Sore Vaginal Area After Sex
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Sore Vaginal Area After Sex
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From a lack of lubrication to fluctuating hormones, there's plenty of reasons
Sex should always be mutually pleasurable, safe, enjoyable and should never hurt. At the same time, there are lots of reasons why you might get a sore vagina, or a sore vulva, after the act.
Of course, there’s the obvious one – you were a little too rigorous – but if getting down is causing you pain, and it’s not completely clear why, it’s something that shouldn’t be ignored.
Note: if you are having recurrent issues after sex, then it's advisable to check in with your GP, to see what might be going on. You should also never be pressured into any form of sexual activity which you are worried will cause you pain.
There are lots of reasons why you might feel pain after sex. 'Most of the time women experience soreness post-sex due to friction,' says GP Dr Jane Leonard . 'However, if you have a pre-existing skin problem, the soreness can be much worse.'
Painful intercourse is known as dyspareunia. It’s important to understand when and where you’re feeling pain. Is it during or after sex? Do you have a sore vagina after sex, or is the pain deep, internal pelvic pain?
From a lack of lubrication to fluctuating hormones and even latex allergies: we’ve spoken to the experts and rounded up the most common reasons why you might get a sore vagina after sex.
'Pain in or around the vagina could be caused by an infection,' suggests Dr Leonard. This could be something like thrush, or it could be a sexually transmitted infection (STI), such as chlamydia, gonorrhoea or genital herpes.
If you're experiencing pain during or after sex, it's always a good idea to visit your local sexual health clinic and ask for a full screening.
Changing hormone levels – which could be down to the menopause, perimenopause or even pregnancy – could be making your vagina dry, meaning there’s not enough lubrication during sex. This dryness could lead to some pain and soreness both during and after sex. The solution? Lots of lube. If you need help with the symptoms of perimenopause more widely, head to your GP, who can help with medication.
Similarly to hormone changes, if you’re not feeling 'in the mood', you might not be producing enough lubrication – leaving your vagina dry. This can cause sex to become painful, and leave you with friction sores afterwards. Don't force sex. If you're not feeling it, do not feel any pressure to go ahead. However, if you're feeling dry but do want to have sex, using lube is key.
'Back pain after sex can be caused by deep penetration but it can also be a sign of a ascending urine infection,' Dr Leonard tells us. If you feel unwell, have a fever, pain on passing urine, blood in your urine or increased frequency of passing urine, it's best to see your doctor.
If you’re itchy after sex , and have ruled out the chances of infection, you could be allergic to either the condom or lubrication you’re using. Latex allergies are more common than you think, and your GP can test you for allergies and suggest other forms of contraception that might be better suited to you.
'If you experience bleeding or pelvic pain, you should visit your doctor and arrange a sexual health screening' says Dr Leonard.
Pain felt inside the pelvis could be down to a number of medical conditions from pelvic inflammatory disease to endometriosis or fibroids . If you’re experiencing lower abdominal pain after sex, cramps after sex or bleeding after sex , visit your GP.
More vigorous sex can feel great at the time – but it can also leave you feeling pretty sore afterwards. If your partner is particularly well endowed they could also be hitting against your cervix, causing pain.
Epsom salts help to heal the body, soothe discomfort and reduce inflammation. Sprinkle a cup full into your bath and soak. Natural Epsom salts are best – be careful to steer clear from anything fragranced, as these could mess with your vaginal pH and irritate the area more.
To ease pain, applying a cold compress to your groin can help reduce inflammation and swelling. Don’t apply ice directly to your vulva though, as this can lead to more issues.
Using a lubrication gel during sex is definitely a good idea if you’re experiencing pain due to friction, but popping some on your vulva after sex can also help ease discomfort. Look for a water-based lube with a cooling and soothing effect.
Cotton is more breathable than other synthetic fabrics, so if your discomfort is caused by an infection, wearing cotton underwear can help whilst you heal.
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Shape.com Health and Wellness Mental Health Relationships Why You Have a Sore Vagina After Sex — and What to Do About It
All sorts of sex acts (not just P-in-V!) can leave you with a sore vagina after sex. Here's why, when to worry, and what you can do to ease the hurt.
By Gabrielle Kassel July 22, 2021
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Why You Have a Sore Vagina After Sex — and What to Do About It
Why You Have a Sore Vagina After Sex — and What to Do About It
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Why You Have a Sore Vagina After Sex — and What to Do About It
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Snuggles, snacks, a shower. These are the things we expect to experience after sex. Sadly, for some people with vaginas, those delicacies are sometimes replaced or accompanied by something a lot less comfortable: a sore vulva and/or sore vagina.
"Vaginal soreness is quite common after sex," says somatic sex expert, explains Kiana Reeves sex and community educator with Foria , a company that creates products intended to reduce pain and increase pleasure during sex. "But not all soreness is okay, some soreness is a sign that something has gone wrong."
A sore vagina after sex that results from a sexperiment gone awry (think: fisting) or from consensual, risk-aware rough sex gone very right (think: doggy style for days ) is totally fine. "A one-off instance of soreness or pain after sex is not a cause for alarm," says Heather Jeffcoat , D.P.T., doctor of physical therapy specializing in sexual dysfunction and incontinence and author of Sex Without Pain: A Self-Treatment Guide to the Sex Life You Deserve .
However, frequent vaginal soreness after sex suggests that something is not quite right. If you regularly find yourself keeled over, gripping your lower belly or crotch, or hurting post-play, you may want to chat with a health care provider. "Any frequent, raw, or burning soreness, as well as soreness accompanied by other symptoms such as bleeding, discolored discharge, or pain while peeing needs to be addressed," says Reeves. (Read: 8 Reasons You Might Experience Pain After Sex )
Curious to learn some of the common reasons why you might have a sore vagina after sex? Plus, what should you do to stop the pain in its tracks, short- and long-term? Read this for a good place to start.
If it's the first time you've explored vaginal penetration, it's possible that the soreness is from the breakage of a small swath of tissue that covers part of the vaginal canal, known as the hymen, tearing, according to Felice Gersh, M.D. , author of PCOS SOS: A Gynecologist's Lifeline to Naturally Restore Your Rhythms, Hormones and Happiness . While many people's hymens (naturally) break or tear prior to the first time they have sex (during activities including horseback riding, biking, exercising, using tampons, or masturbating), that's not always the case. And for those with intact hymens that break during penetrative play, the experience can be uncomfortable in the moment and also lead to soreness for a few hours afterward, according to Dr. Gersh. (Related: What Is a Hymen and What Does a Hymen Breaking Actually Mean? )
A super common reason you may have a sore vagina after sex is actually that the sex triggered symptoms of an infection you already had, according to Dr. Gersh. "If someone has a yeast infection , bacterial vaginosis , trichomoniasis, gonorrhea, or chlamydia , the vaginal tissues are already inflamed, even if the person wasn't experiencing any symptoms," she says. "The rubbing of those already-inflamed tissues during sex can result in a feeling or rawness, soreness, irritation, or pain after sex," she says. Luckily, all five infections can be cured within a few days with proper treatment.
Another common reason you might have a sore vagina after sex is that you have a sensitivity or allergy to one of the ingredients in the lube, sex toys, or barriers (ex: dental dams ) you used. "Latex allergy is well-documented, but that's not the only kind of allergy or sensitivity that can come into play here," says Dr. Gersh. "It's possible to be allergic or sensitive to any of the ingredients in the lube coating the condoms or the lube you added."
In the case of an allergy, the soreness is typically accompanied by itchiness, burning, hives, and swelling. While extremely rare, allergies to semen (known medically as seminal plasma hypersensitivity) create many of the same aforementioned symptoms. (And FYI, noticing some swelling in your vulva after sex is totally normal, considering those tissues become flooded with blood when you're aroused .)
Rather than being dermal (skin-related) or structural, the reason you have a sore vagina after sex may be muscular.
Background: Everyone has a sling of muscles that run hip-to-hip, bellybutton-to-bum, known as the pelvic floor muscles. When you orgasm, these muscles contract and relax super fast over and over again. If your orgasm is especially long, or you orgasm more than once (fun!) it's possible for these muscles to be a lil sore following sex.
Further, some people have over-reactive or non-relaxing pelvic floor muscles , which essentially means their pelvic floor muscles are always or almost always in a contracted position. (This is the pelvic floor equivalent to walking around with your arm flexed "💪" all the time). For these folks, "the forced stretch of these muscles that occurs during penetration can also lead to soreness," says Dr. Jeffcoat. For someone with one of these underlying pelvic floor conditions, going from zero to penetrative sex is equivalent to an immobile person trying to do a split and stretching too much too soon. "Your muscles will be quite sore after," she says. (Related: What a Pelvic Floor Therapist Wants You to Know About Vaginal Dilators )
Someone with weak or non-reactive pelvic floor muscles can also experience muscular soreness following sex. As Jeffcoat puts it, "Pelvic floor muscles are skeletal or voluntary muscles, just like the other muscles we train at the gym." Meaning, they aren't exempt from these types of soreness or injuries. However, if the post-sex pain you're experiencing feels muscular and you also experience other common symptoms associated with pelvic floor dysfunction (such as urinary issues, lower back pain , constipation , pelvic pressure), she recommends connecting with a pelvic floor therapist.
This might just be the number one reason you might experience a sore vagina after sex. Anytime lubrication levels are low, friction levels can be high. And when friction levels go up, so do soreness levels. Sure, the vaginal canal produces its own arousal fluid, but that's not always enough (and there's nothing wrong with that!). Body-made lubricant levels can vary because of water intake, alcohol intake, substance use, activity level, mental and physical health status, and so much more.
Among those, "low estrogen can also be to blame for soreness in the vaginal canal," adds Dr. Jeffcoat. People may become low on this essential lubricating hormone when they are postpartum , breastfeeding, or going through menopause . "When your body lacks estrogen, the vaginal canal does not lubricate as well, which can lead to unwanted friction during penetration, and subsequent post-coital soreness," she says. Certain hormonal birth control options can also lead to low estrogen and therefore cause this unwanted symptom, says Dr. Gersh.
All that said, if your lubrication levels have drastically changed or store-bought lube isn't cutting it, talk to your doc, as there are a number of prescription lubricants, moisturizing creams, and pills that can support natural lubrication levels.
And on that note, finally, it's also possible that you and your boo just went too hard, too rough, too fast, or were moving at iffy angles. The angle of the cervix usually changes throughout the menstrual cycle, so the deep angle you enjoy with doggy style at one stage in your cycle could actually be so deep that it brushes up against (and even bruises!) your cervix at other stages, explains Dr. Gersh. Changing positions or depth should be all you need to replace the "ouch!" with "ooh."
At risk of sounding like a broken record: If you have experienced this kind of soreness before, a doctor is your next visit. In the meantime, these four tips may help.
The good news: "Unless you or your lover put a caustic [burning] substance into your vagina, this post-sex soreness or pain is unlikely to last," says Dr. Gersh. Another reason to breathe? The pelvic floor muscles can respond to any emotional stress you're feeling as muscle tension. So, if the vaginal soreness you're feeling is caused from vaginal floor or pelvic floor muscle over-reactivity, freaking out will only make things worse, says Dr. Gersh. (Another excuse to downloads Headspace ?)
Did you use store-bought lube or condoms during play? Eye the ingredients on the bottle or barrier box. If you see a bunch of hard-to-pronounce words on the label, it's possible that you're having a contact reaction, says Dr. Gersh.
In this case, she recommends hopping in the shower or bath, then using a finger to "swish swish" inside your vaginal canal. "You don't want to use any soaps or douching spray, that could make the irritation and soreness worse," she says. "But simply using a finger to remove the irritant can be helpful." (For the record, no douching is never safe ).
Just as you might apply ice or heat to a sports injury , you might do so here. If the soreness you're experiencing could also be described as stingy, spicy, raw, or hot, opt for a cold compress. "You shouldn't be putting ice cubes or shooting ice-cold water into your vagina, but applying a cool washcloth over your vulva so that it's covering the entrance of the vaginal anal may help sooth the area," says Dr. Gersh.
If, however, the soreness is accompanied by cramps, or a feeling of muscle fatigue or tightness, opt for a warm (not hot!) compress instead, Reeves suggests. A warm compress can help bring blood flow to the area which relieve muscle cramps as well as begin to repair any micro-damage that may have occurred in the muscle fibers.
There are even a brands of hot/cold packs made specifically for the vulvar area to help soothe, yes, post-sex soreness, but also for postpartum pain, hemorrhoids, cramps, etc. Try Private Packs Hot/Cold Vulvar Pads (Buy It, $34, privatepacks.com ) or Gentlepak Reusable Perineal Ice & Heat Packs (Buy It, $29, amazon.com ).
Taking anti-inflammatory, such as Advil or Aleve , should help relieve any soreness caused from inflammation within 30 to 45 minutes of ingestion, says Dr. Gersh.
Or, at least without talking to your healthcare provider first! As a general rule, it's best to avoid putting any product, ointments, or creams in your vagina — even if they claim to be soothing! Why? Because the vagina is a self-cleaning, self-so
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