Q: Doc please I need to know what is going on with my partner and I. When we have (sexual) intercourse, we both feel pain and we do not have HIV/AIDS and there was no blood after our intercourse and it was the first time we felt pain during intercourse and when he was inserting his penis it was difficult too. I want to know what is the problem or if it may be because of penis enlargement or my vagina became too small?
A: Thanks for writing in.
Pain during sexual intercourse is not a typical symptom of HIV/AIDS J For more on symptoms of HIV/AIDS, please click on this link: https://chatwithdrketch.com/2015/07/07/daily-health-tips-what-are-the-first-symptoms-of-hivaids/
Pain during sexual intercourse is more common with women but can also happen in men. This condition is called dyspareunia in medicine.
Dyspareunia is a condition in which one experiences pain during or after sexual intercourse. In women, the cause may be due to:
• Vaginismus: a condition in which the vaginal muscles go into spasms when an attempt is made at penetration.
• Lack of adequate lubrication eg due to hasty foreplay etc
• Infections of the vagina (like candidiasis as mentioned in the question) or urinary tract can also cause pain during sexual intercourse.
• Injuries/wounds to the vagina
• Emotional issues like stress or emotional disconnect from partner.
• Fibroids around the vagina or cervix
In men, the cause of this problem could be due to:
• Infection of the urethra (the tube which conveys urine from the bladder out of the body and also conveys semen out during ejaculation)
• Infection of the prostate gland.
• Infections, some of which may be due to STI
• Emotional issues may also be involved eg feelings of guilt.
Treatment depends on cause. If due to infections, they have to be treated. If it’s due to lack of lubrication, that has to be handled. Some lubricating gels may be suggested. If no physical cause can be seen and the problem appears to be emotional, some counseling may be required. Understanding that when people get married, they are actually two ‘strangers’ trying to get to know each other should form part of the incentive for slowing down and trying to find out what pleases each member of the union.
For related topics, please click on https://chatwithdrketch.com/2014/08/22/daily-health-tips-why-am-i-not-into-my-husband/
Have a great night, y’all 🙂