![]() For some women, this part of the exam may be painful. It is similar to the way you get a Pap smear. This helps the doctor gently open the area for the exam. Your doctor will examine your vagina and cervix using a tool called a speculum. During a pelvic exam, your doctor may apply a cotton-tipped swab to the area around the vagina to see if it is painful. Your doctor may want to examine your genital area or perform a pelvic exam. Are there other problems associated with sex?.Is it painful every time you try to have sex?.Have you tried a sexual lubricant or more foreplay?.They may also ask you to describe what you have tried in the past to relieve the pain. Being tense during sex or being unable to become arousedÄuring a visit with your doctor, they will ask you to describe your pain, where it is located, and when it began.Endometriosis (scar tissue outside the uterus unrelated to surgery).This may leave scar tissue that can cause pain. Certain conditions or infections of the ovaries.These could include fibroid growth, if the uterus is tilted, or if the uterus prolapses (falls) into the vagina. It could also be from a lack of foreplay before intercourse. This dryness may be caused by menopause and changes in estrogen levels. ![]() For some women, the pain of the spasms is so severe that sexual intercourse is impossible. Poorly fitted diaphragm or cervical cap.The inflammation can be so bad that wearing pants can cause pain. ![]()
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