HomeAnswersSexologysexual disordersI find it difficult to have sexual intercourse and find it hard to get wet. Please help.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At December 2, 2022
Reviewed AtJanuary 19, 2024

Patient's Query

Hi doctor,

I get swelling after sexual intercourse and find it hard to get wet. I started having this situation ever since I had a yeast infection. However, at that time, I was not sure I had the condition, so I kept having sex. As a result, I had pain and bleeding. I always felt like there was a scar, and it was swollen. But I finally went to see a doctor to get treated for my condition (I did not have sexual intercourse for a few months), and it has healed. But I just realized it has affected my mental well-being. I have this fear of having sex. I have insecurities and thoughts that I might get the infection back. I might feel hurt, I do not enjoy it again, and I am not confident anymore. So after a few months of not doing anything, my husband and I tried again, but the fear was still there. So, I could not enjoy it and I was right. I was not as wet as I used to be. I got swelling after sex. This gives me and my partner sexual frustration.

Hi,

Welcome to icliniq.com.

I understand your concern. I will definitely help you.

Thank you for asking.

Patient's Query

Hi doctor,

Thank you for the reply,

Can you please tell me what I should do about it?

Hi,

Welcome back to icliniq.com.

I understand your concern.

It is common to have pain during intercourse when there is an infection. In yeast infection, too individuals develop pain and other inflammatory symptoms. Since the infection is healed, you have developed anticipation regarding the intercourse, and this is not letting you engage in intercourse. You have to move forward to develop everyday sexual life gradually. Initially, for some time, spend more time in foreplay and avoid penetration sex. This will make you more excited without any anxiety, and you will feel comfortable with time. For some time, lubricants like KY jelly (glycerol and hydroxyethylcellulose) can be used. These aid in easy penetration and will reduce the pain. Slowly you will see a reduction in fear.

Patient's Query

Hi doctor,

Thank you for the reply.

I do not have an infection anymore, but I still got the swelling after I did it for the first time again a few days ago, so I am assuming I have trauma. Is this possible? I used to get wet quickly, but last time was hard for me; thus (maybe) the swelling came back again. Please advise me on how to move forward to develop everyday sexual life gradually. I feel I have a lower sex drive now because of this fear. Is it wise for me to take hormone pills? Increasing my sex drive and can make me turn on like normal again. I feel like my fear is overwhelming my hormones. I do not feel sexually stimulated lately.

Hi,

Welcome back to icliniq.com.

I suggest you get your hormonal profile checked. Have you got yourself checked for hormonal levels? Get your serum estrogen, LH (luteinizing hormone), and prolactin levels checked. One can not start hormonal pills. Also, there is a need to rule out any anatomical issues. In addition, USG (ultrasound) pelvis and TVS (transvaginal ultrasound) are needed.

Patient's Query

Hi doctor,

Thank you for the reply.

Why do I need a USG pelvis and TVS?

Hi,

Welcome back to icliniq.com.

TVS and USG pelvis are needed to rule out the anatomical cause. Infection, though it is resolved, recurrent swelling should be evaluated. Uterine infection, PID (pelvic inflammatory disease), and any possibility of cysts should be ruled out. Though the chances that you have these issues are rare.

Patient's Query

Hi doctor,

Thank you for the reply.

Can I change to a female doctor? I am more comfortable telling more about my problem to a female doctor.

Hi,

Welcome back to icliniq.com.

I understand your concern.

The female doctor will surely help you.

Thanks.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Seikhoo Bishnui
Dr. Seikhoo Bishnui

Psychiatry

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