Salon -- After Dark
When sex hurts
"Am I Normal?": A woman wants to know how to fix the burning pain she experiences after sex
(Credit: Salon/Jose AS Reyes via Shutterstock) I’ve been having pain after sex for almost a year. I brought it up with my GYN, who was unsure what the issue was (we went over shaving, lack of foreplay/lubricant, possible UTI, “mismatched” genitals, none of which were an issue). I ended up having a mild bacterial infection and went on antibiotics, and she suggested I use a sensitive-skin allergy-free lubricant in addition to condoms or pulling out (to prevent pH imbalance/infection from semen).
After following this advice for months, I’m still having a burning pain around the vulva after sex, which lasts for a few hours. It has drastically diminished my sex drive and is driving a wedge between my partner and me. I’m also a young nonprofit professional on a limited budget, and can’t afford many more $50 GYN visits to fix the problem. Help!
I’m afraid you’re not going to like the answers I got from my experts. In fact, their prescription may sound even worse to you than the prospect of “mismatched” genitals: You gotta spend that $50 to go to your doctor again — or to a more affordable women’s health clinic, if you can find one.
Michael L. Krychman, an OB-GYN who has the interesting distinction of being a “vulvar expert,” tells me, “I know she doesn’t want to go through a provider, but I think it’s quite essential that she does.” He says it’s “something that can’t really be treated without a proper evaluation.”
Sex researcher Debby Herbenick, whose upcoming book “Sex Made Easy” goes over common causes of the sorts of pain you’re experiencing, also suggests going back to the doctor — only she recommends seeing a “vulvovaginal specialist” as opposed to a general OB-GYN. (For a referral, check out the International Society for the Study of Vulvovaginal Disease or the National Vulvodynia Association.)
I wish I could save you the $50 — or even more to see a specialist — but there are way too many possible causes of after-sex pain for any respectable expert to diagnose you from afar.
In addition to the possible culprits you already talked over with your doctor, a case like yours could be blamed on a number of food or drug allergies — even allergies to food or drugs consumed by your partner, says Herbenick. She also mentions bizarre cases where vulvar pain “ended up being traced back to the fact that a woman’s partner read the newspaper before bed, and during foreplay touched her genitals, and she was allergic to newspaper ink.” (This surely guarantees the death of print, once and for all.)
Herbenick did offer a tip for when you see a doc, so that you can save yourself needless repeat visits: You’ll want to be clear about where exactly you’re experiencing the pain: When you say “around the vulva,” she asks whether you mean “all over the vulva (like a skin irritation) or ‘around the vagina’ (like around the entrance).” These “can suggest very different things,” she says.
Most important, though, is to take heart that your experience isn’t unusual or untreatable: Krychman sees complaints like yours every day in his practice and says, “It’s a very common problem and very easily treatable and fixable” — with the right doctor.
Tracy Clark-Flory is a staff writer at Salon. Follow @tracyclarkflory on Twitter. More Tracy Clark-Flory.
My favorite john: My very own “Pretty Woman”
Hector was a handsome Argentine. I was the male escort he hired. What happened next surprised us both
(Credit: ArrowStudio, LLC via Shutterstock) When people learn that I’m a gay male escort, they invariably ask me how much my life is like the movie “Pretty Woman.”
“It’s more like ‘Daddy Day Care,’” I usually quip. And while that’s meant to be a joke, there’s also some truth to it. I spend a good amount of my work time offering support and advice to men in their 30s and 40s who are just coming out of the closet. Surprised? I was too, at first. But then I thought, where else are these guys going to catch up on two decades of sexual and social experience? Until someone comes out with “Gay for Dummies,” the next best thing is a trained professional.
Continue Reading CloseRusty McMann is the professional name of a working call bear. More Rusty McMann.
“Troubling” fantasies
"Am I Normal?": A woman worries about only being able to orgasm alone while fantasizing about gay male sex
(Credit: iStockphoto/drbimages) Hello Tracy,
I’ve been with my boyfriend for a year and a half and having sex with him for a year. I’m getting concerned. I haven’t had an orgasm with him at all. He does please me and I’ve been so close to climaxing a few times but something always stops me.
I’ve had orgasms before but only by myself or in my dreams. The most troubling part is that I don’t dream/fantasize about having sex with him. Or any straight guy for that matter.
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Tracy Clark-Flory is a staff writer at Salon. Follow @tracyclarkflory on Twitter. More Tracy Clark-Flory.
Rebel girls
Being an openly bisexual teen in my small town wasn't easy. But I had a great role model: My mom
(Credit: Shutterstock/Salon) “We need to talk,” said my mom. I was 14, and this could have meant any number of ominous things. We’d had many “talks” over the years, most of them related to my adolescent misbehavior, which arrived at 12 in particularly worrying form.
We sat together at our breakfast counter, she with a mug of Bengal spice tea, me with a glass of OJ. My mother was, and is, a very pretty woman, with bright blue eyes, skyscraper cheekbones, and an easy laugh. She sipped her tea and took a breath.
“Karen and I aren’t just friends, honey.” Her features tightened, but her eyes met mine, clear and steady. “We’re more than friends.”
Continue Reading CloseMelissa Febos is the author of the memoir, "Whip Smart." Read more about her at Melissafebos.com. More Melissa Febos.
I want to explore
"Am I Normal": A married reader is unsatisfied with his sex life and feels the itch to stray
(Credit: iStockphoto/HeikeKampe/Salon) I enjoy reading your columns and use them to some degree to allow myself some reassurance that my sexuality is not something to feel negative about. It is rare for me to see a woman who has complete comfort in her sexuality and makes it her purpose to explore. I spent a large portion of my younger years doing that and, now that I’m married and a father, I find it difficult to satisfy those desires in the way I used to.
There is part of me that wishes that I was not tied to the relationship I have so that I could continue exploring. It is not that my wife is not interested in joining me so much as it is that we are at different stages. I have a firm grasp on what I want coupled with a bit of fearlessness while she is still coming to know her wants and desires and is not entirely comfortable with where they sometimes lead. What I have been struggling with is: a) Will we ever be at the same place and b) What I am supposed to do in the meantime?
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Tracy Clark-Flory is a staff writer at Salon. Follow @tracyclarkflory on Twitter. More Tracy Clark-Flory.
Is everyone doing that?
"Am I Normal?": A reader asks if he's weird for not wanting to give his girlfriend a "facial"
(Credit: Ioannis Pantzi via Shutterstock/Salon) What’s wrong with me that I don’t want to ejaculate all over my partners’ face?
Let me put that another way. From watching porn you’d think this or something like it is the heart’s desire of every straight man, indeed the natural culmination of the sex act.
Nothing wrong with people who do like it, men or women. But you’d think this is the norm in straight sex. Even the amateurs do it — presumably because they think anything else is some sort of kinky perversion.
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Tracy Clark-Flory is a staff writer at Salon. Follow @tracyclarkflory on Twitter. More Tracy Clark-Flory.
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