Hard to Make Love

November 6, 2001

Question

Dr. Love,

My girlfriend and I are very much in love but for the past 5 months (since we started dating) it is very hard for us to Make Love. We try a lot but it never seems to work. She thinks i am too big to fit, but i dont think i am. I am like 6 1/2 inches long and pretty thick.

The thing is, is that she has had sex before me, she said it was painful but she could deal with it. When i try and have sex with her it just seems like it hurts her so much and we both get upset and frustrated. However, we have had sex before, only a few times she was on top.

We do use KY jelly but please do you have any other advice for us to maybe make us able to enjoy eachother. I will do whatever it takes, i will be patient, i will go slow, anything...is this a common problem or is something wrong with us??

please if you have any advice to help us it would be greatly appreciated. Thank you for your time and help.


Answer

You say that your girlfriend has always experienced pain during intercourse, which isn't normal. She needs to see a gynecologist and make sure that there is nothing wrong with her structurally as well as medically.

Certain types of infections can cause painful intercourse. She would also be wise to see a urologist (specialist of the bladder and kidneys) who specializes in sexual dysfunction. She may actually be suffering from a urethral or bladder infection, or other medical condition, which makes intercourse painful.

If all checks out fine, then she will want to talk to a good psychotherapist or sex therapist to see if emotional issues are affecting her sexuality. It isn't uncommon for a person to experience pain during intercourse following a rape or sexual molestation. Prior abuse and/or conflicts about intimacy can cause the body to shut down or revolt all together.

Working out the conflicts in talking therapy can often solve the dysfunction. Sometimes, exercises may also need to be done in order for the person to learn to relax the muscles of the vagina, which may be constricting and causing pain.

I have given you the path to follow in order to solve the problem. Take the problem step by step, ruling out the medical conditions first and then moving on to psychological issues next, if needed.

- Doctor Love


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