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Question:
I am a healthy 22 year old female. I have a 2-year old daughter, and have been sexually active, on and off for 7 years. I recently found myself in a new sexually active relationship. After being married for 4 years and child birth, it is still extremely painful for me to have intercourse. Could someone help me understand why?
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Answer:
by Melissa BEE: ()
Hi, Thank you for your question.
There could be a number of inter related issues here.
Firstly: LUBRICATION. The importance of lubrication can't be stressed enough. Women don't always self-lubricate as much as they would like to, and the addition of a water-based lubricant is very important, even if it is just a dab, it can help prevent chafing and soreness.
Secondly: POSITIONING The uterus is a funny organ that folds over on itself and for some women, some positions are downright painful. Experiment, move around and try different positions, you will find some are less painful than others. There are some fabulous books around on positions to try.
Thirdly: CONDITIONS There are some conditions called vulvodynia and dysparenunia - which is basically painful intercourse - which can have medical causes. It is recommended you bring the pain to the attention to your GP, who can advise you. There are also a number of fairly common
urinary tract infections and bladder conditions that can also cause painful intercourse and irritation; so check with your Doctor. Lastly, ensure you have regular Pap smears while you are sexually active.
Best Wishes,
Melissa BEE
Editors note: In addition to the possibilities mentioned above, it is also possible that you have scar tissue at the vaginal opening due to tears during childbirth or due to an episiotomy. Dr FawverReviewed by: Patricia Fawver Ph.D. in Sexology
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