Pain during sexual intercourse refers to the pain that women feel in their vaginal opening, private parts, shallow vaginal layer or lower abdomen during or after sexual intercourse. Traditional Chinese medicine calls it pain in the yin and yang when the couple has sexual intercourse. Sexual intercourse pain can be divided into two types: shallow pain and deep pain, depending on the location of the pain. The pain caused by the erect male penis just entering the vagina is shallow pain. During sexual climax, the pain caused by the male genitals penetrating the superficial layer of the vagina is deep pain. Pain during sexual intercourse is often accompanied by pain in the lower abdomen. The pain is intense and recurring. In severe cases, it often persists for hours after sexual intercourse, and may necessitate a complete abstention from sexual intercourse. The key cause of painful intercourse is problems with vaginal lubrication. According to pathological causes, it can be divided into two categories: organic and multifunctional. Pain during sexual intercourse in women is caused by neurological factors and organic factors, and the causes can exist independently or simultaneously. In most cases, sexual intercourse pain is caused by mental disorders, insufficient sexual intercourse skills, and lack of sexual expertise. It is extremely rare for it to be caused by organic factors. However, the diagnosis of mental and psychological disorders can only be established after the elimination of organic diseases. 1. Multifunctionality 1. Lack of sexual knowledge: Some sexual intercourse pain is caused by the man forcibly inserting the hard penis into the vagina when the woman is not in a state of sexual excitement and the vagina is not sufficiently lubricated. If this situation happens repeatedly, it will immediately cause women to feel bored and afraid, and form a classical reflex. Every time they have sex, they think of pain, and their thoughts become particularly anxious, which makes the pain worse and leads to polarization. Some women have sexual arousal disorder, lack of sexual desire, and their vagina is always dry, which can cause pain during sexual intercourse. 2. Emotional factors: The cause of the disease for some women is due to marital discord, obvious aversion to immediate family members, inability to enter the role, inability to arouse sexual desire, poor vaginal lubrication, dry vagina, and psychological boredom, which aggravates the discomfort during sexual intercourse. 3. Other factors: such as the use of antihistamines, atrophic vaginitis, radiation vaginitis and diabetes, etc., can all cause insufficient lubrication and vaginal dryness. Causes pain during sexual intercourse. 2. Organic causes Generally speaking, organic causes are not difficult to detect after a systematic examination by a doctor. This article now provides an overview of the characteristics and causes of dyspareunia caused by common organic diseases. 1. The main symptoms of vulvar or vaginal cysts are localized, dull pain, and burning sensation. 2. Pelvic tissue adhesions mainly manifest as superficial pain, which is aggravated by the collision and touching of the superficial layer of the male genitals. It is mostly caused by pelvic infection, endometriosis, and pelvic surgery. 3. The main manifestations of anorectal diseases are localized or diffuse pain, common infectious gastrointestinal diseases, severe bedsores, and rectovaginal fistulas. 4. Atrophic vaginitis causes dull or mild pain in the private parts, vaginal opening, and vagina during sexual intercourse. It is often caused by low estrogen levels, such as postmenopause, underactive pituitary gland, uremia, untreated Turner syndrome, etc. 5. Bartholin's gland cysts can cause pain in the private parts or vaginal opening. 6. The main manifestations of pain in Behcet's syndrome are varied, with vulvar and vaginal ulcers, often accompanied by oral and periocular lesions. 7. The main manifestation of private skin lesions is a burning sensation on the vulva. 8. The main symptom of endometritis is superficial pain during sexual intercourse. 9. Women with endometriosis feel shallow pain during sexual intercourse, and the types of pain vary. The pain is greatest before menstruation and tends to worsen periodically. A soft mass can often be felt in the uterine duodenal pouch as the main specific clinical symptom of the disease, often accompanied by infertility and dysmenorrhea. 10. In vulvar surgery, poor wound repair often manifests as dull pain at the vaginal opening. 11. Vulvitis (infectious, acid) causes burning pain in the private parts. 12. The hymen is broken, there are remnants or no holes, the hymen is broken, the vaginal opening is contagious, and the pain is aggravated by sexual intercourse. 13. The main symptoms of sexually transmitted diseases are external or internal burning pain and a history of sexual infection. 14. Vaginitis (atrophic, infectious, acid, radioactive substances) is mainly manifested by burning pain. 15. Vaginal lubrication is impaired with penile insertion and there is burning and pain with posture. Multiple and drugs (antihistamines, phenelzine), Sjogren's syndrome, diabetes, vaginitis and psychiatric factors. |
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