If you have sexual pain

Many women have experienced sexual intercourse pain, which is only a temporary problem in some people, while others may be troubled by this pain for quite a long time.

With this kind of perplexity, women feel pain in vulva, the area around vaginal opening (or vestibule) or vagina during sex, and may also suffer from pain in lower abdomen and back.

The causes of sexual intercourse pain are very complicated, which may be manifestations of gynecological diseases or psychological reasons, such as lack of sexual desire.

If the occurrence of sexual intercourse pain is frequent or severe, which affects the normal sexual life, you should go to the gynecology department of the hospital to have a look. On the one hand, you should eliminate the related gynecological diseases that may lead to sexual intercourse pain. On the other hand, if there is no gynecological disease, you can also seek the help of a psychologist to solve the problem.


Sexual intercourse pain may be a manifestation of diseases, some of which may cause many other problems if not found in time.


Some skin diseases can lead to ulcer or damage of vulvar skin. Contact dermatitis is a common vulvar skin disease, mostly caused by irritating substances, such as soap, rinse, lubricant, etc., which can cause itching, redness, pain or burning sensation.

Vulvar vestiblitis

Also known as vulvar vestibular syndrome, the pain caused by this disease is mostly limited to the vulva or the area around the vaginal orifice.

Hormonal changes

In perimenopausal and menopausal women, lower estrogen levels may lead to vaginal dryness, which is a common cause of sexual intercourse pain. Hormone replacement therapy can be applied systemic or topically, or lubricants can be used during sexual intercourse.


Most of them are caused by bacterial and fungal infection. Common symptoms include leucorrhea, vulvar pruritus, vaginal burning sensation, etc., which can be treated with drugs.

Vaginal spasm

Vaginal spasm is a reflex contraction of the muscles of the vaginal orifice. Vaginal spasm can make women feel pain during sexual intercourse.


Perineal laceration or lateral vaginal incision during delivery may cause sexual intercourse pain, which is generally not recommended within 6 weeks after delivery. Some women’s sexual intercourse pain after delivery may last for several months.

Other reasons

Pelvic inflammatory disease, endometriosis, pelvic adhesion, etc., may cause sexual intercourse pain.

When seeing a doctor because of sexual intercourse pain, the doctor usually asks you the part, degree, duration of pain, whether accompanied by bleeding, abnormal menstruation, vaginal secretions have changed, etc. At the same time, gynecological examination will be carried out to observe whether vulva, vagina and cervix are pathological changes. When necessary, vaginal secretions will be taken for examination. B ultrasound can also find some abnormal conditions.

Factors that affect sexual desire


Some emotions, such as fear, guilt, shyness, embarrassment or embarrassment, can make it difficult for women to relax during sexual intercourse, resulting in no way to generate sexual excitement and sexual intercourse pain. Excessive stress and fatigue may also affect sexual desire.


Many drugs can cause hyposexuality, including some contraceptives and many painkillers.

Diseases and Surgery

Many diseases indirectly affect sexual reactions, including arthritis, diabetes, cancer, thyroid diseases, etc. Some women believe that surgery affects their body or image, thus reducing their sexual desire.

Partner issues

If your partner has sexual function problems, both parties may feel anxious about their sexual life. At this time, sufficient communication is needed to better solve the problem.

The relationship between partners

The relationship between partners will seriously affect the quality of sexual life. Common contradictions between partners may lead to uncoordinated sexual desire levels, leading to disharmonious sexual life.

Self-relieving method

In the absence of any reason, there are some methods that can help women relieve sexual intercourse pain.

Use lubricant

If the vagina is dry and sensitive, lubricants will be a good choice. When using condoms, remember not to use oily lubricants such as lotion, baby oil and mineral oil. Because they can dissolve latex and cause condom rupture. Choose water-soluble lubricants and pay attention to whether they can be used with condoms.

Partners understand each other

The most important thing is the frank communication between the partners. The two should understand each other’s troubles, eliminate misunderstanding and dispel doubts.

Adjust your sex life

Don’t have sex when you are anxious or under great pressure. You should reserve a special time for sex. Both of you can relax and enjoy it.

Empty the bladder before sex, take a comfortable warm bath and take a proper amount of painkillers, which can also help relieve the pain of sexual intercourse.

After sexual intercourse, wrap ice cubes or ice bags with small towels and apply them to the vulva to relieve discomfort after sexual intercourse.

If the pain cannot be relieved, under the condition of full communication with the partner, other sexual behaviors can be used to promote the relationship between the two.

Responsible Editor: Chuyang