For over 3 years I have had a permanent partner whom I love very much. In most cases, intercourse was not completely painless for me. We have sex quite often, but unfortunately it has been impossible for more than half a year. It was since then (about 8 months) that the intercourse started to become more and more painful, and the vagina seemed to have decreased, i.e. before my fiancé introduced a penis, I had to slowly insert him for 10-15 minutes, "drilling" it normally there was a "hole" in me, which was very painful, but after a long while it worked. However, the intercourse was still painful. Now there is such a situation that it hurts me so much that I cannot introduce it at all. It is excruciating pain, as if at the frenulum of the labia, everything is swollen and very sore, even hours or a day after trying intercourse. For the first 3 years, nothing like this happened, and now I'm in despair. No doctor can help me. I am additionally treated for the recurring mycosis, but this was also the case during normal intercourse. All examinations and ultrasound normal. But even the gynecological examination causes pain (speculum).

Sexual dysfunction in the way of soreness in the vagina during sexual intercourse is called dyspareunia.

The causes can be very different and depending on the factor causing the painful sensations, we can distinguish dyspareunia: post-deflorative, infectious, postpartum, postoperative, menopausal, psychogenic, contraceptive. In most cases, pain is organic in origin and is caused by specific conditions in the genital area or the small pelvis.

Your pain during intercourse was initially probably organic and could have been caused by a fungal infection. You write that most of your intercourse was painless, so it can be assumed that you also had intercourse when you felt slight pain or discomfort. Pain could become permanent in a reflex-conditional way. Therefore, at present, the body reacts with a reflex defense mechanism - muscle contraction before penetration.

A detailed diagnosis can, however, be made after direct contact and a more detailed interview. I recommend visiting a sexologist specialist because it goes untreatedPain during intercourse tends to persist and deepen, and intercourse in spite of pain may additionally exacerbate the symptoms and, consequently, lead to extreme sexual aversion, i.e. reluctance and abandonment of sexual contact with a partner.

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Agnieszka Chochoł

Sexologist, psychologist, Solution Focused Therapy therapist, certified ICC coach. He deals with promoting broadly understood sexual he alth as well as providing help and support in the field of sexual and psychological difficulties. She conducts individual therapy and couples therapy. More at: http://sulec-radom.pl/

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