Causes and treatment of sore vagina after sex –
What are the causes of sore vagina after sex?
Yeast infection
- Pain in the vagina or vulva is one of the most common symptoms of yeast infection.
- While other symptoms such as pain during urination, swelling, itching in the vagina, etc. are included.
Vaginismus
- Due to this the muscles around the vulva and vagina automatically contracts.
- Due to which it becomes very uncomfortable or impossible to do penetration in the vagina.
- In such a situation, if you are able to have sex, you can feel very severe pain around the vagina and vulva.
Medications
- Natural hormone levels are suppressed due to birth control drugs.
- Due to which the tissue inside the vagina becomes thin and dry.
- If you do not use lubrication or do not do natural lubrication by foreplay properly, then there may be pain due to friction during sex which lasts till later.
Bartholin’s cyst
- There are Bartholin glands on both sides of the vagina which help in the lubrication of the vagina.
- Sometimes these cysts or the ducts providing fluid get blocked.
- Due to which there can be cramping, pus-filled bumps on one side of the vagina.
- In such a situation, having sex can irritate the surrounding tissue and Bartholin cyst, which can cause unwanted pain.
Endometriosis
- When tissues such as the endometrium begin to grow outside the uterus such as the ovaries, lower abdomen, or bowel, it is known as endometriosis.
- Pain during sex and pain in periods are quite common symptoms.
- This pain can be very deep in the body such as in the upper part of the pelvis or vagina.
Tight pelvic floor muscles
- Having sex can be uncomfortable due to tight pelvic floor muscles.
- The reason for this tightness is poor posture, certain types of activity like cycling, naturally tightening of the muscle structure around the pelvis.
- In such a situation, reverse kegel exercises can help.
Forceful or prolonged sex
- Penetration may be a bit rough during sex, causing you pain or discomfort.
- This pain and discomfort occur around the vagina and vulva.
- Sensitive tissue can become inflamed due to friction and excess pressure.
- If you or your partner uses fingers, sex toys, or any other object while having sex, then you may get additional pain.
Sexually transmitted infection
- Vaginal pain during sex is considered the first symptom of STIs like chlamydia, gonorrhea, genital herpes.
- In such a situation, you and your partner need to be screened for STIs.
- Treatment is very important to prevent future infections.
Vulvodynia
- It is a pain in the vulva that lasts for more than 3 months.
- It is not yet clear what is the reason for this condition.
- Apart from this, apart from pain after having sex, you may experience burning, prickling, throbbing pain in the vaginal area.
- In severe cases, the sensitivity may be so severe that you may experience difficulty in doing everyday tasks or wearing clothes.
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Menopause
- Before or during menopause, the body’s hormone levels increase or decrease rapidly.
- Due to less estrogen, the body makes less natural lubricants.
- Also, the tissue present in the vagina becomes dry and thin.
- Due to which sex penetration becomes the cause of more pain and discomfort.
Uterine fibroids
- This is a non-cancerous growth that can grow inside or above the uterus.
- As they get older, the pain can be great.
- If you have uterine fibroids, you may experience pelvic pain after sex.
Allergic reactions
- Allergic reactions can also occur with the use of condoms, lubricants or other sex products.
- For example, many people are allergic to latex condoms.
- This can cause discomfort on the vulva, including vaginal itching.
- Whereas the pain can reach the canal due to the penetration of an object in the vagina.
Pelvic inflammatory disease
- This is a bacterial infection that can be caused by bacteria that cause sexual infections.
- The infection can spread to your fallopian tubes, uterus, cervix, ovaries.
- While you may have pelvic pain, pain during sex, bleeding, discharge, pain during urination, etc.
Vaginitis
- Inflammation occurs due to a change in the balance of natural bacteria present in the vagina.
- This is called vaginitis which causes vaginal itching and vaginal discharge.
- Apart from this, this pain can remain in the vagina or labia without any sexual touch.
- While having sex this pain can be increased or noticed.
Urinary tract infection
- When you have a UTI, you feel more than pain during urination.
- Also, it causes pain in the vaginal area and around the pelvis.
- You may experience additional irritation and inflammation if you have sex when you have a urinary tract infection.
Vulvar pain
- Sexual touch, friction, and pressure can cause pain in the vulva.
- In case of having pain before sex, then it’s been better to consult the doctor as it could be a symptom of a condition like vulvar cancer.
- If vulvar irritation persists for a few hours or days, it is necessary to consult a doctor.
Lack of lubrication
- Whenever a woman is excited about sex, her body releases lubrication in the vagina which is a natural process.
- But in some cases, this lubrication is not enough.
- If your sexual arousal is low or you rush without giving yourself much time, then you may feel more friction than usual.
- Microscopic tears can occur in the vagina due to friction which results in pain and discomfort.
- In some cases, it can also cause infection.
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Is vaginal pain after sex a cause for concern?
- If you are feeling pain in your vagina or its surrounding area after having sex, then it is important that you find out where this pain is starting.
- This will help in finding out the possible cause and best treatment.
- The muscles of the vagina are long, a canal that runs from the vulva to the cervix.
- Vulva has labia, clitoris, vulva, urethral opening.
- Labia Lips or folded skin which is at the place of vulva.
- Vagina is called by many women instead of vulva.
- If you feel pain in the vulva or vagina after sex penetration, then there are many reasons for its occurrence.
- Whereas in very rare cases it is a sign of an emergency.
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What is the treatment of sore vagina after sex?
Lubrication
- Use a lube if you want help reducing friction.
- For this, using a water-based lubricant helps to reduce skin irritation of the vagina and vulva.
- The material of oil-based lube can break the condom which can lead to tearing.
- Lube can be reapplied if tearing or tugging is felt.
Antibiotics
- Take antibiotics prescribed by your doctor to treat UTIs, some STIs and PIDs.
Surgery
- In cases of uterine fibroids or Bartholin cysts, surgery may be required.
- In cases of cysts, the gland is removed by draining.
Allergy-free products
- If you are allergic to latex, avoid the material made from it.
- Do not use if vulvar sensitivity is due to Lube.
Hormonal product
- Some people benefit from hormone replacement therapy.
- This causes menopause by adjusting the body over time.
- In addition, it can restore natural lubrication and reduce the pain of sexual penetration.
Pelvic floor exercise
- Pelvic floor muscles can be relaxed by doing reverse kegel exercises.
- This not only helps in reducing the pain after sex but also helps in making penetration more enjoyable.
Ice therapy
- The pain due to friction or pressure gets better on its own within a few hours.
- In such a situation, vulvar discomfort can be relieved by applying ice.
- Compressing with ice for 5 to 10 minutes at a time gives relief.
- Be careful not to apply ice directly to the vulva.
- Ice can be applied by keeping a cloth or cloth.
- Apart from this, you can buy ice packs and use them.
- In case the discomfort persists after applying ice, seek medical help immediately.
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Lastly
Sexual penetration should never cause pain. In such cases, proper advice should be taken after talking to your doctor.
References –
- https://www.acog.org/womens-health/faqs/your-sexual-health?utm_source=redirect&utm_medium=web&utm_campaign=otn
- https://www.nhs.uk/common-health-questions/sexual-health/why-does-sex-hurt/
- https://www.acog.org/womens-health/faqs/when-sex-is-painful?utm_source=redirect&utm_medium=web&utm_campaign=otn
- https://www.cdc.gov/cancer/vagvulv/basic_info/symptoms.htm