My Vagina Is Too Tight
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My Vagina Is Too Tight
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Why trust us?
Not exactly, but there are reasons it might *feel* that way.
It’s a logical conclusion: If it hurts when a partner tries to put their penis or a toy inside of you, or if they can’t get all the way inside, then it must be a problem of tightness, right? Ehhh, not exactly.
There are several reasons for why you might feel like you’re too tight for vaginal penetration, and it’s actually a pretty common problem that gynecologists hear about. But it’s a misconception that feeling a sensation of tightness means you actually have less elasticity down there—and thinking this may prevent you from finding a real (and, in many cases, easy!) solution.
The truth is, vaginas are ridiculously stretchy, says ob-gyn Susan Khalil, MD , director of sexual health for the Mount Sinai Health System. Think about it: Lots of people push babies out of that tiny hole, so it’s gotta give.
So if it’s not a problem of stretch, what’s the issue? Well, there are a variety of factors that might be at play. For instance, “Certain medical conditions can mimic the feeling of tightness,” Dr. Khalil says.
Here are a few common reasons why it may feel as if your vagina is too tight for sex, plus how to find relief.
During menopause, your body experiences a drop in estrogen, which can lead to dryness and the thinning of vaginal tissues, the Mayo Clinic explains. As a result, you may feel a sensation of tightness or irritation during sex. This is something you should bring up with your doctor, who can recommend an over-the-counter vaginal lubricant , or possibly a prescription estrogen cream or hormone replacement therapy.
For some people, menopause messes with more than just lubrication. Sometimes a postmenopausal vagina also atrophies a little bit, Dr. Khalil says, meaning it literally gets more narrow. “And if they don’t have intercourse at all, it can become very uncomfortable,” she says.
Her recommendation? Masturbation . This way, you’re in total control and can gradually help stretch your vagina and make penetration feel more comfortable for you. If a larger toy is uncomfortable at first, you can practice with a series of vaginal dilators that will help your vagina stretch slowly over time.
Birth control, too, can sometimes cause a bit of hormonal upheaval for some people and cause dryness (and, in turn, painful sex ). If you just switched your BC and noticed feeling dry or “tight,” or if you have this issue at a particular time during the month, talk to your doctor about it so they can help you determine whether your birth control might be to blame.
Pregnancy and childbirth also involve hormonal changes that can lead to vaginal dryness and issues with painful sex. This is especially the case if you are breastfeeding, according to the American College of Obstetrics and Gynecologists (ACOG).
Or, if you’re seriously convinced your vagina is tighter after childbirth, it may not be in your head. Though this isn’t super common, Dr. Khalil says that some women who tear during childbirth get stitched up too tightly—meaning that in this one case, their vagina truly is too tight for sex. “Sometimes sutures are done too tightly [and] they’ll need a surgical procedure to fix it,” Dr. Khalil notes.
The same thing can happen if you’ve had a surgery in your genital area (with or without a baby involved), Dr. Khalil notes. But once your doctor goes back in and loosens the stitch, you should be good to go.
There’s a laundry list of of reasons for why your vagina may be producing less natural lubrication than it usually does: Maybe you’re going through menopause, you’re breastfeeding, your vagina is naturally dry, or you’re on medication (yup, like birth control) that messes with your lubrication.
Regardless of the reason, though, not having enough lubrication can make sex feel more painful and might make you think your vagina seems tighter, Dr. Khalil says. “I’ll have patients come in and they’ll say it really hurts to have sex,” she says.
Luckily, the immediate solution is pretty easy most of the time: Use a lubricant . Tbh, lubricant makes sex feel better for most people, but it’s especially helpful for people who are dealing with vaginal dryness. Keep in mind, using lube doesn’t actually fix the underlying issue at hand (say, finding a birth control that vibes better with your body), so you should still *always* bring it up with your doc if dryness is a problem for you.
Some people have a condition called vaginismus, which is when the muscles inside their vagina contract involuntarily. The muscle contraction makes it painful anytime something is inserted into the vagina; sometimes even tampon insertion is too much, according to the Merck Manuals .
Most of the time, someone who has vaginismus has it from the very first time they attempt to have penetrative sex. But in other cases it can develop later in life. For some, the cause behind vaginismus may be psychological or a result of an emotional trauma, the Merck Manual says.
While it may take some time to treat vaginismus, working with a pelvic floor physical therapist or gradually using larger and larger vaginal dilators can help, Dr. Khalil says. Working with a mental health professional may also help some individuals.
Whether you feel “tight” or something else, know that you deserve to feel pain-free down below during sex and everything else in life. So be your own health advocate and speak up—to both your partner(s) and your gynecologist.
“Your annual exam is more than a Pap smear ,” Dr. Khalil says. “It’s also an opportunity to get to the bottom of any sexual health concerns.”
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This article was medically reviewed by Lauren Demosthenes, MD, OB-GYN, senior medical director at Babyscripts .
Our stories are reviewed by medical professionals to ensure you get the most accurate and useful information about your health and wellness. For more information, visit our medical review board.
Erin Heger is a freelance journalist located in the Kansas City area. She primarily covers stories related to healthcare policy, maternal mental health, parenting, and personal finance. Her work been featured in The Atlantic, Rewire.News, Refinery29, HuffPost, and more.
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There are many different reasons why your vagina may feel too tight, resulting in pain while inserting a tampon or during sex.
In fact, an estimated 75% of women experience pain during intercourse at some point in their lives.
Good news is that, in most cases, this kind of pain is treatable, says Kecia Gaither , MD, Director of Perinatal Services at NYC Health + Hospitals/Lincoln .
Important: "For a normal functioning vagina, there's no such thing as too tight," says Gaither. "The vagina lubricates itself and is able to stretch and accommodate babies, tampons, and male genitalia."
Here are seven reasons why your vagina may feel too tight and what to do about it.
Vaginismus is a medical condition in which the pelvic floor muscles tighten involuntarily , usually in anticipation of vaginal penetration either during sex, before inserting a tampon, or during a pelvic exam.
Treatment for vaginismus can include a few different therapies, says Heather Jeffcoat, DPT , owner of Femina Physical Therapy . These include :
Complications from sexually transmitted infections (STIs), like chlamydia and gonorrhea, can also cause painful intercourse, Jeffcoat says.
About 1.6 million new gonococcal infections were reported in the United States in 2018. Symptoms of gonorrhea include :
About one in 20 sexually active women ages 14 to 24 have chlamydia. Symptoms of chlamydia include :
If you are experiencing these symptoms, or suspect you may have an STI, consult with a doctor. It's important to get treated for an STI as soon as possible to avoid pelvic inflammatory disease , which is an infection of the reproductive organs and can lead to infertility, ectopic pregnancy , and long-term abdominal pain.
You can reduce your risk of getting an STI by using a condom , and if you are sexually active, it's a good idea to get tested regularly.
A yeast infection is a fungal infection that can cause irritation, burning, itching, dryness and swelling in the vagina, making it feel tight, Gaither says. Yeast infections are common, affecting about 3 in 4 women at some point in their lives.
But yeast infections are easily treatable with antifungal medication, which you typically take for about three to seven days . Medications are available over the counter or by prescription.
Note: Some women experience frequent yeast infections, which may require more advanced treatment over the course of months.
Dyspareunia is a blanket term for painful intercourse, Jeffcoat says.
Treatment for the various types of dyspareunia depends on the cause . In some cases, an underlying medical condition, like endometriosis or pelvic inflammatory disease , can cause dyspareunia and treatment will involve addressing that underlying condition.
Other treatment options are similar to those used to treat vaginismus, Jeffcoat says, and can include pelvic floor physical therapy or vaginal dilator therapy.
Estrogen levels decrease after childbirth, which can result in the vagina becoming thinner, dryer and less elastic (a condition called vaginal atrophy ). This is especially true if you are breastfeeding , as breastfeeding can suppress estrogen levels even more.
Note: Sometimes a laceration that occurs during vaginal birth will cause some discomfort as well. This is uncommon and your health care provider will examine you and suggest treatment for this if necessary.
Vaginal dryness after childbirth is common. In a 2018 study of postpartum women, 43% reported vaginal dryness six months after giving birth.
Treatment for painful intercourse and a tight vagina after childbirth include :
Menopause marks the end of a woman's reproductive years. During this time your ovaries stop producing estrogen , which stops menstruation.
Just like after childbirth, this drop in estrogen can lead to vaginal atrophy, causing the vagina to feel tight.
Other symptoms of menopause include :
The symptoms of menopause can cause discomfort, but there are ways to treat and manage them. Treatment options for vaginal atrophy affiliated with menopause are similar to treatment of vaginal atrophy after childbirth, and include vaginal moisturizers, lubricants, and topical estrogen creams .
Those experiencing menopause may also benefit from hormone replacement therapy , which involves taking medication to restore your body's balance of estrogen and progesterone.
Estrogen-blocker therapies, commonly given to treat breast and ovarian cancers, can also cause the vagina
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