WOMENS-HEALTH Messages for April, 1997: Re: Painful Intercourse

Re: Painful Intercourse

From: H. (anonymous@obgyn.net)
Sun, 27 Apr 1997 20:57:02 -0500 (CDT)

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In reply to: D. Ashley Hill, M.D.: "Re: Painful Intercourse"

At Wed, 23 Apr 1997, D. Ashley Hill, M.D. wrote: >
>At Tue, 22 Apr 1997, H. wrote:
>>
>>I have been married for 7 months and intercourse is still
>>very painful.
>
>Pain during intercourse, called dyspareunia, is a fairly common and
>frustrating problem. In general, it's helpful to divide this pain into
>two main categories, which are deep thrust pain, and entry-type pain.
>With deep thrust pain, the pain does not occur until the penis begins
>bumping against the cervix. Possible causes include pelvic infections,
>endometriosis, ovarian cysts, a markedly "tipped" (backwards) uterus, a
>full colon, a bladder infection, a prolapsed uterus, large uterine
>fibroids, and scar tissue around the uterus or intestines.
>
>Entry-type pain may occur right at entry into the vagina, whether this
>is the penis, a finger, a tampon, or anything else. Sometimes the pain
>does not develop until intercouse is well under way, and most patients
>describe this as a burning pain. This type of pain may be caused by
>scar tissue around the hymen, a vaginal infection (especially yeast
>infections), certain urologic problems, herpes, sensitivity to douches,
>sprays, lubricants, spermicides, latex condoms, scented tampons, and
>toilet paper,or lack of lubrication.
>
>Rarely, pain may occur after intercourse, which can by due to an allergy
>to semen or uterine contractions, which can occur with orgasm. Even
>more rare, I would think, is "not having a big enough vagina", since the
>vagina is extremely accomodating. After all, babies routinely come
>through there!You need a thorough Gyn exam, and I advise similar
>patients to discontinue all possible irritants as discussed above. Best
>of luck with this.
>
>--
>Ashley Hill
>D. Ashley Hill, M.D.
>Assistant Director, Department of Ob/Gyn
>Florida Hospital Family Practice Residency
>Orlando, FL
>dahmd@gate.net
>

--
H Ward

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