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What do I do if penetrative/vaginal sex is really painful for me? 

Thank you for writing to SSIS! Pain during sex is common and can happen for a variety of reasons. You could be experiencing pain due to a medical condition such as vaginismus, which causes involuntary muscle spasms of the vaginal walls. SSIS stocks vaginal dilator sets, which can help improve flexibility of the vagina and strengthen pelvic muscles so that penetration becomes more comfortable. Other conditions that can lead to vaginal pain during sex include pelvic floor inflammation, endometriosis and vaginal inflammation (sometimes caused by sexually transmitted infections). If you have concerns about vaginal pain or any of the conditions mentioned above, you can visit the Brandeis Health Center and see a provider. 

 

Another common reason for pain during penetration is lack of lubrication. If this is the case, it could help to use lube and/or do more foreplay. Vaginal dryness can also be triggered by a drop in estrogen levels and certain medications like antidepressants. SSIS stocks a variety of lubricants to meet your needs and preferences!

 

There are also emotional factors that can make penetrative sex painful. It is normal to feel stress and anxiety around sex, and this can manifest in physical ways, such as the tightening or tensing up of muscles. Also, anxiety and depression can lead to low libido and low levels of arousal, which can make sex uncomfortable. Regardless of what the cause of the pain is, it is helpful to have an open and honest conversation with your partner about what you are feeling. You can discuss each of your comfort levels and work together to figure out what works best for both of you. Whatever you decide, you can take things slow and continue to communicate with each other. 

 

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