What Are the Common Causes of Uterus Pain after Intercourse?

Pain during sexual intercourse means that the couple does not feel happy but has discomfort or even pain during sexual intercourse. Pain may occur shortly after marriage, or long before it occurs, and some may not occur until menopause. The pain is sometimes only in the vulva, sometimes inside the vagina, and it also affects the abdomen, waist, and back. Sexual intercourse pain can occur during or after sexual intercourse, and it can continue for hours or days after sexual intercourse. Once this happens, failure to correct and cure in time will not only affect the normal sexual life between husband and wife, but also affect each other's feelings.

Basic Information

Visiting department

Obstetrics and Gynecology

Common symptoms

Burning pain, bump pain, deep pain during intercourse, etc.

Contagious

no

Causes of pain during intercourse

There are many causes of pain during sexual intercourse, including diseases of the reproductive organs and urinary system, and congenital malformations. Typical lesions are endometriotic nodules on the ligament of the uterus and sacrum near the vaginal dome, inflammation in the pelvis and adhesion of peritoneal organs, penis insertion touching the nodules, and shaking the peritoneum during friction with the vaginal mucosa. Involving organs causes pain. In addition, vaginal specific allergies, such as allergies to contraceptive use, can also cause pain. The first intercourse of a newly-married couple, tearing the hymen and dilating the vaginal opening, can also cause pain and sexual intercourse in the first few days. The excitement of the newlyweds and the busyness they bring will also make the intercourse incompletely satisfactory. Therefore, it usually takes 3 to 4 weeks after the marriage to reach the level of satisfactory intercourse. Hasty intercourse, that is, before the female sexual excitement is not fully aroused, the vagina lacks swelling and lubrication. At this time, the penis is inserted, or the action is inserted slightly, often causing temporary pain, and sexual excitement will be suppressed. Pain can be aggravated by friction, especially in highly sensitive clitoral areas. It has abundant blood vessels and nervous tissues, and without sexual excitement and dryness, it not only produces pain, but also produces an unbearable feeling of aversion.

In the absence of organic lesions, pain during intercourse is mainly caused by insufficient vaginal lubrication. There are two main reasons for insufficient sexual arousal: one is insufficient preparation for sexual intercourse, that is, insufficient flirting actions such as hugging, kissing, caressing; the other is anxiety, fear, lack of concentration of sexual intercourse, and depression brought about in work and life. Can't wait.

Clinical manifestations of pain during intercourse

Pain

Congenital genital abnormalities, such as hymen hypertrophy, hymen umbrella, vaginal atresia, narrowness or shortness, vaginal mediastinum or diaphragm, pain is superficial blunt impact pain, accompanied by difficulty in vaginal insertion; labial and vaginal adhesions, scars, Vulvitis, vestibular glandular inflammation, cysts, etc., often have local burning-like pain, sharp pain or impact pain; when the clitoris is sensitive, the pain is traction or contact pain. In anorectal diseases, the pain is often diffuse; when vaginal infectious diseases or vaginal trauma and vaginal atrophy, the lack of estrogen and other factors cause the pH of the vagina and cervical mucus to change, and the pain is mostly in the vaginal opening and vagina. Sharp or mild pain. Retroverted uterus or accompanied by uterine fibroids, manifested as deep intercourse pain during premenstrual period. Endometriosis often causes pain during premenstrual intercourse and deep pain with intercourse. Chronic pelvic inflammatory disease and other pelvic lesions are mostly deep sexual intercourse pain, cystitis with sexual intercourse vaginal anterior wall sexual intercourse pain; fat swelling can also cause pain in the anterior vaginal wall during sexual intercourse. Vulvar skin is caused by sexually transmitted herpes genital inflammation, which can cause burning outside or inside the vagina during intercourse; genital warts cause burning pain in the vulva or vagina during sexual intercourse; others such as herpes simplex, shingles, pubic lice, scabies, Dermatitis can cause superficial pain during intercourse.

2. Accompanying organic disease symptoms

Have a typical history of menstrual lower abdominal pain, the pain is progressively worse, pelvic examination with posterior vaginal tenderness, tenderness of the uterus or accessories, cervical lifting pain, rocking pain, etc., sometimes can touch the endometriosis formed chocolate cysts ; Congenital absence of vagina, short or narrow vagina, vaginal diaphragm, hymen atresia or hypertrophy, etc., gynecological examination can confirm the diagnosis; external genital atrophy, vaginal dryness, vulvar itching, less leucorrhea caused by various reasons, more frequent urination, urgency Symptoms of urinary tract infections such as dysuria, dysuria, etc .; examination shows that the vulva vagina skin, mucous membranes are thin, lack of elasticity, vaginal secretions are reduced or characteristics change, and there is often a history of recurrent urogenital infections. In diseases (STDs), there are pathological damages such as abnormal vaginal discharge, itching of the vulva, local congestion, redness, swelling and ulceration, and STDs typical vulvar herpes or neoplasia.

3. Mental and emotional performance

Patients may treat couples' sexual life negatively, emotionally or depressed, irritable, or excited and sensitive; the relationship between couples is not harmonious, and psychological pressure is high; they do not talk about sexual life on their own initiative, and they may find that they may be due to lack or lack of sexual knowledge and experience on inquiry. , There are hidden dangers of sexual dysfunction; some patients during the gynecological examination appeared nervous, anxiety, body backwards, legs adduction or blocking the voyeuroscope or hand with the hand and resisted the examination.

Sexual pain diagnosis

Sexual intercourse pain is a type of pain often experienced by married women. The cause of sexual intercourse pain may be mental stress, depression or other mental problems, or it may be related to some diseases. Urinary tract infections and vaginal cramps are common causes of sexual intercourse pain. Diagnosis can be made based on medical history and symptoms.

Intercourse pain treatment

In the treatment of pain during sexual intercourse, in addition to the treatment of organic disorders, psychological treatment is generally required. The specific method is as follows:

Overcome fear

Relaxation method can use progressive relaxation training, through repeated "contraction-relaxation" cycle training of muscles to eliminate tension and achieve relaxation.

2. Establish a gender equality

Women's sexual intercourse is painful and difficult, often caused by psychological inequality. Some sexual psychologists emphasize that successful coping must break the siege of silence and separation and abandon traditional and depressing shyness. Promote psychological equality between men and women during intercourse, that is, equal sexual desire, equal representation of sexual desire, equal initiative, etc.

3. Create a Good Sexual Atmosphere

Whether the love environment is appropriate is an essential condition for treating sexual intercourse. Human intercourse is not only legal and civilized, but it is also necessary to choose the right environment for love. A suitable environment is one of the important conditions for successful co-operation.

4. Reasonable Sexual Caress

Many wife's sexual intercourse difficulties and pain are caused by her husband's first rough entry. Sexual caressing can cause high sexual excitement in women, with slight pain often undetected. There is no set standard for the pleasure of sexual foreplay, and it is related to psychological factors, life experience, education, etc., which varies from person to person.

5. Practice vaginal muscle relaxation techniques

This behavioral treatment is especially effective for pain during sexual intercourse caused by vaginal spasm. Vaginal spasm is an involuntary reflex spasm that occurs in the muscles around the vagina, even including the adductor muscles of the femur. It has three types: primary vaginal spasm, secondary vaginal spasm, and situational vaginal spasm.

Vaginal muscle relaxation technology: Let the woman perform continuous contraction and relaxation of the abdominal, inner thigh, and vaginal opening muscles, so that she has a sense of control over the muscle tightness. The method is to insert the tip of her finger into the vaginal opening and experience the contraction and relaxation of the vaginal muscles.