What causes pain and itchiness while having intercourse?

Hello,

Welcome to icliniq.com.

I can understand your concern. Pain during sexual activity can be caused by a lot of other things than infection. Pain could be superficial (around the entrance of the vaginal) or deep (usually occurs when the penis hits the cervix). Superficial pain during sex is commonly caused by vagina dryness. Adequate foreplay and vagina lubricant (which can be bought without a prescription) could help to reduce this kind of pain. Also, sometimes, a mismatch between the penis and the vagina could result in pain. This usually resolves over time and a lubricant could aid easy thrusting in and out of the penis and reduction in pain.

Deep pain could be caused by an infection of the cervix but you have done a reproductive screen which was all negative, thus, it is not likely. Another cause of deep pain is endometriosis or adenomyosis. Individuals with this have accompanying severe menstrual cramps and occasional heavy menses. Management of these would depend on your present reproductive wish. So please kindly clarify if the pain during sex is superficial or deep. Please answer the following questions for a better diagnosis:

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How old are you and your partner?

Is there any history of gynecology or obstetrics surgery?

Is there any history of severe menstrual cramps?

Is there any vaginal discharge and color present?

Is it every time you have pain or at certain times of your menstrual cycle?

How long have you been having this?

The Probable causes:

The probable cause is vaginal dryness mismatch.

Investigations to be done:

Do a pelvic ultrasound scan: When I get more information from you, it will determine if any additional information would be required.

Probable diagnosis:

The probable diagnosis is endometriosis, adenomyosis, or cervicitis.

Regarding follow-up or

Let me know when you have answers to the questions I have asked.

I hope this helps you.

Thank you.

Regards.