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Expert Q & A Answers About painful sex

What can we do to avoid painful sex for my wife as we get older?

My wife and I are both healthy 47-year-olds who have been married for more than 20 years. Basically my wife dislikes deep penetration because she feels like it "bumps her internal organs." Is there any way we can get both deep penetration for me and comfort for her? Is there such a thing as a vagina that is "too short"?

Sometimes I get a very painful abdominal cramp during sex. What is it?

I’m a 23-year-old female and sometimes I get a painful cramp in my stomach during or after intercourse. It hurts so much I have to just sit down for 15-30 minutes. It doesn’t happen every time I have sex but it’s been going on for about a year...and only with my current partner. Any ideas what this could be?

Why is sex painful after I orgasm?

After I orgasm, if we continue to have sex, I have pain. Why is that?

How do I tell my partner that sex with him is painful...without damaging his ego?

I’ve had sex before and it’s never hurt until I had sex with my new boyfriend. I think his method needs some work. So how can I tell him he needs to do some things differently without hurting his feelings? I tried to talk to him once and he told me it was my fault.

How do I know if I have Peyronie’s disease?

I’ve noticed some changes in my penis lately...for one, I’ve noticed that my penis is bent and it hurts to have sex. I’ve been reading about Peyronie’s disease. What is it and how do I know if I have it? Will I ever be able to enjoy sex again?

Since my C-section, I can’t reach orgasm and sex is painful. Can you help?

I’m a 30-year-old female who had my first baby a few months ago by C-section. Before the birth, I was able to achieve orgasms, but now I can’t...and sex is painful. Could the C-section have caused this? My vagina, especially the opening, feels inflamed and burns. I’ve been diagnosed and treated twice now with a non-specific bacterial vaginal infection, and I’m starting to show signs of infection again. I’m getting really discouraged about enjoying sex like I used to before the baby. Any advice?

Is it normal to have a slight lingering ache around my penis after ejaculation?

Is it normal to have a slight lingering ache around my penis after ejaculation? It usually goes away within an hour or so.

My partner and I have been having great sex for many years…but now, my vagina is extremely sensitive and intercourse is painful. Why?

My partner and I are in a monogamous relationship, and we’ve both been tested for HIV. We’ve been having great sex for a number of years without a problem...but now, intercourse is painful. The entrance to my vagina has become extremely sensitive and intercourse feels like being rubbed with sandpaper. I’ve noticed small sores in the area, too. My doctor was quick to say they’re herpes, but the test he did on one of the sores was inconclusive. What do you think?

I found a small ulcer on my vulva. What is it?

Recently, it hurts to have intercourse with my boyfriend. We looked, and there is a small cut that looks like an ulcer on my vulva. What is it and how can I treat it? I don’t want to go to my doctor.  

I often see two “paper cut” looking slits on either end of my vagina...do I have an STD?

I have had recurring vaginal problems for a couple of years. Almost every time after having sex, I become extremely irritated and have severe itching for up to a week. These symptoms are accompanied by two "paper cut" looking slits on either side at the end of my vagina. They’re not deep, but they’re about an inch long and they sting like crazy...you wouldn't even notice them unless they were pointed out because they literally are on the first layer of skin. Also occurring sometimes is a tiny cut, like a small gash, in the same spot each time in the middle of my clitoris. It's like it just splits or tears down the middle. Is this an STD?

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