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Oct 27

Ask Dr. R: painful sex, PCOS, tilted uterus, vaginal septum

Hi Dr. Romanzi,
I’m a 25 y/o female and have always had pain during sexual penetration. I have PCOS and a retroverted uterus, and am wondering if there might be a connection among those factors. Additionally, I had a transverse vaginal septum that was surgically severed 5 years ago. I was wondering if a physical examination and consultation with you would help me zone in on the potential cause(s) of my discomfort. I hope there are options for me, as sex should not be painful!
Best,
S
Hello S,
I can certainly help you figure out why sex is painful. Some, all or none of the conditions you describe may be contributing to your sexual pain. I also have a colleague who is expert in vestibulitis, a common source of sexual pain.  His website is www.cvvd.org, and his offices are in NYC, Washington DC and Maryland. An appointment with either one of us will be of great help to you.
Best Regards,
Dr. R
Hi Dr. Romanzi,
I’m a 25 y/o female and have always had pain during sexual penetration. I have PCOS and a retroverted uterus, and am wondering if there might be a connection among those factors. Additionally, I had a transverse vaginal septum that was surgically severed 5 years ago. I was wondering if a physical examination and consultation with you would help me zone in on the potential cause(s) of my discomfort. I hope there are options for me, as sex should not be painful!
Best,
S
Hello S,
I can certainly help you figure out why sex is painful. Some, all or none of the conditions you describe may be contributing to your sexual pain. I also have a colleague who is expert in vestibulitis, a common source of sexual pain.  His website is www.cvvd.org, and his offices are in NYC, Washington DC and Maryland. An appointment with either one of us will be of great help to you.
Best Regards,
Dr. R

1 comment

  1. Ms L

    Dr R: I had my uterus removed at 40 due to early onset of menopause, which came with very heavy bleeding. My ovaries remained because they were healthy, but my Mother had had uterine cancer. I divorced shortly after my surgery. I never had a painful/bleeding sex experience with BFs, but I did recently with a new BF who is normal-sized and gentle. I had not had sex for 4 years. I am slim and vey fit and was shocked at this, which I think was a tear in my vagina– first time ever. We used lube but it felt as if he was hitting the cervix and was unable to penetrate it–we had to stop because of my pain and bleeding. My question is: can the cervix close-up and the vagina shrink due to 4 years without sex, after having had the uterus removed? By the way, I recovered very promptly from my partial hysterectomy and remained as healthy and full of energy as I’ve always been.

    Hello Ms. L,
    It’s not possible to accurately diagnose anyone over the internet, but I sounds like you might benefit from a conversation with your gynecologist about the sexual benefits of low dose vaginal estrogen therapy in women who’ve gone through premature menopause. After menopause, no matter how menopause comes about, the estrogen levels plummet, and estrogen-senstive vaginal skin may turn thin, brittle and stiff, tending to crack, bleed and be painful with sexual penetration, even if your lover is gentle. Take a look at http://www.urogynics.org/blog/2010/08/when-rejuvenate-relubricate. Keep me posted!
    Dr. R

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