The main causes of pain during sex — should you see a doctor?
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Sexual pain can lead to the belief that the vagina is too small or tight for penetration. This is not true as this elastic organ can easily adapt to different penis sizes. However, he may need special help in preparing the vagina for penile penetration.
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The average vaginal length is about 7 cm, which may not be long enough for some. However, during sexual arousal, the size of the organ increases, and its walls are emphasized by special lubricants. Therefore, any difficulty in penetrating pain may only be a sign of inappropriate arousal, injury, inflammation, infection or congenital anomaly.
Physiological changes
The vagina is an organ designed for sex and childbirth, and as a result, its tension and shape change. Knowing these changes can help you understand one of the sources of the problem.
The vagina is positioned so that the penis does not penetrate the cervix and cause discomfort. The vagina dilates and lengthens as a result of sexual arousal. In addition, penile penetration is less painful and difficult to lubricate. However, if done too early, before arousal, the vagina may remain dry and painful. Proper pre-lubrication provides the required amount of natural lubrication. If they are still small, use an artificial water base.
The tightness of the vagina depends on several conditions. The organ may enlarge to accommodate the birth course and then return to its normal state. However, some women feel that their vagina has changed. This is wrong. Its tissue takes time to become as dense as before.
The elasticity and shape of the vagina changes throughout life. This means that they must adapt to such changes. This means trying new sexual positions and strengthening your pelvic floor muscles to restore vaginal strength and tightness.

Causes of pain
In addition to the lack of natural lubrication, the main factors for painful penetration are
- Inflammations and infections, including sexually transmitted infections. They do not affect the tension or shape of the vagina, but may cause sexual pain.
- Injuries to the pelvis and genitals can also cause pain, so you should wait until they are completely healed before engaging in sexual activity.
- Once experienced, sexual abuse can make intimate relationships difficult and painful if not treated properly.
- Congenital anomalies, considered a thick or inelastic membrane (virgin version), cause pain when pressure is applied to the penis during sex. Even after tissue rupture, this area can be damaged with every movement of the penis.
- With vaginismus, involuntary contractions of the pelvic floor muscles prevent attempts to penetrate into real suffering. The vaginal muscles are so tight that the penis cannot enter inside, which causes pain in the woman. This condition is both physiological and psychological in nature. Treatment includes work with a vaginal dilator or exercise machine and, if necessary, the participation of a psychotherapist.
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If you”ve recently had a baby, try increasing your pelvic tension. This will allow you to better control your vaginal contractions and enjoy sex more. It also improves bladder tone and prevents leakage, a common postpartum problem.
Kegel exercise
With the help of simple actions, the muscles of the pelvic diaphragm are successfully strengthened. There are several types of exercises, but the most effective are Kegel exercises.
When urinating, the pelvic floor muscles contract. This should stop the flow of urine. This is best done at the beginning of the process to determine the strength of the muscle contraction. If the flow weakens or stops, the correct muscles are contracting. You don”t have to do this the first time. Hold the contraction for four seconds, then relax. You don”t have to do this every time you go to the bathroom, but you should do it until you understand which muscles need to be contracted. Then, at any time, perform 5-10 consecutive contractions with a 4-second hold, and try to perform these series 5-10 times a day.

As with any physical activity, patience and practice will pay off. After one to two months, you will feel the strength of trained pelvic floor muscles and be able to tightly contract the vaginal walls, giving and providing greater pleasure to your partner during sex.
Every vagina is unique. Therefore, you can”t rely on someone else”s experience to determine whether your reproductive organs are “normal.” Who knows your body better than you? So, if something bothers you during sex, look for a solution that”s right for you. Intimacy shouldn”t be uncomfortable. Most problems are treatable. If you experience pain, discomfort, or bleeding during intercourse, consult a doctor, not a friend or online advice. This way, you can find the right cause and the right solution.






