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Date of last update: 10/14/2017.

Forum Name: Gynecology

Question: Swollen inside vagina and in pain


 sheeba - Fri Sep 02, 2005 10:57 am

I have been swollen inside my vagina for a four months now. Dr told me nothing is wrong. However my cervix has dropped and everything feels swollen inside. Sex is painful, and now I am beginning to experience bad cramps in my rectum. Any advise would be helpful.
 Dr. Tamer Fouad - Tue Jan 10, 2006 12:21 pm

User avatar Hello,

Dyspareunia refers to sexual dysfunction manifested as painful or difficult sexual intercourse.[1] Although this problem can affect men, it is more common in women. For women, the genital pain can occur with penetration or during or after intercourse.[2] True dyspareunia is recurrent and associated with a disruption of normal functioning.

Common causes include: vaginal dryness and atrophic vaginitis (eg, due to menopause); side effects of drugs such as antihistamines and tamoxifen and endometriosis. It can also result from an allergic reaction to clothing, spermicides or douches. Vulvar vestibulitis which is an inflammation of the area surrounding the vaginal opening or skin diseases affecting the vaginal area (eg, lichen planus and lichen sclerosis) can cause severe genital pain. Urinary tract infections, vaginal yeast infections, or sexually transmitted diseases can also lead to dyspareunia. Finally, psychological trauma, often stemming from a past history of sexual abuse or trauma.

Pain with deep penetration can be caused by several conditions including diseases of the bowel (eg, inflammatory bowel disease, irritable bowel syndrome). This may also explain your bowel symptoms. Other causes include chronic pelvic inflammatory disease, endometriosis, enlarged uterus from myoma or adenomyosis; fixed retroverted uterus and inadequate sexual arousal. Pelvic conditions can also result in pain with deep penetration, this can result from pelvic masses or pelvic relaxation.[1,3]

Women may have pain in the vagina, clitoris or labia. Women with dyspareunia may feel superficial pain at the entrance of the vagina, or deeper pain during penetration or thrusting of the penis. Some women also may experience severe tightening of the vaginal muscles during penetration, a condition called vaginismus.

As long as your symptoms continue, you need to be re-evaluated. More so, now that your complaints have also increased.

Best regards.

References:
==========
1. Smith RP. Gynecology in primary care. Baltimore: Williams & Wilkins, 1997:537-48.
2. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, DC: Am Psychiatric Assn, 1994:511-3.
3. Meana M, Binik YM, Khalife S, et al. Dyspareunia: sexual dysfunction or pain syndrome? J Nerv Ment Dis 1997;185(9):561-9.

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