Q: Morning Doc. Kudos to you and well done. My question is that I have been facing some difficulties with my wife. She just came back from travelling 2 days ago & each time I tried to have sex with her, na wahala….because when I penetrate inside her, the next thing I see is blood coming out as if she’s a virgin. And that will just be the end of the fun because I get scared whenever it happens. Please what can be the cause and what’s the possible solution to it? Thanks and please replyy
A: Thanks for writing in.
There appears to be two problems: pain during intercourse and bleeding during sexual intercourse.
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
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.
The cause of vaginal bleeding after sexual intercourse depends on the woman’s age:
For women who are not yet at the age of menopause, the cause of vaginal bleeding is usually from the mouth of the womb (the cervix). However, this can also occur once in a while even when there is really no cause and may not be a cause for concern. It is important, though to get a pap smear done to rule out cancer of the cervix.
Examples:
- Inadequate lubrication during sexual intercourse
- Friction during sexual intercourse
- Inflammation of the cervix
- Genital sores from sexually transmitted infections
- Normal bleeding before or after a menstrual period
After the age of menopause, vaginal bleeding after sexual intercourse could also be from the mouth of the womb (cervix). Other sources of this bleeding could be from the womb (uterus), the opening of the vagina or the opening of the bladder.
Examples:
- Inflammation of the vagina
- Vaginal dryness
- Vaginal atrophy
So, I will suggest a little patience before sexual intercourse to get your wifey in the mood. I understand that she’s probably been away for a while and so the delayed gratification may be playing a part in this issue Take a moment to get your wife emotionally ready before you get into the physical
Your wife may also have some things on her mind..perhaps she’s worried about something? Take the time to find out.
If this continues, however, please get her to see a gynaecologist.
Have a good night, everyone
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