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What causes severe pain after the first sexual intercourse?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My virgin girlfriend and I had our first intercourse two days ago, and she started experiencing pain. She had severe pain, that she had to lie down on the floor to ease. When I asked her, she said it was more than her menses pain. What could be the problem?
Answered by Dr. Balakrishnan. R

Education:

MBBS

Professional Bio:

Dr. Balakrishnan. R is an Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and childbirth management. He provides comprehensive care, including prenatal and postnatal guidance, infertility support, and routine gynecological treatments. Known for his compassionate approach, Dr. Balakrishnan ensures personalized care, focusing on the overall well-being of women and helping them make informed decisions about their reproductive health.

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Hi,

Welcome to icliniq.com.

When a lady's hymen ruptures, that is, after the first sexual exposure, there will be few tears in and around the external genitalia and also the vaginal wall. These will be the point of entry of minor infections already present in the normal vaginal flora and also in the semen. This will be more if you have not used a condom. These infections will enter the uterus and thereby into the pelvis or lower abdomen, causing cramps on and off, similar to menstrual cramps. You do not need to worry. All you need to do is avoid sex for a few days until the pain subsides fully and have a short course of any antibiotics like tablet Azithromycin 500 mg daily once for five days or tablet Levofloxacin 500 mg daily once for five days. Use any of the antispasmodics (usually used by women during periods for pain) like Dicyclomine, 2 to 3 times per depending on the severity of pain. Use a condom during sex.

I hope I have clarified your query, do write back if any more queries and for your feedback.

All the best.

Medically reviewed by Dr. Sneha Kannan
Published At March 26, 2020
Reviewed At June 5, 2024

Education:

MBBS

Professional Bio:

Dr. Balakrishnan. R is an Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and childbirth management. He provides comprehensive care, including prenatal and postnatal guidance, infertility support, and routine gynecological treatments. Known for his compassionate approach, Dr. Balakrishnan ensures personalized care, focusing on the overall well-being of women and helping them make informed decisions about their reproductive health.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

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Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Balakrishnan. R
Dr. Balakrishnan. R

Obstetrics and Gynecology

Education:

MBBS

Professional Bio:

Dr. Balakrishnan. R is an Obstetrician and Gynecologist specializing in women’s reproductive health, pregnancy care, and childbirth management. He provides comprehensive care, including prenatal and postnatal guidance, infertility support, and routine gynecological treatments. Known for his compassionate approach, Dr. Balakrishnan ensures personalized care, focusing on the overall well-being of women and helping them make informed decisions about their reproductive health.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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