instruction: hi doctor I am a 26 year old female I experience pain during intercourse the moment the penis is inserted I feel my muscles contract and then it feels painful and due to this I am unable to have sex with my partner also I feel there is dryness in my vagina please help also I have genital herpes and I fear sex because I do not want to trigger the symptoms or eruptions again I take acivir for this
output: hello you probably are suffering from a condition known as vaginismus it is characterized by involuntary spasm of pelvic muscles around the vagina making it almost impossible to penetrate the condition is usually related to conscious or unconscious anxieties about having sex sexual abuse during childhood sexual harassment and feelings of dislike and disgust towards sex and sexual partner are the issues commonly associated with it but it can occur in the absence of any such history another common cause of painful sex is pid pelvic inflammatory disease a condition caused by infection of internal reproductive organs signs and symptoms include painful sex abnormal vaginal discharge and chronic lower backache in case of vaginismus the patients are symptom free while not having sex I pain occurs only during sex the treatment includes relaxation techniques like systematic desensitization and progressive muscular relaxation the goal is to get comfortable with penetration here is what you can do first do kegel exercises by squeezing the same muscles you use to stop the flow of urine when urinating squeeze the muscles hold for two to ten seconds then relax the muscles do about 20 keels at a time you can do them as many times a day as you want to after a few days insert one finger up to about the first knuckle joint inside the vagina while doing the exercises use any lubricant while doing it start with one finger and work your way up to three you will feel the muscles of vagina contracting around your finger and you can always take your finger out if you are not comfortable this way you can teach your nervous system not to contract vaginal muscles while penetration