Why is it painful to have sex?

People occasionally find pain in their reproductive organs during sexual intercourse, especially when they are under stress, the pain will be more severe. This is mostly caused by psychological factors, so before having sex, you should calm down, not be too nervous, and pay attention to adjusting the atmosphere. Only a small number of patients suffer from this condition due to pathological reasons.

1. Psychological factors: fear, tension, etc.

2. Vaginal lubrication dysfunction: Atrophic vaginitis, diabetes, use of antihistamines, etc., which reduce vaginal secretion

3. Endometriosis, vulvitis, vaginitis, cervicitis, vaginal swelling, adhesion, vaginospasm, urethral caruncle, pelvic tissue lesions, etc. Therefore, you need to go to the hospital for examination and receive treatment after a clear diagnosis.

4. Contraceptive factors

The penis skin is allergic to condom gel or contraceptive bullets, resulting in penile allergic dermatitis. Pain from friction during sexual intercourse.

5. Foreskin is too long

Dirt irritates the skin of the glans penis, causing it to become allergic or inflamed. The foreskin opening is narrow, the glans penis cannot be exposed, and sexual intercourse may be painful.

6. Arched penis

The groove and neck of the penis are ulcerated, leaving scars after healing, and the erection during sexual intercourse causes pulling pain.

7. Prostatitis

The sperm duct of the seminal vesicle is close to the prostate. Ejaculation pulls on the seminal vesicle, aggravating the pain in the prostate.

8. The impact of female secretions

For example, if the woman has excessive vaginal discharge, vaginal trichomoniasis, candidal vaginitis, changes in vaginal acidity, or the man's penis skin is irritated, causing eczema and dermatitis, which can lead to pain during sexual intercourse.

Psychological causes of dyspareunia include:

(1) Fear of sexual intercourse, shame and guilt caused by improper sex education.

(2) Psychological trauma. If a woman has had experiences closely related to pain during sexual intercourse, or has had direct experiences of pain during sexual intercourse, or has been left with an indelible memory of pain during sexual intercourse, when she faces a sexual intercourse situation again, she will naturally associate intercourse with pain, and may actually experience pain symptoms.

(3) It is difficult to generate sexual desire, such as emotional discord between husband and wife, a bad sexual environment, etc., which will inhibit the generation of sexual desire and cause discomfort when forcing sexual intercourse.

The causes of superficial dyspareunia include: vulvar and vaginitis; stenosis of the vaginal opening; dryness and atrophy of the vaginal mucosa; perineal scars and cystitis; psychological reasons, such as bad mood, excessive fatigue, worry about conception, aversion to men, lack of sexual excitement, and insufficient vaginal lubrication, which may cause superficial dyspareunia. The causes of deep sexual intercourse pain include: changes in anatomical position, such as retroflexed uterus, uterine prolapse, ovarian prolapse, etc.; organic lesions, such as endometriosis, salpingitis, pelvic adhesions, etc.

For those caused by dryness and atrophy of the vaginal mucosa after menopause, corresponding medications can be taken orally and combined with psychological treatment. For those without organic lesions, they should relieve their worries, improve their mental state, pay attention to flirting activities before sexual intercourse, arouse sexual excitement, and increase vaginal lubrication, so as to avoid or alleviate pain during sexual intercourse.