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Pain at the beginning of intercourse
Medical expert of the article
Last reviewed: 06.07.2025

Pain at the beginning of sexual intercourse is not so rare as it is delicate. Many couples who face such difficulties are afraid to seek help from a specialist, as a result of which their relationship deteriorates, which often leads to a breakup. Women may, after experiencing unpleasant sensations for the first time, retain hostility and some fear of relationships for life. Therefore, it is necessary to understand the causes of pain and, if possible, get rid of them.
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Diseases that cause pain at the beginning of sexual intercourse
Among the factors causing this problem, the following can be identified:
- Defloration;
- Integrity of the hymen;
- Vaginismus;
- Inflammation of the genitals;
- Adhesive process;
- Neuralgia;
- Endometriosis;
- Vein congestion;
- Incompatibility
Let's take a closer look at each of these reasons.
Defloration
This is the name of the process of defloration. Pain at the beginning of sexual intercourse, as well as minor bleeding, are possible when the hymen is torn. However, it will be severe only if your partner was rude and careless. Therefore, the best way to get rid of these troubles is a pleasant environment, gentle treatment. In general, doctors advise to consult a gynecologist before defloration. This will help to avoid possible consequences in the form of diseases and unwanted pregnancy.
Integrity of the hymen
Some girls' hymens do not break after their first sexual intercourse. They may only stretch a little. In such situations, you will feel the pain that was present during your first sex every time. However, as in the previous case, this will not be a big problem if your partner treats you well.
Vaginismus
This disease is rather psychological. After many failures or unforeseen events, a girl may have problems associated with the inability to participate in sexual intercourse due to the contraction of the vaginal muscles. Often, this disease is accompanied by fear of everything related to visiting a gynecologist. In order to get rid of this serious, although rare, problem, it is often necessary to visit a psychotherapist. Sedatives taken in small doses can also help you overcome it. But perhaps the most important factor in healing is trust in your partner.
Inflammation of the genitals
If you experience burning, itching, or pain at the beginning of intercourse during lovemaking, inflammation is often the cause. In this case, you should make an appointment with a doctor without delay, and it is advisable to do this together with your partner, because it is unknown what infection could have caused the discomfort. Perhaps the root cause of the problem was fungi and staphylococci, which are not so difficult to get rid of with proper treatment.
Adhesive process
Consists of the appearance of adhesions in the pelvic area. Symptoms of the disease are aching pain at the beginning of sexual intercourse, constipation, diarrhea. They can be caused by inflammation of internal organs (a striking example is appendicitis), ectopic pregnancy, injuries, etc.
When treating the disease, doctors can use both antibiotics and hormonal drugs. It is also possible to perform laparoscopy - small incisions in the abdominal cavity for a more detailed examination. In this case, it is better not to self-medicate!
Neuralgia
The nerves located in the pelvis are also susceptible to this disease. The pain will be sharp and unexpected, and it is unlikely that you will be pleased if it catches you during sexual intercourse. Unfortunately, it is difficult to prevent it, you can only reduce the likelihood of its occurrence to a minimum with a measured lifestyle and exercise.
However, if you have an attack, contact a neurologist who will prescribe treatment, which most often consists of anticonvulsant drugs.
Endometriosis
This disease is characterized by the proliferation of the mucous membrane of the uterus. There are many reasons for its occurrence:
- Hormonal changes;
- Predisposition;
- Menses;
- Decreased immunity, etc.
Often, pain at the beginning of sexual intercourse, felt with this disease, spreads to the lower back and lower abdomen, especially intensifies during menstruation, sexual intercourse. Endometriosis can also be determined by the discharge that appears a few days before and after menstruation. Rarely, fever, vomiting, nausea are also observed.
Treatment of the disease includes both the use of special drugs and laparoscopy. However, in any case, a visit to the doctor is mandatory!
An active lifestyle, sports and proper nutrition help prevent the disease.
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Vein congestion
It is a disorder of venous blood circulation associated with irregular sexual life. It occurs especially often in women prone to such a common disease as varicose veins. This disease can become quite dangerous and lead to many unpleasant consequences. Therefore, it is especially important to consult a specialist in time, who will prescribe the necessary procedures and provide advice on how to reduce the likelihood of the disease in the future.
Incompatibility
Unfortunately, often the reason for dissatisfaction and pain during sexual intercourse can be simple anatomical incompatibility of partners. In case of such a problem, it is necessary to consult a doctor and also share your experiences with your partner.
Pain at the beginning of sexual intercourse can be caused by both psychological and physiological reasons. Naturally, when it occurs, it is necessary to consult a doctor, but trust in your loved one is also indispensable.