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![]() Case Study - Cause and solution for Penetration pain and VAGINISMUS; no sexual orgasm. Reader: 11/6/2001> My girlfriend was a virgin until we had intercourse a month ago. We are both very fit and healthy. I am 37. She is 23. I have had a sexual relationship with her for 2 months. When we started I was extremely sexually stimulated and I constantly had "hard" erections daily, even though we did not engage in intercourse. I had to masturbate for relief. She finds intercourse very painful. Her vagina is very small and tight and we use lubricant every time. She takes over 30 minutes to achieve vaginal wetness. And even then it is not adequate for intercourse. The first time I was able to enter her about 4". I have a 7" penis. Now she will not allow me to penetrate her beyond 1"-2". The muscles in her vagina are incredibly strong and she is unable to relax when I attempt intercourse. We have had successful intercourse 2 times out of 5 attempts in the last 4 weeks. Each occurrence lasting less and less time - about 1 minute last time. During sex I have to hold my erection for 15-30 minutes prior to attempting intercourse to stimulate her and then another 15-30 minutes attempting to enter her. Usually she performs oral sex afterwards. I do not ejaculate from oral sex, therefore I masturbate much later. Sometimes at night I wake up several times with an erection. I usually masturbate to completion the following morning. Now I feel a discomfort behind my testicles. After ejaculation I feel slightly better. In the past 3 weeks the size of my penis during erections is decreasing and my penis cannot achieve the same hardness as before. This is getting gradually worse. Now I find it difficult to be aroused. I think my penis is exhausted. Now, I am taking a break from sex for a while. However, what can be done to make intercourse possible (normal)? Dr. Lin: 11/7/2001> The vaginal penetration pain results from insufficient production of prostaglandins in the vaginal and cervical tissues. The major prostaglandins (PG) are PG-E1 and PG-E2. PG-E1 is a muscular or tissue relaxant - relaxing the muscles and ligaments and increasing their elasticity; PG-E2 is a ripening and inflammation agent. During labor, PG-E1 relaxes the cervical and
vaginal (pelvic) tissues and muscles and PE-E2 stimulates and cervical ripening and vaginal
expansion (the hole expander!). During lovemaking, PG-E1 modulates the local parasympathetic nervous functions to induce erection of the penis and the female urethral/vaginal spongy
tissues to narrow down the vagina while PG-E2 expands the vagina (yes, it is a big hole
inside if there is too much PG-E2 secreted by the vaginal/cervical tissues) and opens the prostate ejaculation control valve (for seminal emission or leakage). |
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