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Painful Intercourse, swollen muscles

I am 18 years old. I have been sexually active for three months, and my boyfriend and I have been completely monogamous. He was just tested for STD’s last week and he doesn’t have any, so I know I don’t have an STD. But when we have sex, it has become very painful. The muscles in my vagina have become very tight and swollen, and it seems like the muscles at the end of it have become so tight, they have clenched shut. It’s very painful when my boyfriend pushes against these clenched muscles, and he can no longer fully enter me. This has made it impossible for us to have intercourse. I took Diflucan for a yeast infection on Monday, but I don’t think it’s working. I have also recently started Ortho-Tri-Cyclen Lo, and when I had my first withdrawal bleed about a week ago, that is when the symptoms arose. Any ideas what may be wrong?
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242596 tn?1192425949
MEDICAL PROFESSIONAL
Hello,

I don't think your symptoms are in any way related to the birth control pill.  What you describes sounds like what is called vaginismus, or the spasms of the muscles of the pelvic floor that narrow the vagina.  In some this can be a psychological issue (e.g., history of sexual abuse or assault) while in others a response to pain.

Initial treatment may involve desensitization in which a woman can use a dilator or other non-traumatic device to self-insert into the vagina while attempting to relax the muscles involved.  

I suggest you see an ob/gyn to be examined and discuss this issue further.

Best regards,

Dr. Downing
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Avatar universal
Just kidding... I am on Tri-Sprintec, not Ortho-Tri-Cyclen Lo. I don't know if it makes a difference though.
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