I have been recently married. I am experiencing pain during my sexual encounters and for this reason I feel afraid of sex and this has really disturbed my married life. I was given your reference. Please suggest me some thing.

Answer – Intercourse pain can be caused due to many reasons. Some of them are mentioned below:-

• Insufficient lubrication in the vagina that leads to friction during the love making. This is caused due to lower amounts of estrogen hormone and higher levels of progesterone. Contraceptive pills are generally prepared from progesterone hormone. Use of it eventually leads to the dryness in vagina. Another reason that can be stated is the less of fore play. This is very much necessary as because of this our hormones get properly secreted. Avoid sexual contacts immediately after bath. Repeated sexual encounter may also lead to vaginal dryness as very frequent intercourse leads to the erosion of the vaginal wall that is required to the secretion of the lubricants that plays a very important role. The pain is generally seen in the initial part of the vagina.
  
• Secondly one can experience pain during lovemaking because of improper or insufficient relaxation of the vaginal muscles. This happens because of fluctuation in the levels of prostaglandins. This type of pain can be experienced even when a small penetrating object like a finger is inserted in the vagina no doubt it might be wet. This pain can be experienced in whole of the vagina. This happens because of deficiency rather lack of androstenedione neuro-chemicals. Fluctuation or disturbed ratios of estrogen and progesterone and also the levels of androstenedione are also responsible for occurrence of such types of pain.
  
• There may be pain in the vagina due to the deep pressure the tissues deep inside the vagina becomes rigid. To avoid such a problem there is a simple method. You should firstly get your self pumped up by preparing your self for the sexual act. For this watch a porn movie or should have erotic talks.
  
• There may also be a pain in the cervix. This happens because of some kind of abnormalities in the vagina. Vagina may be prolapsed or the sexual pose might be wrong. This pain is generally experienced by young females as their uterus ligaments are weak.

Some days back while having sexual intercourse with my boy friend I experienced a terrible pain in the lower left side. Can you explain me that is this a normal of abnormal phenomenon?

Answer – Well it is not a much of a problem. As described by you about the pain in the left side this means that the orgasm you experience is activated on the left side that possesses a spot that lies between urinary bladder and cervix. For the contraction and relaxation there is a greater requirement of the prostaglandins. Continues stimulation on the same spot ignites and fatigues the nerves present in the area. For such a condition extra amount of hormones especially androstenedione and other neuro-chemicals are required. One thing more has been observed that female’s experiences pain are having luteal phase of their menstrual cycle in which the level of progesterone is higher as compared to the testosterone and this condition is also responsible for pre menstrual symptoms.

Prolepses of the uterus will surely cause pain and stiffness during lovemaking. In the luteal phase to promote movements in the uterus there is slight shifting of the uterus that is influenced by various hormones. Hence there can be a temporarily shift of uterus or slight prolepses is there. This condition will surely be painful and female would experience discomfort during intercourse.

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