WOMENS-HEALTH Messages for April, 1998: Re: pain with entry during intercourse

Re: pain with entry during intercourse

From: Ann (anonymous@obgyn.net)
Mon, 20 Apr 1998 21:39:39 -0500 (CDT)

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At Fri, 19 Dec 1997, D. Ashley Hill, M.D. wrote: >
>At Fri, 19 Dec 1997, Suzanne wrote:
>>
>>I am a 28 year-old mother of two(the youngest turned 2 in August). For
>>at least the past year, I have been experiencing pain when my husband
>>tries to enter me during intercourse.
>
>Suzanne-
>
>This is actually a reasonably common problem. Gynecologists is busy
>practices will see many women a month with similar complaints. I have
>found that there are 3 main categories of painful sex (called
>dyspareunia): entry pain (as you describe), pain during deep penetration
>(the most common type), and pain that occurs only after sex or orgasm
>(in my opinion the least common type).
>
>Entry dyspareunia can be caused by many factors, and a *thorough* pelvic
>exam is necessary to diagnose the problem. Sometimes it takes a series
>of exams to isolate the cause. Pain can be caused by scar tissue from a
>prior episiotomy or vulvar surgery, infections such as herpes, yeast,
>and bacterial vaginosis, dermatological conditions like seborrhea,
>squamous hyperplasia, and lichen sclerosus, a partially intact hymen,
>small lacerations in the vagina, and, probably the least common of all,
>vaginismus, where the vaginal muscles tighten uncontrollably upon entry.
>
>Please find a gynecologist experienced in painful intercourse. Your
>local med school will surely know of someone, as this is "bread and
>butter" gynecology. In cases where a diagnosis is not obvious on the
>first exam or two, I usually proceed with vulvar colposcopy, which is
>simply looking at the vulvar tissues through a magnifying lens. Often,
>previously overlooked abnormalities are identified and can be corrected.
>Good luck. Your desire for information on this subject is admirable.
>There is certainly no reason why you have to suffer with this.
>
>--
>Ashley Hill
>David Ashley Hill, M.D.
>Associate Director
>Department of Obstetrics and Gynecology
>Florida Hospital Family Practice Residency
>Orlando, FL
>http://www.gate.net/~dahmd
>
>I apologize, but I am unable to answer personal e-mail
>due to time constraints.
>

-- I have a similar problem, except that it's been going on for 11 years! I have seen ALL the GYNs in my area, several nurse practitioners, several midwives, even a neurologist as my doctor thought that a nerve didn't grow back normally. I am experiencing severe pain during intercourse, particularly at the entrance of the vagina. Lubricants and numerous tests (from simple yeast tests to more elaborate ones) have yielded nothing. I have been researching as much as possible on my own, too as no solution has been brought to me. I am pretty good with pain, from childbirth (natural) to major dental work, but this is really too much. It feels like a blade is inserted in my vagina! I have had the same partner (husband), he has tried to be so gentle, and everything, we tried preceeding intercourse with oral sex to hopefully "loosen" my vagina, nothing has worked. At this point, I don't care if I ever enjoy sex, I just want the pain be gone! Any advice?

PS: I really appreciate your volunteering at this site! This is my last hope!

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