Why does it hurt down there during intercourse one month after a cesarean section?

Generally, pain during intercourse one month after cesarean section may be caused by incomplete wound healing, vaginal dryness, vulvitis, vaginitis, or pelvic inflammatory disease. If discomfort occurs, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. Specific causes are analyzed as follows:

1. Incomplete Wound Healing

It takes about 6 weeks for the cesarean incision and vaginal mucosa to heal. Having intercourse too early can pull and irritate unhealed tissues, causing pain. Refrain from intercourse, keep the wound clean and dry, wear loose clothing to avoid friction, and resume sexual activity only after the wound has fully healed.

2. Vaginal Dryness

After childbirth, hormone levels have not yet recovered, leading to reduced vaginal secretions and dryness, which increases friction and causes pain during intercourse. Use water-based lubricants to relieve discomfort. Maintain proper nutrition postpartum to support hormonal recovery.

3. Vulvitis

Poor hygiene after delivery may lead to pathogen infection of the vulva, causing inflammation with mucosal congestion and swelling, resulting in pain during intercourse. Under medical guidance, sitz baths with potassium permanganate solution may be used, along with topical application of erythromycin ointment or mupirocin ointment. Keep the vulvar area clean and dry.

4. Vaginitis

Inflammation caused by vaginal flora imbalance leads to abnormal discharge and itching. Mucosal damage during intercourse can worsen pain. Bacterial vaginosis can be treated with metronidazole tablets; fungal vaginosis with clotrimazole suppositories; trichomonal vaginosis with tinidazole capsules. All medications should be used under medical supervision.

5. Pelvic Inflammatory Disease (PID)

Due to lowered immunity after childbirth, pathogens may ascend and infect the pelvic cavity, causing tissue congestion and edema. Pain may occur during intercourse due to pelvic pressure. Under medical guidance, medications such as cefuroxime axetil tablets, levofloxacin hydrochloride capsules, and metronidazole dispersible tablets may be prescribed. In severe cases, laparoscopic drainage of pelvic abscess may be required.

In daily life, maintain good postpartum hygiene and change underwear frequently; avoid intercourse for at least 6 weeks after cesarean delivery; eat a balanced diet to boost immunity; and attend regular postnatal check-ups to detect any abnormalities early.