including physical strain, inflammation, or even infections.
One common reason for pain in the perineal area after sexual activity is muscle strain. During sexual intercourse, the pelvic floor muscles can be engaged intensely, leading to soreness similar to what one might experience after a workout. If the activity was prolonged or particularly vigorous, this could contribute to discomfort.
Another potential cause is inflammation or irritation. This can occur due to friction during intercourse, especially if there is insufficient lubrication. Even if there are no visible signs of irritation, the tissues in the genital area can become inflamed, leading to pain. It’s also worth considering if there was any unusual positioning or prolonged pressure on the perineum during sexual activity, which could lead to localized pain.

Infections, such as a urinary tract infection (UTI) or sexually transmitted infections (STIs), can also cause pain in this area. Symptoms of a UTI may include burning during urination, frequent urination, and lower abdominal pain. STIs may present with additional symptoms such as unusual discharge, itching, or sores. If you suspect an infection, it is crucial to seek medical attention for appropriate testing and treatment.

Given that you mentioned using a topical ointment (妥膚定), it’s important to ensure that any product applied is suitable for the genital area. While some topical treatments can help with inflammation or irritation, they should be used cautiously, as some ingredients may cause further irritation. If the pain persists or worsens, or if you develop additional symptoms such as fever, unusual discharge, or significant swelling, it is advisable to consult a healthcare provider.

In the meantime, here are some general recommendations to alleviate discomfort:
1. Rest and Avoid Strain: Give your body time to recover. Avoid activities that may exacerbate the pain, including further sexual activity until the discomfort resolves.

2. Warm Compress: Applying a warm compress to the area can help soothe muscle tension and alleviate pain.

3. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation.

4. Hydration: Ensure you are well-hydrated, as this can help prevent urinary tract infections.

5. Monitor Symptoms: Keep an eye on your symptoms. If the pain persists for more than a few days, or if you notice any changes in your body (such as fever or unusual discharge), seek medical attention.

6. Gentle Hygiene: Maintain good hygiene in the genital area, but avoid harsh soaps or products that could irritate the skin.

If you are unable to see a gynecologist or healthcare provider immediately, consider visiting an urgent care clinic, as they can provide guidance and treatment options. Remember, while some discomfort may be normal after sexual activity, persistent or severe pain is not and should be evaluated by a professional.

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