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Vagina Hurts After Sex

Published: September 25, 2002
Dear TeenHealthFX,
After I have sex, my vagina hurts. I feel as if I need to go to the bathroom, but when I pee it burns a little bit, and most of the time after I pee it feels like I still need to go. This pain goes away after a while, and never comes back except after I have sex. Is it because I have an infection of some sort? Am I having sex for too long? Am I not properly lubrication myself; is my vagina reacting to the activity? Please help!
Signed: Vagina Hurts After Sex

Dear Vagina Hurts After Sex,

 

There are several possibilities why you could experience the pain you describe:

Vaginal pain with intercourse can result from insufficient lubrication and dryness of the vagina, although that usually also involves pain during intercourse. You did not say whether you have pain during sex or only afterwards. If you don't have pain with intercourse, you are probably sufficiently lubricated.

Irritation of the vagina and urethral opening may also be caused by excessive friction, caused by long periods of hard penile thrusting. Remember, the vagina is composed of sensitive skin, and just as you can scrape your arm if you rub too hard on something you can also get a very sore vagina from long and intensive sex. The painful urination after sex is caused from the irritation of the urethral opening, since the opening of the urethra and the vaginal opening are located closely together it is possible for the penis in certain positions during intercourse to rub on and irritate the urethral opening. Therefore, if you urinate shortly after sex it may burn or sting a bit, prompting you to not empty your bladder completely, since it is painful. Hence, you may feel the need that you still have to go. Pain in the vaginal area from irritation due to intense intercourse usually lasts only a few days and involves a feeling of soreness between the legs. If burning or pain on urination is prolonged or if the frequency of having to go to the bathroom increases, it is usually a sign that there is a urinary tract infection.

Lastly, vaginal pain and pain or burning on urination may also result from a vaginal infection, which normally also involves a smelly discharge from the vagina and pain or itching. Vaginal infections are sometimes be caused by STDs (sexually transmitted diseases).

Since TeenHealthFX cannot diagnose you accurately over the Internet, we highly recommend that you make an appointment with a doctor for a complete evaluation. This is especially true if you have never had a pelvic exam or a pap smear before, since you are sexually active. Seeing a doctor may also be a good time for you to discuss methods of birth control. TeenHealthFX would also like to remind you to always practice safer sex to protect yourself from STD's (sexually transmitted diseases) and unwanted pregnancy.

If you do not have a doctor and live in northern New Jersey, please call the Adolescent/Young Adult Center for Health at (973) 971-6475. Outside of this area, you can contact your local teen health center or Planned Parenthood.

Signed: TeenHealthFX

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