Too Tight Vagina
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Too Tight Vagina
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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.”
When the Vagina is Too Tight for Intercourse... Here Are 5 Unusual Causes
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If sex feels like pushing a steamboat into a car tunnel, you might be experiencing some of the following vaginal issues.
Vaginismus This sudden, involuntary tightening of the vaginal muscles upon penetration can result in extreme discomfort and pain during sexual intercourse. It generally occurs during a woman’s first sexual experience, but can also affect her after this point, particularly if she attempts intercourse when emotionally distressed.
Treatment Upon professional or self-diagnosis, this problem can be resolved with the gradual insertion of increasingly larger objects. At first, women are often instructed to touch an area as close to the vaginal opening as possible without any pain until they can insert a finger.
After this point, they might be offered cone-shaped inserts, which they will practice inserting for increasingly longer times. Eventually, they should be able to work their way up to painless intercourse.
Menopause Menopause induces dryness and thinning of the vaginal tissues as a result of a decrease in bodily estrogen levels, which can often lead to a sensation of “tightness” during sex.
Treatment Topical estrogen is often prescribed to assuage inadequate lubrication. Another drug, called ospemifene, behaves the way bodily estrogen does on the vaginal lining, but not on the breasts.
Therapies that don’t use medication include desensitization therap y , during which you learn how to relax your vaginal muscles to decrease pain, and cognitive behavioral therapy, which can also help amend thought patterns that exacerbate the feeling of tightness.
Endometriosis This is a condition in which tissue that resembles uterine lining grows on other organs such as the ovaries, fallopian tubes, or bowel. These abnormal growths can often cause a feeling of tightness or discomfort during sex.
Treatment Often, experimenting with different positions that put less pressure on problematic areas of the pelvis can assuage this symptom. Other actions your doctor might recommend you take include having a warm bath before sex, using lubrication, and extending foreplay.
Pelvic inflammatory disease Pelvic inflammatory disease (PID) is an infection of the female reproductive organs that usually occur when bacteria that you are exposed to during sex spread from the vagina to the uterus, fallopian tubes, and ovaries. This condition can cause pain or bleeding during intercourse.
Treatment Your doctor will likely prescribe antibiotics that you must finish, even if you start to feel better before the course is up. After you are treated, make sure to use condoms during intercourse as this will decrease your risk of exposure to PID-causing bacteria in the future.
Psychogenic pain This disorder causes people to perceive pain without an identifiable stimulus. Although this condition is rare, it can be the trigger for feelings of tightness and pain during intercourse.
Treatment Psychogenic pain is often more difficult to treat than traditional, nociceptive pain. Usually, patients with this condition are prescribed antidepressants or non-narcotic painkillers (such as ibuprofen or acetaminophen), or are advised to seek psychotherapy.
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Gynecological Info on vagina too tight at opening & vagina tears with intercourse - treatment options
"Finally Revealed- New Treatment For Excessive Vagina Tightness and/or Vagina Tears With Intercourse- That Actually Works"
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What are the Symptoms of a Tight Vagina?
The following are a number of real-life symptom scenarios:
Extreme pain with intercourse; the vagina splits at the bottom in the “v” just above the rectum. When the vagina tears it bleeds and then stays sore for days.
During initial insertion it feels really tight but loosens up as things get going so it’s ok until afterwards. Then it’s really sore and itchy for hours.
Fearful and avoids engaging altogether because the vaginal opening feels so tight, even tampon removal hurts. Prior attempts have not been pleasurable because the pelvic muscles go into spasm due to the anticipation of pain.
After menopause and years of sexual inactivity, the vagina feels very tight at the opening. Attempts at intercourse are anxiety provoking because insertion may not be possible.
Some women have a tight vaginal opening being virginal due to normal anatomy. As an infant the vaginal opening is nearly covered by the thick membrane known as the hymen. With growth and physical activity of childhood, the hymen breaks apart. At puberty with the onset of menstrual periods, the hymenal opening is usually still tight making initial insertion of tampons an ordeal but with successive use of tampons the hymen dilates over time but not necessarily enough to comfortably engage in intercourse without tearing. For non-tampon users, it’s all the more likely that the hymen will not be dilated enough for pleasurable intercourse. Tearing the hymen makes for a terrible first experience.
For women that have engaged in intercourse without difficulty but then stopped for a number of years, the vaginal opening naturally shrinks in diameter. This is especially true for women who have never given birth. Other women encounter well-endowed partners and find it difficult to keep the vaginal opening dilated to this degree.
Then there is a condition called menopause. If you haven’t already noticed, men are responsible for most of the adverse events women face… men arche, men strual cramps, and men opause! After a number of years of being menopausal, many women, particularly those not taking estrogen therapy, have difficulty with vaginal opening tightness. The tissues atrophy with aging and shrink from lack of estrogen. Intercourse works as a natural dilator if engaged at least twice per week. The problem being, most couples in this age group do not maintain this frequency for a variety of reasons. Less frequent intercourse coupled with the increasing difficultly for your partner to achieve and maintain erection, the more critical it is to maintain excellent vaginal conditioning and reasonable vaginal opening diameter.
There are a number of conditions in young women where the estrogen effect on the vagina can wane causing vaginal tightness. The vagina is very dependent on estrogen. When there is sufficient estrogen stimulation, the vagina is thick, very elastic, non-sensitive and produces natural lubricant. When estrogen effect wanes, the vagina becomes more “atrophic.” As the effect advances, the vaginal mucosa lining goes from lush pink to reddish pink, then pale pink, and finally whitish with sub mucosal hemorrhage spots. The vagina becomes more dry, less elastic, and sensitive to touch. Under these conditions the vagina begins to shrink in length as well as diameter. Intercourse gradually becomes uncomfortable, if not painful and sometimes impossible. There are a number of reasons why the vagina can become under-estrogenized. Estrogen can wane in overall amounts with less ovarian production beginning in the mid-forties. Lower systemic estrogen levels can occur due to increased life stress, excessive exercise, and being significantly under-weight. These are called hypothalamic factors because they down regulate the hormones secreted in the brain which control ovarian estrogen production. Some women on birth control pills can experience this problem. Although these women are getting flooded with high levels of estrogen, its synthetic estrogen known as ethinyl-estradiol which does not always effectively stimulate the natural or 17Beta estradiol receptors present in the vaginal mucosa. Changing pill types doesn’t help either because all the pills contain the same type of estrogen. Other women may have vaginal estrogen receptors that no longer function as well as they did in their youth. Smokers metabolize their estrogen faster. In many women, the effects of vaginal estrogen deprivation can occur after menopause or by stopping or reducing the dosage hormone replacement therapy.
It’s your turn to get advanced technology working for you. Dr. Fowler took early retirement from the Mayo Clinic, where he worked as a gynecologist specializing in vaginal disorders and bio-identical hormones, to hosts this website and makes his knowledge & expertise of evaluating women with vaginal conditions for over 20 years available online…to you, right now! FGI offers diagnosis and individualized treatment protocols for select vaginal conditions that have been used with success by thousands of women.
Do I want to go through another pelvic exam?
How much would I like to be rid of this problem?
If your answers are too long, too many, I hate pelvic exams, and that would be wonderful!... Register today and get on the path tomorrow that could very well resolve your problem! You must be 18 and not pregnant, a resident of the US (residents of Texas and Oklahoma are not eligible due to restrictivemedical laws). Let FGI help make you the next success story; you may register today if the ribbon on the header is green or yellow! If red, return tomorrow and check availability or put your name on the wait list under “Contact Us” click waitlist@askfgi.com .
Your Options for Services from FGI are as Follows:
1) Potential Client- Sign Me Up . FGI will review your vaginal symptoms and general medical history questionnaire information and clarify the details on the phone with you, recommend the VFA Test if indicated, and create an individualized treatment protocol tailored to your condition with prescription medications! You can register either for “Virtual Services” delivered to the privacy of your residence or schedule an In-Office visit at FGI headquarters in Scottsdale, Arizona.
2) FeminaRx Pure SkinCare Collection . Order the highly praised, time proven, combination of skin products ideal for women with sensitive external genitalia tissues. It took Dr. Fowler 25 years of clinical observations to discover! You don't even need be an FGI Client to purchase. You may buy these products right now and switch from your current products which likely contain common chemical irritants contributing to your symptoms. You may think you’re using hypoallergenic products right now,
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