Answer

Causes of painful intercourse include:

Infection - vaginal, pelvic, herpes, infected cysts or boils

Scars, tumors, or anything that narrows the vagina

Endometriosis (uterine tissue growing outside the uterus with bleeding, pain an scarring)

Intact hymen (in virginal young women)

Complications of surgery

Diseases that interfere with the physical process of arousal or orgasm (such as diabetes and multiple sclerosis)

Having intercourse without sufficient arousal and lubrication.

Thinning and drying of the vaginal tissue as menopause begins.

Unintentional muscle spasms of the thighs, pelvis, and vagina can make penetration impossible. This condition, called vaginismus.

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