很多女性都出现过性交痛，在有些人身上只是一个暂时性问题，而另一部分女性，可能会被这种疼痛困扰相当长一段时间。
有这种困扰女性，在性生活时感觉外阴、阴道口周围区域（或称前庭）或阴道内疼痛，也可能出现下腹部、背部的疼痛。
导致性交痛的原因很复杂，可能是有妇科疾病的表现，也可能是心理的原因，比如性欲缺乏等。
如果性交痛发生很频繁，或者程度比较重，影响了正常的性生活，应该去医院的妇科看一下，一方面要排除可能导致性交痛的有关妇科疾病；另一方面，如果没有妇科疾病，也可以寻求心理医生的帮助来解决问题。
哪些疾病会导致性交痛？
性交痛可能是疾病的表现，其中有些病情如果发现不及时，还可能会引起许多其他问题。
皮肤病
有些皮肤病会导致外阴皮肤溃疡或破损。接触性皮炎是一种常见的外阴部皮肤疾病，大多由刺激性物质引起，如香皂、冲洗液、润滑剂等，会引起瘙痒、红肿、疼痛或灼烧感。
外阴前庭炎
也被称作外阴前庭综合征，这种疾病引起的疼痛多局限于外阴或者阴道外口周围的区域。
激素变化
在围绝经期和绝经期女性中，雌激素水平的降低可能导致阴道干涩，这是导致性交痛的常见原因。可以采用全身或者局部应用激素替代治疗，也可以在性交时使用润滑剂。
阴道炎
多由细菌、真菌感染引起，常见症状有白带增多、外阴瘙痒、阴道灼烧感等，可用药物治疗。
阴道痉挛
阴道痉挛是阴道口的肌肉发生的一种反射性收缩。阴道痉挛会使女性在性交时感到疼痛。
分娩
在分娩时有会阴裂伤或者进行过阴道侧切，都可能会引起性交痛，一般产后 6 周内不推荐进行性生活。有些女性分娩后的性交痛可能会持续几个月的时间。
其他原因
盆腔炎、子宫内膜异位症、盆腔粘连等，都可能引起性交痛。
在因为性交痛就诊时，医生通常会问你疼痛的部位、程度、持续时间，有无伴随出血、月经异常，阴道分泌物有没有变化等。同时还会进行妇科检查观察有无外阴、阴道、宫颈的病变。必要时会取阴道的分泌物进行检查。B 超也可以发现一些异常情况。
会影响性欲的因素
心情
有些情绪，比如害怕、内疚、害羞、窘迫或者尴尬，都会使女性在性交过程中难以放松，导致没有办法产生性兴奋，性交痛也由此产生。压力过大和疲劳也可能会影响性欲。
药物
许多药物会引起性欲减退，包括一些避孕药，许多止痛药也会引起性欲降低。
疾病和手术
许多疾病会间接影响性反应，包括关节炎、糖尿病、癌症、甲状腺疾病等。有些女性则认为手术影响了她们的身材或者形象，从而导致她们的性欲降低。
伴侣的问题
如果你的伴侣有性功能的问题，可能会让双方都对性生活感到焦虑。这时候需要充分的沟通，才能更好地解决问题。
伴侣间的关系
伴侣间的关系会严重影响性生活的质量。伴侣间的普通矛盾可能引起性欲水平的不协调，导致性生活不和谐。
自我缓解方法
在没有发现任何原因的情况下，有些方法可以帮助女性缓解性交痛。
使用润滑剂
如果阴道比较干燥、敏感，润滑剂将是一项很好的选择。在使用避孕套时，切记不要使用润肤露、婴儿油、矿物油等油性润滑剂。因为它们可以溶解乳胶，导致避孕套破裂。要选择水溶性的润滑剂，并注意看说明它是否可以和避孕套一起用。
伴侣之间互相理解
最重要的是伴侣的坦诚沟通，两人应互相了解对方的困扰，消除误会，打消疑虑。
调整性生活
不要在焦虑、压力大的时候进行性生活，应该给性生活预留一个专门的时间，两个人都可以放松身心，尽情享受。
在性生活之前排空膀胱、洗个舒适的温水澡、服用适量的止痛药，也有助于缓解性交痛。
性交后用小毛巾包裹冰块或冰袋，敷于外阴部，可缓解性交后的不适。
如果疼痛无法缓解，在和伴侣充分沟通的情况下，可以采用其他的性行为来促进两人的关系。
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