Hello,
Thank you for choosing DoctorSpring.
There are a number of reasons that could cause pain during sexual intercourse.
I would like to know some additional information from you so that I can provide my best and learned opinion.
1. Are you at risk for STD ? Any history of unprotected sexual exposure with multiple partners ?
2. Do you have pain while passing urine ?
3. Do you everg get pain the lower abdomen ?
4. Ever had any discharge from vagina ?
5. Are your periods regular ?
You can reply as a followup
Thank you
Patient replied :
I just had a pap on January 10 and everything came back normal as far as an std. One concern was that I was experiencing symptoms of a UTI and was prescribed antibiotics. There is no discharge but just the last day or so I have been feeling like I have cramps. Periods have been normal for the most part. I just started a new birth control method, the depo shot. I was taking a second look down there and noticed what could possible be a small tear near the entrance and that is where it seems to be most sensitive? Is this likely? And if so what can I do to fix it?
Hello,
Thank you for the additional information.
The most likely cause for the pain during sex in your case is most likely from an abrasion (minor wound ) in the vestibule. Other possibilities are a fungal infection (possibly candida) or a lichen planus or bacterial vaginosis. Since the symptoms are persisting for 1 month you will need to undergo a vagial examination with measurement of vaginal pH. This will help in isolating the diagnosis and to choose a definitive treatment.
The cramps at this stage seems unrelated to the pain in vagina. If the cramps persists endometriosis should be ruled out.
Meanwhile I would recommend theses measures - Try to avoid insertive vaginal sex for 1 week. After that use a lubricant without a additive (plain ones - based on petroleum jelly ). If there are condoms, use the one you have been comfortable with. Avoid douching / frequent washing with antiseptic lotions. If this is a simple abrasion this alone should heal it. If not you definitely has to udergo further testing.
Hope this helps
Feel free to ask followups
Thank you