Pain during sexual intercourse: causes and methods of relief. Pain during intercourse - a solution to women's problems Pain in the lower abdomen in women during intercourse

Sometimes sex brings partners not only pleasure, but also discomfort. This may be due not only to problems in intimate life. It happens that after sexual intercourse a woman is bothered by various pains localized in the lower abdomen. They interfere with having a full sex life.

Pain cannot just happen. Perhaps they only indicate that an unsuccessful position was chosen for sex, which led to muscle overstrain, but pain can also indicate the presence of certain diseases.

Pain in the lower abdomen after intercourse: causes

Inflammatory processes in the vagina and cervix

The simplest cause of inflammation in the vagina is candidiasis, or, in simple terms, “thrush”. A large number of women face this disease. Its symptoms are copious curdled discharge. Thrush dries out the vaginal mucosa, making it more vulnerable. This causes pain after intercourse.

Inflammation can also develop in the cervix, this disease is called endocervicitis. Usually it is accompanied by pathological discharge from the vagina, the woman feels nagging pain in the lower abdomen. To establish what exactly triggered the development of inflammation, it is necessary to be tested for infections transmitted through sexual intercourse.

Endometriosis

Endometriosis is a disease in which the epithelium of the mucous membranes grows and extends beyond the uterus. For example, foci of endometriosis can be found in the abdominal cavity.

Why is this happening? When women menstruate, part of the excreted blood with epithelial particles enters the abdominal cavity through the fallopian tubes. Adhesions that occur in the pelvis cause pain not only during sex, but also during bowel movements. Endometriosis manifests itself not only with pain, but also with spotting and spotting long before and after menstruation. Discharge may be “smeared” throughout the entire cycle. Also, throughout the entire cycle, the woman is bothered by nagging pain. Factors contributing to the development of endometriosis are a history of abortion, curettage, hormonal disorders.

Ovarian cysts or ovarian apoplexy

Functional ovarian cysts occur periodically in most women. They do not pose any particular danger; usually such cysts resolve on their own by the beginning of the next cycle. But during too vigorous sex, the cyst may rupture, which will cause intense pain. This situation does not require urgent medical intervention, but still the regular occurrence of functional cysts is a reason to check your hormonal status, and perhaps seek help from an endocrinologist.

Ovarian apoplexy, on the contrary, is a serious complication in which surgical intervention should be performed as soon as possible. Apoplexy of the ovary is called its rupture. The pain is strong and intense, radiating to the sacrum and anus. Nausea and vomiting, pale skin, and decreased blood pressure may also appear. Ovarian rupture can occur during rough sexual intercourse.

Cystitis

Cystitis is called inflammatory processes in the genitourinary tract. A common symptom of cystitis is pain and burning in the lower abdomen after sexual intercourse.

Our entire body is created in such a way as to bring us joy and pleasure. Sexual relations between spouses are no exception. This is an opportunity to express all your tenderness and love to each other. But what if a woman experiences constant pain during intercourse? If this issue is not given serious attention, then these unpleasant sensations can develop into a reflex and, thus, create problems in the relationship between spouses.

If you do not pay attention to your health in time and continue to be embarrassed to talk to a doctor about the pain that arises during intimate intercourse, then gradually the brain will begin to perceive such relationships as a command for pain. The result will be a vicious circle. When the cause is finally identified and, if possible, removed, the woman will habitually experience pain instead of pleasure. So, for what reasons can intimacy cause pain in a woman?

Defloration

Defloration is otherwise known as deflowering. The girl is very worried and afraid of her first intimate relationship. This causes spasms in the muscles of the body, especially the vagina. Which actually causes pain.

The hymen itself is thin and elastic. It is designed in such a way that during the first sexual intercourse it smoothly stretches and is not the real cause of pain or bleeding. In very rare cases, the hymen is dense and has many nerve endings. When a girl is tense and experiences strong excitement and even fear before her first sexual intercourse, her muscles tense, painful sensations appear, and bleeding may even occur.

Vaginismus

This is a little-known but very common disease. What is it connected with? If a woman has experienced sexual violence to one degree or another or she was brought up in such a way that any sexual relationship is a great evil, then during sexual contact a spasm of the muscles of her vagina may reflexively occur, which will lead to severe painful sensations.

Pain during penetration is not due to the object, but due to severe emotional stress. This often happens at an appointment with a gynecologist: due to tension, the muscles of the genital tract become very tense, and as a result, it is either very difficult or completely impossible to insert a speculum.

In both situations, the cause of pain is precisely the spasm caused by the woman’s strong emotional stress and fear. To cope with this disease, you need to seek help from a sex therapist and psychologist as soon as possible. If the disease is not neglected, then treatment will give fairly quick and good results.

Inflammatory processes

If during sexual intercourse or not only a woman experiences sensations such as burning, itching or pain (even if after a long pause), then you should immediately contact your gynecologist. These are signs of the presence of inflammatory processes in the woman’s genital organs. Moreover, both spouses need to see a doctor. The gynecologist will prescribe the necessary examination, during which he will be able to determine the cause of such unpleasant sensations and prescribe treatment.
While treatment is being carried out, it is better for spouses to abstain from sexual relations or use a condom. In addition, the presence of inflammatory processes does not always mean that the spouse is cheating.

Often, itching and burning can be the result of the penetration of one's own microflora into an unnatural environment for it (for example, E. coli, fungi or staphylococci, etc.). They are completely safe in their own habitat. But if for some reason this microflora finds itself in a new environment, it begins to multiply vigorously and cause a lot of inconvenience. If treatment is not started in time, such processes can lead to serious complications, including cervical cancer.

Adhesive processes

If during intimate relationships a woman experiences pain in the lower abdomen, this indicates the presence of adhesions in the pelvic organs. If you have previously suffered various inflammatory processes, then the risk of adhesions in these organs is very high. The presence of periodic pain in a woman may also indicate their presence.

Medical studies have shown that almost the vast majority of women in the pelvic organs may have adhesions of varying degrees of severity. However, for most women these adhesions do not even make themselves felt. However, during sexual intercourse in some positions they may manifest themselves in the form of severe pain in the lower abdomen. This cannot be ignored.

It is imperative to visit a doctor so that appropriate treatment can be prescribed. Very often it is physiotherapeutic procedures that are most effective. But in complex cases, surgical intervention is required. In addition, sexual intercourse during the first year after childbirth can also cause pain in the lower abdomen. This is due to the presence of postpartum injuries, ruptures and sutures.

Endometriosis

If during sexual intercourse a woman very often experiences pain in the lower abdomen, spotting occurs, and during menstruation the woman experiences severe pain, then this may be endometriosis. With this disease, the mucous membrane of the uterus grows outside of it and on various organs. If this disease is not treated, sexual relations will become completely impossible due to constant severe pain, and this benign tumor can degenerate into malignant.

Venous blood stasis

If a woman experiences aching pain during sexual intercourse in the lower abdomen, radiating to the spine, during menstruation and during intimate relationships, then this is a sign of venous stagnation of blood in the pelvic area. This disease can be caused by various factors: previous inflammatory processes, birth injuries, constant lack of orgasm during sexual intercourse, a sedentary lifestyle or heavy physical activity. All this leads to weakening of the pelvic muscles and varicose veins.

If this disease is left unattended, the pain will gradually intensify, and subsequently diseases such as uterine fibroids, endometriosis, mastopathy, etc. may develop. To prevent this disease, you need to contact your gynecologist as quickly as possible. He can prescribe various physiotherapeutic procedures and recommend special exercises that strengthen the muscles and veins in the pelvic area.

• Neuralgia of the pelvic nerves

This disease manifests itself as severe, sharp pain in the lower abdomen, which becomes even stronger during sexual intercourse and radiates to the leg. It is extremely rare and has not yet been studied enough. More often we encounter neuralgia of the facial and intercostal nerves. But this phenomenon does occur, so medical intervention is mandatory.

With advanced neuralgia of the pelvic nerves, a woman experiences constant and very severe pain even at rest. Therefore, it is better not to bring yourself to such agony, but to consult a doctor. As a rule, various physiotherapeutic procedures, warming, etc. are prescribed.

• Insufficient lubrication

In order for an intimate relationship to bring pleasure to a woman, her body must secrete a sufficient amount of lubricant. If this does not happen, then sexual intercourse will only cause pain instead of pleasant sensations. But this problem can be fixed. Contacting your gynecologist will help identify the cause of the lack of lubrication and eliminate it. You can also use special intimate cream-gels called lubricants. Such gels promote good hydration of the woman’s genital tract and protect the mucous membrane. Lubricants are purchased from pharmacies.

What can't make you sick?

The above reasons are very, very serious. They cannot be ignored. It is necessary to take action and seek medical help as quickly as possible. But what can stop you from facing the truth? These are various myths about the causes of pain during sexual intercourse. Below are the most common versions of such speculation and their debunking.

• Cervical erosion.

Cervical erosion is sores on the cervix that are red and, in some cases, begin to bleed upon contact. As a rule, erosion is detected only during a gynecological examination. Pain and brown discharge can appear only if there is already very advanced erosion. In any case, if pain occurs in the lower abdomen during sexual intercourse, you should contact a gynecologist or sex therapist as soon as possible.

• Anatomical incompatibility of partners.

Anatomical incompatibility is the incompatibility of the genital organs of partners. This is a very rare phenomenon, occurring in only 1% of women. Basically, the tissues of the genital tract are very elastic, and the size of the penis cannot in any way be the cause of pain. Therefore, if they occur, it is better to avoid fantasies and consult a doctor.

Let's summarize

To summarize the above discussion, we should not take the pain signals our body gives us lightly. These are always either physical or psychological problems that require prompt intervention from a specialist. It is better to identify and prevent the disease in the early stages than to struggle with various complications for a long, expensive and exhausting time.

Regular visits to the gynecologist in itself help a woman monitor her health. But if various gynecological problems are identified, then three factors play a huge role in their resolution: treatment of the disease itself, restoration of psychological balance and loving support of a life partner.

A happy marriage cannot exist without mutual trust. Therefore, it is very important for spouses to be extremely frank with each other, especially in such delicate matters. This requires effort on the part of both spouses, but family happiness is worth it. In addition, such trusting relationships help overcome even very serious diseases.

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Intimate contact is an integral part of a relationship and should be enjoyable for both men and women. Unfortunately, it can be accompanied by unpleasant, painful sensations. In case of regular repetition of episodes of pain, one of the partners may refuse sex, which leads to disagreements in the couple. To restore a trusting relationship between a man and a woman, it is necessary to consult a doctor in order to determine the cause of discomfort and treatment, because dyspareunia can indicate serious pathologies in the body.

By the term dyspareunia, experts mean any unpleasant or painful sensations associated with sexual intercourse. They appear at the beginning of sexual contact and may also be present during or after it. Women most often experience pain above the pubis, in the ovaries, external genitalia and in the vagina. Men complain of pain in the penis, scrotum, and abdomen.

The reasons for discomfort during sex are numerous. Some of them do not require medical intervention and can be easily eliminated by partners on their own, but others require specialist consultation and treatment.

The most common causes of pain during intimate contact are:

• Uncomfortable position. Some positions during sexual intercourse, especially in untrained people, can lead to pain in the muscles and hip joints, radiating to the genital area and lower abdomen. To eliminate unpleasant symptoms, you should establish a trusting relationship in a couple, tell your partner about the discomfort and change your position to a more suitable one.
• Defloration. About 50% of girls experience acute, bursting pain in the vagina during the first sexual intercourse. The main reason for its appearance lies in the fear of appearing inept, fear of possible consequences, and insufficient relaxation. In order for a girl’s first sexual experience to be comfortable, partners need to relax as much as possible, take their mind off everything and tune in to the process itself.
• Bend of the uterus. A peculiarity of the anatomical structure of the internal genital organs, in which the body of the uterus in a woman is tilted posteriorly from the womb. In this case, dull, pressing pain can often occur when performing frictions. If this feature is present, painful sensations and a feeling of heaviness in the lower abdomen may occur during menstruation, or when playing sports associated with sudden turns of the body. The position of the uterus may return to normal after childbirth, however, if this does not happen, partners should choose positions in which the woman will not feel uncomfortable.
• Vaginismus- convulsive contraction of the vaginal muscles when trying to have sexual intercourse. This phenomenon can also occur during a gynecological examination. The reasons lie in past bad experiences, rape. Most often, vaginismus is observed in emotionally unstable, hysterical women. Treatment is psychotherapy.

These reasons can be identified and eliminated during a conversation between partners or when visiting a psychologist. In addition, a woman should definitely visit a gynecologist and a urologist - a man, because pain that appears during sex may indicate a serious organic pathology of the reproductive system and pelvic organs.

Pressing, dull pain in the lower abdomen, radiating to the lower back, may occur due to venous congestion in the pelvis, resulting from irregularity or dissatisfaction with sexual life. Over a long period of time, this condition can lead to uterine fibroids and prostatitis. The best treatment is to normalize intimate life and have a permanent partner.

Diseases manifested by dyspareunia

The appearance of pain above the pubis, in the lower back, right or left side during each sexual intercourse indicates an organic pathology. If there are complaints about regular unpleasant, uncomfortable sensations during or after sex, a woman should consult a gynecologist, since diseases that cause these symptoms can lead to serious complications, including infertility.

Pain during intimacy is accompanied by the following pathologies of internal organs:

• . A disease characterized by the penetration of the uterine endometrium into the uterus, tubes, ovaries and other internal organs. During the entire menstrual cycle, these formations undergo the same changes as the uterine epithelium; under the influence of hormones they swell and may bleed. Pain in this disease is periodic, occurring and intensifying before and during menstruation. Without treatment, the painful sensations become even stronger, unbearable and become permanent. Doctors can provide specific assistance for endometriosis even in advanced cases; however, you should not postpone a visit to the doctor, since this disease can lead to anemia, chronicity of concomitant pathologies, and infertility.
• Inflammatory diseases of the pelvic organs- adnexitis, salpingitis, inflammation of the uterine membranes. This leads to pain of varying intensity (pressing, stabbing, cutting), which is localized in the right, left iliac regions, and in the pubic area. Acute inflammatory processes, in addition to discomfort during sexual intercourse, are usually accompanied by fever, the presence of pathological discharge, and deterioration in general condition. A gynecologist is involved in the diagnosis and treatment of these pathologies.
• Sexual infections- , thrush. The causative agents of these diseases can infect the sensitive mucous membrane of the genital tract. The friction that occurs during sexual intercourse leads to additional damage and a feeling of severe discomfort and burning in the vagina.
• Bartholinitis- acute inflammation of the gland located at the vestibule of the vagina. An attempt at sexual contact with this pathology leads to hyperemia, increased swelling, and the appearance of unbearable pressing pain in the area of ​​the affected labia. Diagnosis and conservative or surgical treatment of the disease are carried out by gynecologists.
• Condylomas acuminata- specific growths on the vaginal mucosa caused by the influence of the human papillomavirus. They manifest themselves as pain in the vagina during sex, and with intense friction they can become damaged and bleed.

The diagnosis and treatment of the pathology that led to the appearance of dyspareunia should be made by a specialist. To determine the cause of pain, the doctor needs to collect complaints and anamnesis, as well as conduct a number of additional studies (gynecological examination, ultrasound, take smears for flora and PCR).

Important! A rare and difficult to diagnose cause of abdominal pain during sex is varicose veins of the small pelvis. This pathology can be determined using a specialized ultrasound. A woman should be treated jointly by a phlebologist and a gynecologist.

Somatic pathologies leading to pain during sex

Often the cause of pain during sexual intercourse is diseases of the internal organs:

• Kidney pathologies. A chronic inflammatory process occurring in the urinary organs can lead to vague abdominal pain radiating to the lower back and perineum, accompanied by increased body temperature and urination disorders.
• Diseases of the rectum(hemorrhoids, fissures), due to their location near the genitals, can indirectly cause pain during sex.
• Chronic cholecystitis manifested by a feeling of heaviness, pain in the right hypochondrium, which radiates to the lower abdomen and intensifies during sexual intercourse.

Dermatological diseases affect the mucous membranes and skin. Touching and rubbing the skin, including during intimacy, causes pain.

Important! Often the cause of painful sensations in the vagina during sex is diabetes, which leads to dry mucous membranes and a decrease in local immunity, which causes candidiasis and colpitis.

During the period of bearing a child, intimate relationships between partners do not stop (until a certain period). However, intimacy is often overshadowed by the appearance of pain in a woman, frightening the expectant mother and father.

Discomfort during sexual intercourse during pregnancy is often associated with:

• Excessive worries about one’s situation, fear of harming the fetus. Because of this, spasmodic painful contractions of the vaginal muscles may occur, making sexual intercourse difficult.
• Uncomfortable pose. Starting from the second trimester, the expectant mother’s figure proportions change noticeably, which can cause discomfort and cause muscle pain in some positions.
• Increased sensitivity of the cervix, caused by the influence of changed hormonal levels.
• Reduced secretion of natural lubrication, irritation of the vaginal mucosa.
• A threat and an incipient miscarriage. Intense cramping pain, especially accompanied by spotting after sex, indicates a threatened or actual abortion. If these symptoms appear, you should immediately consult a specialist.

A woman’s well-being during sexual intercourse largely depends on her readiness for intimacy. Often in the early stages of pregnancy, the expectant mother suffers from toxicosis, which manifests itself as nausea, drowsiness, weakness, headaches and muscle pain, including during sexual intercourse.

Pain in a man during sexual intercourse

Men rarely complain of discomfort during intimacy, which is due to the peculiarities of their psychology, physiology and anatomical structure of the reproductive organs. The appearance of pain during sex in representatives of the stronger sex indicates a serious pathology and the need for immediate medical intervention.

Let's consider the most common pathologies leading to this:

• excessively tight foreskin, phimosis;
• Peyronie's disease (change in the shape of the genital organ);
• frenulum injuries;
• sexually transmitted infectious diseases (chlamydia, gonorrhea), candidiasis;
• urethritis, balanitis, balanoposthitis, prostatitis.

During sexual intercourse, a man may experience pain in the head and base of the penis, scrotum, perineum, anus and lower abdomen. The appearance of any discomfort requires medical consultation, correct diagnosis and treatment. You cannot postpone a visit to a specialist, since many of the diseases that manifest as pain during sex can lead to complications such as impotence and infertility.

Important! A common complaint among men is headaches during intimacy. Such painful sensations spread from the back of the head to the temples, accompanied by a feeling of “pulsation” and darkening before the eyes. These manifestations indicate a sharp increase in blood pressure and possible arterial hypertension. If these symptoms occur, consultation with a physician is necessary, since without appropriate treatment, hypertension can lead to dangerous pathologies such as heart attack or stroke.

More information about pain during sex in this video.

Painful sensations during sexual intercourse are a problem faced by both girls who are just beginning to have sex and experienced women. They don’t always think of turning to a doctor with this complaint - the first believe that at the beginning this is the norm (but how long can the onset last?), the second analyze that this didn’t happen with a previous partner, so it’s a matter of the man or of incompatibility” - and as a result, everyone experiences their sensations literally inside themselves, without receiving help. After some time, the body gets used to pain as a given and begins to expect it in advance - a conditioned reflex is reinforced - the woman begins to be afraid and avoid intimacy or experience pain even when the cause eliminated, and the doctors tell her “nothing should hurt” - but she remembers what hurt in this situation - and the body produces the expected sensation from the memory archives. Therefore, there is no need to delay, endure, or act like a hero with pain; this “watchdog of health,” as Academician I.P. Pavlov called it, should force you to immediately consult a doctor and find out the cause.

Causes of pain during sexual intercourse (in chronological order throughout a woman’s life):

1. Defloration. The main reason is fear. It causes all the muscles of the body to contract, especially the vaginal muscles. There are cases when the hymen is thick and richly supplied with nerve endings, but most often it is elastic and stretchable, at the first intimacy it does not tear, but stretches, and does not cause severe pain (therefore, the absence of bleeding during defloration is more the norm than a pathology). So the main pain sensations arise from fear. Only you yourself can overcome it if you know what is happening to you, trust your first man, and know for sure that you are reliably protected from unwanted pregnancy and infection. You need to protect yourself for the first time with a condom - foreign microbes, normal for one body (men), when entering a new body (women), cause an inflammatory reaction in it - inflammation of the vagina (colpitis) and bladder (cystitis) - the most common complication of defloration. A warm, familiar, calm environment, a warm bubble bath, a glass of relaxing wine/champagne, trust in your partner (fear is often caused not only by the unknown, but also by the fear of appearing different to Him than he would like), sufficient foreplay and receiving will help you relax and help prevent spasms. a girl of pleasure before the start of sexual intercourse. But the main cure for fear, which constrains muscles and causes pain, is love. For women who lost their virginity out of love, and not out of curiosity or because the age/partner/situation was right, everything happens in appropriate conditions, without haste, unnecessary nervousness, gently and with little pain.

2. Vaginismus. If intimacy (the first in life or the first with a specific partner, or there was rape) was unsuccessful, the fear of it can take hold in the subconscious and cause muscle spasm in advance, making sexual intercourse impossible. The pain does not arise from penetration of the penis, but from the compression of one’s own muscles (the same pain sometimes occurs during a gynecological examination - fear of the situation causes the muscles to contract so much that modern plastic gynecological speculums break:). When a woman trusts the gynecologist and relaxes, everything happens painlessly. There is only one mechanism - the pain does not arise from a foreign body in this case, but from a spasm of one’s own muscles - i.e. and in this case you need to treat yourself, change your attitude to the issue, find partners whose trust will allow you to relax. Vaginismus, which the woman herself cannot cope with, requires treatment from a psychotherapist and sex therapist.

3. Intact hymen. Intimacy is not the first time for a long time, but it hurts like the first time. True, it goes away in the process, but at the beginning it’s always unpleasant. As a rule, the hymen does not break at the beginning, but only stretches or is slightly torn, but remains. Sometimes virginity in the anatomical sense is violated for the first time only during childbirth. Until then, some discomfort at the entrance remains at the beginning of sexual intercourse. With an understanding of the situation, a sufficient amount of lubrication and gentle treatment from the partner, this problem can be easily solved.

4. Inflammation. If unpleasant sensations (pain, burning, itching, friction, feeling of dryness) occur in the vagina during sexual intercourse or immediately after, the cause is most likely an inflammatory process. You need to go to the doctor and get tested for infections. During this time, sexual activity should be limited and carried out only under the protection of a condom. It will be necessary for the two of you to be treated for whatever they find, using the same medications at the same time, protecting themselves with a condom during treatment - regardless of the results of the man’s analysis. Conventional tests in men rarely reveal an infection, the main focus of which is in the prostate gland, so you need to either do a bacterial culture after provocation and massage of the prostate, or not examine anything, but simply treat both, based on the rule that partners’ microbes are always the same. Inflammation is not necessarily caused by sexually transmitted pathogens, e.g. If you suspect inflammation, you don’t need to immediately accuse your partner of cheating: most often, inflammation is caused by the normal flora of the human body: fungi, E. coli, staphylococcus and other normal microorganisms. Simply, when they enter a “foreign” environment (into the female genital tract from the male or from the skin, from the intestines, oral cavity, etc.) and there is an insufficient level of protection (lowered immunity, menstruation, pregnancy), they begin to multiply and cause inflammation . They just need to be treated competently, and not look for someone to blame.

5. Adhesions. The result of previous inflammation of the appendages or intestines. If you have ever had periodic aching pain in the lower abdomen during hypothermia, or episodes of delayed or loose stool or intestinal disease in childhood, then you have the right to have adhesions in the pelvis. If you have never had such complaints, it also has the right to be, because the inflammation could be asymptomatic. Most adult women have adhesions, and for many they do not bother or cause harm. For some, they hurt when stretched - when examined on a gynecological chair and during intimacy - in this case, the pain, unlike the above cases, is in the depths of the abdomen and depends on the posture and “aggressiveness” of the act. In most cases, the selection of comfortable poses saves if If the pain persists constantly and bothers you outside of sexual activity, you need to treat the chronic inflammatory process, including with the help of physiotherapy.

6. Injuries, ruptures, stitches after childbirth and operations. The solution to the problem can be surgical or not: the use of lubricants, development of the pelvic floor muscles, selection of poses and tempo.

7. Endometriosis. This diagnosis is often made by women themselves based on spotting before or after menstruation. However, the main symptom of endometriosis is pain that appears or intensifies before menstruation and goes away with it. If this discharge is painless, it is not endometriosis. If they are painful + there is pain during sexual activity and during bowel movements on the eve of menstruation, these may be signs of endometriosis. Pain during intimacy is also felt inside and is quite strong, making sexual life impossible or painful at this time of the cycle.

8. Venous stagnation. Irregular sex life, insufficient satisfaction, abstinence, dissatisfaction with relationships - as a result, blood rushes to the organs, but there is no proper outflow. At first it is a feeling of heaviness, dissatisfaction, nagging pain after sexual intercourse without sufficient release. Over time, the only cure - regular sexual life with satisfaction - becomes not a relief, but, on the contrary, an aggravating factor: the swollen walls of the vagina hurt from sexual intercourse itself, and acute pain occurs during intimacy. This condition is not just unpleasant - it is also dangerous: it is a predisposing factor in the development of many gynecological diseases: uterine fibroids, endometriosis, mastopathy, ovarian dysfunction, etc. Try not to bring the emerging dissatisfaction to anatomical changes: learn to give yourself pleasure and teach this to your partner: this You will bring joy to both yourself and him by maintaining a healthy body and healthy family relationships. The main treatment from a doctor is physiotherapy and gynecological massage - essentially a surrogate for sexual intercourse - so it’s more pleasant to cure yourself of venous stagnation at home with the help of your beloved man and toys from a sex shop. Women with varicose veins in the legs are particularly prone to this cause of pain.

9. Neuralgia of the pelvic nerves. Pain along the walls of the pelvis, aggravated by touch (sexual intercourse, examination on a chair, ultrasound with a vaginal probe), often sharp, shooting, radiating to the leg. Neuralgia can happen anywhere: facial, intercostal - sometimes pelvic neuralgia: the nerve can become inflamed from hypothermia, from a present infection, from stress. It is treated in the same way as other neuralgia: pepper patch, warming ointments, physiotherapy.

10. Insufficient lubricant release. It may be a consequence of a psychological state (reluctance to intimacy, subconscious rejection of a partner - sometimes a woman is not consciously aware of this, and then the body hints to her in this way; fear of becoming pregnant), removal of the Bartholin gland, which secretes lubricant (its inflammation is bartholinitis, suffered previously) or hormonal disorders (postpartum period, taking hormonal contraceptives, menopause). For hormonal disorders that require correction, taking female sex hormones helps, unless they are contraindicated. In other cases, in the process of dealing with your Self, you need to use artificial moisturizers (lubricants) - special intimate gels sold in pharmacies and intimate shops, for example, Montavit gel.

Pain that accompanies sexual intercourse or occurs immediately after it can significantly ruin the personal life of both men and women. To refer to all types of pain that are felt during or after intercourse, the term “ dyspareunia"(literally - "painful sexual intercourse"). With dyspareunia, burning, pulling, sharp or dull pain is localized specifically in the genitals. Postcoital(after intercourse) pain is called genitalgia, considering it a manifestation of organic or mental pathology.

Dyspareunia due to STDs

– the most common of the STDs, but in the early stages the disease is practically asymptomatic. Signs of inflammation appear only 2-3 weeks after infection with chlamydia: burning sensations are possible ctions(urination), and in the lower back. In women, they are abundant, yellowish-gray, with a pungent unpleasant odor. In men, chlamydia occurs with mild symptoms, characterized by signs of prolonged urethritis and scanty, glassy, ​​so-called. morning drop. With chlamydia, only women experience pain during sexual intercourse.

. Symptoms develop within 2-10 days after infection, excluding cases of latent infection, which can manifest itself even after several months. Gonorrhea discharge is profuse and thick, yellowish-green color, blood and clots are often visible in them. manifested by frequent mictions and burning pain, (inflammation of the vagina) - redness of the mucous membrane and characteristic discharge.

Both men and women experience sexual discomfort with severe symptoms of gonorrhea: the partner experiences pain during sex, and her partner experiences pain at the end of sexual intercourse.

rarely manifests itself as pain during sexual intercourse: primary syphilomas (hard chancres) and rash with secondary syphilis are usually painless, but with atypical clinical forms, pain may occur during sex.

Signs (primary syphilis):

• Genital chancroid in men often forms on the penis or scrotum, in women - on the labia, clitoris, and cervix;
• Looks like an erosion or ulcer with raised edges and a dense bottom;
• Usually painless;
• Disappears without treatment, leaving behind a compaction;
• Develops in the area of ​​chancre scleradenitis– regional lymph nodes enlarge, they are dense and do not hurt;
• The node located closer to the chancre is always enlarged more than others.

discharge accompanied by pain is a likely sign of sexually transmitted infections

– a viral disease, transmitted by contact (contaminated underwear, dirty hands) and sexually. Manifests itself as blistering rashes in the genital and anal areas; subsequently, the blisters turn into erosions and ulcers, causing pain to partners during intercourse. After sex, pain is also felt, the cause of which is mechanical irritation of the inflamed mucous membranes.

: causative agent (human papillomavirus), its involvement in the development of cervical cancer has been reliably proven. This type of tumor is especially unpleasant, because the primary focus can be negligible (up to only a few mm) and outwardly resemble ordinary cervical erosion, but metastases form very quickly and lead to the death of the patient. Primary signs are small bumps (in the vagina, on the penis, in the urethra, around the anus, in the throat), local itching, pain and slight bleeding during sex.

Fungal infection, possible infection through sexual or contact contact. The main sign is cottage cheese-like discharge and a characteristic sour odor. Clinically manifests itself as urethritis, colpitis, balanitis, or inflammation of the head of the penis and the internal preputial layer.

With very common candidiasis, pain is also present during sex, but the burning sensation is especially noticeable after sexual intercourse.

Pain after sex (post-coital)

Associated with genital diseases or somatogenic. The reasons are of a material nature: injuries to the genital organs, adhesions after operations, acute inflammation, tumors. After adequate treatment, the pain disappears; in case of deformation of the genital organs, restorative and cosmetic plastic surgery is indicated.

To prevent adhesions, patients are recommended to turn over from side to side at least once every half hour and get out of bed as early as possible on the first day after surgery. Naturally, all this is only after the approval of the attending physician. When adhesions are formed, it is suggested to take proteolytic enzymes (preferably of plant origin - papain, bromelain, and always between meals), or use homeopathic injections locally ( traumeel, aloe)

.

Psychogenic pain arise if the sexual relationship in a couple is disharmonious, or after one of the partners has suffered psychological trauma (rape) or due to physical exhaustion. The latter option is often found among female models who deliberately refuse normal food in order to meet accepted “beauty standards.” Fatal incidents on the catwalk literally forced the governments of some countries (Israel, France) to introduce legislative standards fixing the ratio of height and weight for the admission of fashion models to photo shoots and fashion shows.

Excessive emotions– fear of defloration, an unconscious reaction with a tendency towards homosexuality – can also manifest as pain after sexual intercourse. A rare type of genitalgia is pain after sex caused by mental illnesses (with schizophrenia, phobias). The solution to these problems is within the competence of psychiatrists and psychoanalysts.

Pain during intercourse in men

Men may experience discomfort during sex for organic reasons. For example, a foreskin that is too tight causes pain by squeezing the head of the penis during erection. If sclerotic plaques have formed under the skin ( Peyronie's disease), the penis becomes curved and pain occurs during arousal.
A frenulum tear can also cause pain during intercourse.

Inflammation of the head of the penis and foreskin, hydrocele, or cystitis always create problems with sexual activity. If intercourse does take place, then it will bring little joy to the man: both during and after sex, pain will be felt, which may be accompanied by urinary incontinence. Therefore, in case of any genital inflammation, it is better for men to abstain from sex.

Sensitive skin on the head of the penis may be a congenital feature or a consequence of recent inflammation; appears when you are allergic to condom lubricant or vaginal secretion(vaginal discharge) of a particular woman. During sexual intercourse, the pain is more raw than burning, and subsides after a hygienic shower.

Pain during intercourse in women

Women feel pain during sex if they suffer vaginismus– spasm of the vaginal muscles. The reason may be an unsuccessful first experience of sexual activity and the resulting fear and mistrust of a sexual partner. With vaginismus, the vagina contracts sharply if a penis or any object (for example, gynecological instruments) is inserted into it. The spasm is so strong that it promises serious trouble for a rude partner. Therefore, a gentlemanly attitude towards women is by no means a whim, but a matter of personal safety for men.

Failed defloration, when the hole in the hymen stretches but does not tear in a T-shape. In this case, pain and discomfort during sexual intercourse may be felt until the first birth. Help in this situation is surgical defloration or understanding on the part of the partner and pharmacist. help ( lubricants).

Inflammatory processes of any origin in the functional layer of the uterus - . Pain appears during sexual intercourse only before menstruation, along with spotting. With inflammation of the muscle layer ( myometritis) pain during sex is felt at the peak of mechanical impact. If they join parametritis(inflammation of the periuterine tissue) and plexite(inflammation of the pelvic nerve plexus), the pain becomes especially sharp and radiates to the perineum and sacrum.

Large cysts in the ovaries manifested by pain during sex, small ones (up to 1-2 cm in diameter, with polycystic disease) are not felt at all.

Static phenomena: the outflow of venous blood from the pelvic organs is hampered if a woman has a “sedentary” job, or her sex life is unsatisfactory or irregular. In these cases, swelling of the vagina and internal genitalia develops, which is manifested by sharp pain during coitus(sexual intercourse). The condition is dangerous, because venous stagnation is a “green light” for the development of inflammation and tumors. Therefore, a high-quality sex life is definitely needed, and in case of its hopeless absence, you should resort to vaginal massage. It is done either by a gynecologist or independently, using gadgets from a sex shop.

neuralgic pains, which are especially noticeable during sex, occur with equal frequency in women, and in men. The nature of the pain is burning, shooting. Pain with pelvic neuralgia radiates(gives) to the groin, thigh, labia, scrotum. At the same time, muscle spasm occurs, the pain intensifies and stabilizes - the person takes the so-called. forced position and freezes. With such symptoms, the partners are clearly no longer interested in sex, so romance will have to be put off for a while and treated. Used to relieve neuralgic pain diclofenac, (preferably in ampoules of 75 mg, into the muscle); An intramuscular injection will help relieve spasms mydocalma, and “restore nerves” course of injections vitamin B 12 (10 ampoules). This regimen can be used for any neuralgia, if the patient is not allergic to these medications.

Problems of painful sex due to size discrepancy penis and vagina - from the category of folk tales. A woman is able to accept any partner if the man understands her sexually and behaves appropriately to the situation. There are elementary anatomical explanations for this: during childbirth, the vagina can pass through the body, and most importantly, the child’s head, which is clearly larger in diameter than any penis.

What should you do if you experience pain or discomfort when having sex?

1. Find out the cause of the problem. In men, it is mainly somatic (bodily); Psychological disorders predominate in women.
2. If there is a sharp pain and in combination with discharge from the genitals (pus, blood), then you should consult a venereologist. By doing or, you can accurately determine the pathogen and receive the correct treatment.
3. Blood discharge during or after sex is a sign of inflammation or tumor. A medical examination is required.
4. Neuralgic pain can be a sign of internal inflammation, spinal injury or age-related osteochondrosis. The pain must be quickly relieved, then the underlying disease must be treated.

Video: Pain during sex - the opinion of a gynecologist