Pain during sex

Pain during sex is a problem that can be faced by both young girls who are just starting their sexual life, and women who already have considerable sexual experience. It does not always occur to them to go to the doctor with these complaints - the former believe that at the very beginning such pain is normal, the latter think that if this did not happen with the previous partner, then the problem lies in a specific man or in the legendary "incompatibility" - and everyone ends up experiencing unpleasant sensations only inside themselves and does not think about the need to get qualified help. After a certain time, the body gets used to pain during sex as something constant and begins to prepare for its appearance in advance. Therefore, pretending to be a hero and dragging it out, enduring the pain is not worth it.

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Diseases that cause pain during sex

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Causes of pain during sex in men

In representatives of the stronger sex, pain during sex is often caused by organic reasons, for example, too tight foreskin, which does not rise during an erection and thus causes pain in the head of the penis, or Peyronie's disease, in which sclerotic plaques appear on the penis, causing curvature of the reproductive organ. Periodic pain during sex can occur if the frenulum of the penis has ruptured. The nature of the partner's behavior, of course, does not affect this.

Causes of pain during sex in women:

1. Defloration. The main reason is fear. It provokes contraction of all the muscles of the body, especially the muscles of the vagina. It happens that the hymen is thick and richly supplied with nerve endings, but often it is still elastic and stretchable, during the first intimacy there is no rupture, only stretching, so there is no sharp pain. Only the woman herself can overcome fear if she is aware of what is happening to her, completely trusts her partner and is confident that she is reliably protected from infections.
2. Vaginismus. If sexual intercourse (the first time in life or the first with this partner or rape) has failed, the fear of it can take hold in the subconscious and provoke muscle spasms in advance, which makes sexual intercourse impossible in principle. Pain during sex does not occur due to the penetration of the male member, but because the woman's muscles are contracting. In this case, you need to treat yourself, change your attitude to sex, find a partner whose trust will give you the opportunity to completely relax. Vaginismus, which a woman cannot overcome on her own, requires a course of treatment from a sexologist and psychotherapist.
3. Intact hymen. This can be evidenced by the fact that intimacy is already the nth time, and the pain during sex is like the first time. In the process, it can disappear, but at the very beginning there are unpleasant sensations. As a rule, the hymen does not break during the first sexual intercourse, but only stretches or slightly tears, but remains in place. There are cases when virginity in the physiological sense is broken for the first time only during childbirth. If there is an adequate understanding of this situation, lubrication is secreted in sufficient quantity and the partner treats the woman gently, this problem can be easily solved.
4. Inflammation. If painful sensations (pain, burning, itching, friction, dryness) appear in the vagina during or after sex, the cause is most likely an inflammatory process. You should see a doctor and undergo an examination for sexually transmitted infections (candidiasis, ureaplasmosis, chlamydia, trichomoniasis, gonorrhea). During this period, restrictions should be imposed on sexual activity and it should be carried out, always using a condom. The course of treatment for the disease that is detected should only be done together at the same time with the same drugs, and you should also protect yourself during treatment with a condom - regardless of the results of the man's tests.
5. Adhesions. They occur as a result of previous inflammation of the intestines or appendages. If you have ever been bothered by periodic aching pains in the lower abdomen when cold, or delayed or loose stools, as well as intestinal diseases in childhood, you may be experiencing the process of adhesion formation in the pelvis. If you have never complained about anything like this, it may also be present, since inflammation can occur without symptoms. Some women experience pain during tension and during examination on a gynecological chair, as well as during sexual intercourse. In most cases, choosing more comfortable positions is a salvation, but if the pain is constant and appears outside of sexual life, it is necessary to treat the chronic inflammatory process, in particular with the help of physiotherapy.
6. Trauma, rupture, postpartum and postoperative sutures. The solution to this problem can be physiotherapeutic or surgical. You can use lubricants during intercourse, develop the pelvic floor muscles, choose the most suitable positions and tempo during sex.
7. Endometriosis. Women most often diagnose themselves with this disease if they notice spotting before or after their monthly periods. But the main symptom of endometriosis is pain that appears or intensifies before menstruation and goes away with it. Pain during sex can also be felt internally and be quite strong, making intimate life impossible or very painful at this time of the cycle.
8. Stagnation of venous blood. Inconsistency of sexual life, lack of satisfaction, prolonged abstinence, dissatisfaction with relationships - as a result, there is a rush of blood to the pelvic organs, and the necessary outflow is absent. At first, this is expressed by a feeling of heaviness, dissatisfaction, nagging pain after sex, during which there was no sufficient discharge. After a certain time, the only cure - a stable sexual life with the obligatory achievement of satisfaction becomes not a panacea, but just the opposite - a factor of exacerbation: swollen vaginal walls hurt due to sexual intercourse, pain during sex of an acute nature appears. This is not just an unpleasant condition - it is also dangerous: it can provoke the development of many gynecological ailments, such as uterine fibroids, endometriosis, mastopathy, ovarian dysfunction and others. It's better not to let occasional dissatisfaction lead to irreversible changes: understand how to please yourself and teach your partner how to do the same.
9. Pelvic nerve neuralgia. Pain in the pelvic walls, which intensifies when touched, is often sharp, shooting, and radiates to the leg. It can be treated in the same way as other neuralgia: with pepper plaster, warming ointments, and physical therapy.
10. Insufficient amount of secreted lubricant. This may be the result of a woman's psychological state (unwillingness to have sex, subconscious rejection of a partner, fear of unwanted pregnancy), surgery to remove the Bartholin gland, which secretes lubricant, or hormonal imbalances. In case of hormonal imbalances that require correction, drugs containing female sex hormones help, if there are no contraindications for their use. In other cases, it is necessary to use artificial moisturizers (lubricants), which are sold in sex shops and pharmacies.
11. Anatomical incompatibility is defined as a discrepancy in the sizes of the partners' genitals. The vagina is extremely elastic, and if a man is not diagnosed with clinical gigantism of the penis, then pain during sex due to the size of the reproductive organ should not occur.

Who should you contact if you experience pain during sex?

Pain during sex is always a signal of something wrong – perhaps not a dangerous illness that requires immediate treatment, but a disorder in your psychological state. With the help of painful sensations, the body screams at you – pay attention to me and help me! Try to hear it and contact a sexologist in a timely manner.