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Health

Pain after intercourse

, medical expert
Last reviewed: 20.11.2021
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More than half of the representatives of both sexes suffer from pain during sexual intercourse or after it periodically, many and constantly. The problem is that many people hesitate to admit this. But if you understand the cause of this kind of pain in time, you can noticeably ease them, or even get rid of them altogether.

Most often, the cause of pain during and after intercourse is a variety of diseases.

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Causes of pain after intercourse in men

If the bridle of the penis is torn, after intensive coitus there is the appearance of temporary soreness. 

The area of the testicles, the penis head sometimes gives pain after ejaculation. Infection of the prostate, urinary tract, seminal vesicles cause itching and burning. Burning and acute pain after ejaculation can be associated with gonorrhea and similar diseases. Disorders of the genitourinary system with urethritis or prostatitis can also cause severe pain. Sometimes the cause of pain can be involuntary painful spasms or local cramps in some sensitive muscles of the reproductive and sexual system of men. The delay in ejaculation by a man for a longer coitus can also cause pain. Certain disorders of the pelvic floor muscles can also lead to pain syndromes.

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Causes of pain during and after intercourse in women

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Pain during and after intercourse that occurs during defloration

The main reason for the occurrence of pain in the first sex is fear. Because of it, the muscles of the body contract, the vagina is very stressed. There are women whose hymen can be thick and completely permeated with a huge number of nerve endings, but this happens infrequently. In general, it is inherent in elasticity and extensibility, so often at the first sexual intercourse it is not ruptured, but stretching occurs. So, that painful sensations does not arise, it is usually recommended to overcome your fear. In order that it does not arise, you need confidence in your first partner, as well as reliable protection. It is best for the first time to use a condom - there is a danger of foreign microbes that can be absolutely safe for a man, and if you get into a woman's body, you can cause vaginal inflammation and bladder problems. Relaxation and prevention of muscle spasms during defloration will help to have a pleasant atmosphere, trust, a sufficient number of preliminary caresses, if the partner delivers the girl pleasure before the coition begins. 

Pain after sex from vaginismus

Such a problem can happen because of an unsuccessful first sex (or after a rape). The essence of vaginismus in the convulsive contraction of the vaginal muscles is in spasms that occur before the onset of sexual intercourse. The subconscious, guided by fear, sends signals to the muscles. And, in fact, the pain does not even come from penetration, but because the muscles of a woman's own muscles are compressed. Such a situation can occur at the reception of a gynecologist. To get rid of this syndrome, you need to fight with your fears, work on your trust in your partner and attitude to the situation, so that you can relax unhindered. When the patient is not able to overcome vaginismus independently, you need to seek help from a psychotherapist and sex therapist. 

Pain after intercourse due to intact hymen

Often there is a situation where coition occurs not for the first time, but the pain persists every time. This is due to the fact that many do not have a rupture of the hymen, but its stretching or slight tear. There are cases when it is completely eliminated only during childbirth. If you observe the preservation of the hymen, it is recommended to use grease in large quantities and tenderness. 

Pain after sex due to inflammation

If the occurrence of pain, burning, itching, friction, dryness occurs during sexual intercourse or after it, it is quite possible that there is inflammation in the urogenital system. It can be caused by infections that are transmitted sexually: chlamydia, gonorrhea, trichomoniasis, ureaplasmosis, candidiasis. Provoke it and quite "normal" microorganisms - fungi, E. Coli, staphylococcus and many others. Once in another organism, they often do not react quite adequately, especially when immunity, monthly, pregnancy and other vulnerable periods for the body are weakened. •

Pain during and after intercourse due to adhesions

Spikes occur if a woman has suffered inflammation of the appendages or intestines. They are characterized by periodic aching pain from below the abdomen from hypothermia, there may also be a delay or loosening of the stool. All this may indicate adhesions. But they can be present even when you have never observed these symptoms in yourself. Many women of reproductive age have spikes, they simply do not know about their presence, since they are asymptomatic. Pain can arise from tension, during sexual intercourse, as well as at a gynecologist in the armchair. With intimate intimacy, pain can be avoided by correctly selecting the posture and "temperament" of the sexual act - "aggressiveness" in sex in the case of adhesions is most often painful. It is best to go to a gynecologist, especially when the pain manifests not only during and after sexual intercourse, but also in everyday life, as the inflammatory process may be already chronic and needs serious treatment. 

Pain during and after intercourse can be caused by trauma, tears, seams after childbirth and surgeries. If these reasons are temporary, then they can go away by themselves after a certain time. If you can not do anything with them, it's out of the situation, using lubricants, developing the muscles of the pelvic floor, picking up poses and tempo in sex. 

Pain during and after intercourse due to endometriosis

The main sign of endometriosis are specific spotting before or after menstruation, as well as strong pain sensations. Pain is worse during defecation and during intercourse. 

Pain before and after intercourse due to venous stasis

Because of irregular sex, lack of satisfaction, discontent with the relationship, blood flows to the genitals, and there is no necessary discharge. Then there is a weight, a feeling of dissatisfaction, drawing pain during sex. And the main trick is that sex is the only thing that can fix this situation - it does not bring relief, it only aggravates the situation if proper discharge has not occurred. The walls of the vagina swell and give a sharp pain during coition. Another important point is that, in addition to discomfort and pain, there is a danger that severe gynecological diseases will develop: uterine myoma, endometriosis, mastopathy, ovarian dysfunction and many others. Experts advise not to launch problems with dissatisfaction and solve them together with your partner, because it is possible to provoke all sorts of complications, up to anatomical changes. Satisfying each other is a guarantee of pleasant and strong relationships in the family, but also, importantly, a healthy body. Experts will treat you with physiotherapy and gynecological massage, which is really an imitation of coitus. Therefore it is much more pleasant to get rid of such problems at home, with your partner. 

Pain during and after sex due to neuralgia of pelvic nerves

The walls of the pelvis give off pain that increases with touch, for example, with sex, examination on the chair, with ultrasound examination using a vaginal sensor. Fights are often sharp, shooting, giving in the leg. Neuralgia can affect any area - facial, intercostal, pelvic. The nerve gets inflamed most often from hypothermia, infections, stress. Traditional elimination of neuralgia - warming ointment, pepper plasters, application of physiotherapy procedures. 

Pain during and after sexual intercourse due to insufficient release of lubricating fluid

The reason may be a psychological condition caused, for example, by the lack of desire for sexual intercourse, unconscious rejection of a man, fear of pregnancy; removal of a special gland that gives women lubrication - Bartholinium, for example, because of its past inflammation (Bartholinitis); hormonal disorders in the postpartum period, the use of hormonal contraceptives, menopause. If this problem is caused by a hormonal background, then funds with female sex hormones are used. If the problem of a psychological nature - while a person is engaged in its solution, the couple uses artificial moisturizers - lubricants: special intimate gels that can be purchased at a pharmacy and sex shop. 

Pain during and after intercourse due to anatomical incompatibility of partners. Usually, the vagina is characterized by elongation and elasticity, and clinical variants of gigantic masculine qualities are not common in everyday life, so pain due to size should not arise. If this is observed, it is worth going to the doctor to understand what causes the pain and prevents the stretching was painless.

The causes of pain during and after sexual intercourse, characteristic of both sexes

Pain during and after sex is a common symptom of interstitial cystitis. In men, one of its characteristic manifestations is pain during ejaculation, in particular it is concentrated at the end of the penis. Women during illness with interstitial cystitis complain of pain in the next day after coitus.

Pain during and after sexual intercourse, your body "beats" about the fact that with it everything is not normal, - physically, psychologically. At the slightest suspicion of pain, you need to contact the doctor for advice, diagnosis and appropriate treatment.

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