Pain during intercourse
Introduction
Introduction Sexual intercourse pain means that couples are not feeling happy but feel uncomfortable or even painful during sexual intercourse. Sexual intercourse pain, some occur shortly after marriage, some have occurred for a long time, and some have been discovered by women during menopause. The pain is sometimes only in the genital area, sometimes in the vagina, and affects the abdomen, waist, and back. Sexual intercourse pain can occur during sexual intercourse, or can occur after sexual intercourse or even lasts for hours or days after sexual intercourse. If this happens, but it cannot be corrected and cured in time, it will not only affect the normal sex life between husband and wife, but also affect each other's feelings.
Cause
Cause
There are many causes of pain in sexual intercourse, such as diseases of the reproductive organs and urinary system, and congenital malformations. The typical lesion is an endometriotic nodule on the uterosacral ligament close to the posterior vaginal fornix. Inflammation of the pelvis and adhesion of the peritoneal organs. The insertion of the penis touches the nodule. During the friction with the vaginal mucosa, the peritoneum is shaken. And pulling the organ causes pain. In addition, vaginal specific allergies, such as allergies to the use of contraceptives, can also cause pain. For the first time in a new marriage, tearing the hymen and expanding the vaginal opening can also cause pain and confusion in the first few days. The excitement of the newlywed spirit and the hectic fatigue caused by it will also make the intercourse not completely satisfactory. Therefore, it is generally 3 to 4 weeks after the wedding to reach the level of satisfactory communication. Rushing, that is, before the female sexual excitement is not fully evoked, 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 is inhibited, along with the penis. With the friction of the thrust, the pain may be aggravated, especially in the highly sensitive clitoris. It is rich in blood vessels and nerve tissue. In the absence of sexual excitement and dryness, it not only causes pain, but also psychologically produces an unbearable sense of disgust.
In the absence of organic lesions, sexual pain is mainly caused by insufficient vaginal lubrication. There are two main reasons for the lack of sexual arousal: First, the preparation for the exchange is not sufficient, that is, the flirting, kissing, caressing and other flirting actions are not enough. Second, there is anxiety, fear, lack of concentration, and depression in work and life.
Examine
an examination
Related inspection
Vaginal pathogen test testosterone
Sexual pain check
Sexual intercourse pain is usually accompanied by a clear gynecological disease, so the doctor should ask in detail about the medical history and various psychosocial factors, understand the cause, location, duration and complications of the pain, etc. Detailed gynecological examination with speculum examination vaginal examination and necessary The triad examination can only consider the psychosocial factors after the exclusion of gynecological and systemic related diseases.
Laboratory inspection:
Endocrine hormone test: The regulation of sex hormones on female sexual physiological response is very important. Many diseases or drugs can affect the secretion and regulation of sex hormones and cause female sexual dysfunction. Thyroid hormone directly affects the body's metabolism and neuronal reactivity or due to interfering function of the gland axis, or due to emotional factors, female sexual intercourse pain, blood sampling, sex hormone follicle stimulating hormone (FSH) luteinizing hormone (LH) prolactin (PRL) , estrogen (E), testosterone (T) and thyroid hormone thyroid stimulating hormone (TSH) free three-point iodothyronine (FT3) free tetraiodothyronine (FT4), can help diagnose endocrine source Female sexual intercourse pain.
Other auxiliary inspections:
1.B ultra-uterine and accessory deficiencies, malformation uterine fibroids, adenomyosis, accessory masses, etc. can be diagnosed by B-ultrasound, if necessary, with appropriate special examinations such as endometriosis anti-endometrial antibody test further Confirmed diagnosis.
2. The specific physiological examination mainly includes the blood flow of the female reproductive tract before and after the stimulation, the vaginal pH value of the vaginal compliance and the female genital vibration.
The maximum systolic blood flow velocity and the end-diastolic velocity of the arteries of the clitoris, labia, urethra, vagina and uterus can be measured by ultrasound Doppler to understand the sexual physiology of the external genitalia.
The vaginal pH value can indirectly reflect the degree of vaginal smoothness and cleanliness. The digital pH meter can be used to measure the sensitivity of the clitoris and labia to reflect the sensitivity of the clitoris and labia to sexual stimuli. It can be measured by a biological shock threshold detector.
Vaginal pressure/flow changes, ie vaginal compliance, are measured using a compliance meter.
Other somatic diseases are diagnosed and treated in the corresponding specialists.
Diagnosis
Differential diagnosis
Symptoms of sexual intercourse pain
Sexual pain is a kind of pain that married women often experience. In most cases, the cause of sexual pain may be mental stress, depression, or other mental problems, and of course, may be related to some diseases.
Tip: Urinary tract infections and vaginal fistula are two common diseases that cause sexual pain.
The early symptoms of urinary tract infections are sexual pain. Fungal and bacterial infections can irritate the vaginal opening and reduce its lubrication, causing local itching or odor, especially when urinating.
The pain of vaginal fistula is characterized by spastic pain in the muscles around the vagina during sex. Changes in hormone levels in the body can also cause vaginal dryness, and vaginal lubricants can be used to relieve pain.
