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Understanding Painful Intercourse: Causes & What to Do


Question
QUESTION: I'm not looking for a diagnosis but maybe just some comfort in knowing if you may have heard of this b4... For the past month I have been having pain during intercourse, but have been sexually active consistently b4 that. I went to the Gyno a few weeks ago. They looked inside, did the cultures, sent me for a pelvic ultrasound - everything was clear. Now I'm really worried because the pain is still prevalent and the only other thing I can think of is possibly the BC pill that I'm on. I am 27, been on birth control since age 17. Currently on Yasmin (6 months) but have switched around a lot in past...but that seems like such a stretch. I have already called the Dr to switch pills but still have 2 weeks left of Yasmin.
 Have you ever heard of this problem due to the pill? And then why would I not have felt it b4 now? Is there any other possibilities you may have heard of that this may be???? Please help, scared!

ANSWER: Hi Carol,
Painful intercourse in the abscence of pelvic disease (as you have indicated) usually comes from lack of adequate lubrication or vaginal muscle spasm. I would not suspect the pill of causing painful intercourse.

---------- FOLLOW-UP ----------

QUESTION: Charles thank you so much for your response. My thing is this...I have no problem with lubrication, as I'm 27 and everything is flowing pretty well down there.
But, what is this muscle spasm thing you speak of? Because I will tell you this; The pain is only during intercourse and feels like a swelling on my vaginal walls and as if he is rubbing an inflammation. However the Doctor when looking inside said it looked normal??? Does this sound like a possible muscle spasm?

Answer
Hi Carol,
The vagina itself is a muscle that expands and contracts for any number of reasons. If these muscles are in spasm, it may "feel" like something is rubbing when all it is , is a muscle spasm of the vaginal wall creating a sensation of something being pushed upon. This is, of course, only a guess but it's not totally outside the relm of probability.