What is the reason for pain during sexual activity?

Question

Hello doctor,

I feel pain and difficulty while having sexual activity with my partner. His penis is eight inches long and it is my first time having sex and it hurts as he tries entering. He has not been able to go in and I tried lube and everything but it bled the first two times. He has not been able to penetrate all the way through. Please advise if there is something wrong with me.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I can understand your concern. Firstly, I would like to reassure you that it is completely normal to experience some discomfort or pain during your first few sexual encounters, especially if your partner's penis is larger than what you are used to. However, if the pain is severe and persistent, it could be a sign of a medical condition that requires attention.

Here are some possible causes of your discomfort:

Vaginal dryness: Your body may not be producing enough lubrication, which can make penetration uncomfortable or painful. This can happen due to a variety of factors, such as hormonal changes, medication use, or anxiety. Using a water-based lubricant can help alleviate this issue.

Vaginal atrophy: This is a condition where the vaginal walls become thin and dry due to a lack of estrogen. It is common in postmenopausal women but can also occur in younger women due to hormonal imbalances or other factors. Vaginal atrophy can cause pain during sex and may require the use of vaginal moisturizers or hormone replacement therapy.

Vaginismus: This is a condition where the muscles around the vagina involuntarily contract during sexual activity, making penetration difficult or impossible. It is often caused by anxiety, fear, or past trauma and may require therapy or other forms of treatment to overcome.

Vulvodynia: This is a chronic pain condition affecting the vulva (the external female genitalia). It can cause burning, itching, or pain during sex and may require medical evaluation and treatment.

Pelvic floor dysfunction: This refers to issues with the muscles that support the pelvic organs (bladder, uterus, etc.). It can cause pain during sex as well as urinary or bowel problems. Pelvic floor therapy may help address these issues.

You may find it helpful to practice relaxation techniques such as deep breathing or meditation before sexual activity to help alleviate anxiety and promote relaxation.

I hope this helps you.

Thank you.

Regards.