What causes dryness and pain during intercourse?

Generally, vaginal dryness and pain during intercourse may be caused by excessive tension, overly forceful sexual activity, endocrine disorders, vaginitis, or pelvic inflammatory disease. Patients should seek timely medical evaluation at a正规 hospital to identify the underlying cause and receive appropriate treatment. Specific analyses are as follows:

1. Excessive tension

Excessive tension or anxiety during intercourse may lead to overcontraction of vaginal muscles, resulting in dryness and pain. In such cases, relaxing the mind, extending foreplay, and improving communication and understanding with one's partner can help alleviate symptoms.

2. Overly forceful intercourse

Excessive force or rough intercourse may damage or fatigue vaginal tissues, causing pain and dryness. It is recommended to moderate the intensity and pace of intercourse to avoid overstimulating vaginal tissues.

3. Endocrine disorders

Endocrine imbalances may reduce secretion from the vaginal mucosa, leading to dryness and discomfort. In such cases, medications such as Jia Wei Xiao Yao Wan, Wu Ji Bai Feng Wan, or Yi Mu Cao Granules may be used under medical guidance to improve symptoms.

4. Vaginitis

Vaginitis is an inflammation of the vaginal lining, often caused by infections, bacteria, fungi, or other factors. Common symptoms include vaginal itching, burning sensation, and abnormal odor. Intercourse may trigger pain and dryness. Patients should maintain cleanliness and dryness of the external genital area and may use medications such as metronidazole suppositories, Baofukang suppositories, or clotrimazole vaginal tablets as directed by a physician.

5. Pelvic inflammatory disease (PID)

PID is an infection of the female upper reproductive tract, usually caused by pathogenic organisms. Main symptoms include lower abdominal pain and abnormal vaginal discharge. If a woman has PID, sexual intercourse may stimulate the pelvic area, leading to the aforementioned symptoms. Treatment typically involves antibiotics such as levofloxacin hydrochloride capsules, cefuroxime axetil tablets, or azithromycin capsules, used under medical supervision.

In daily life, it is recommended to maintain a positive mindset, avoid spicy, stimulating, and greasy foods, get adequate rest, and develop healthy lifestyle habits.