Vulvar Pain-Associations Between First-Time Vaginal Intercourse, Tampon Insertion, and Later Experiences of Pain

J Sex Marital Ther. 2016 Nov 16;42(8):707-720. doi: 10.1080/0092623X.2015.1113589. Epub 2015 Dec 7.


This study examines associations between the first experience of vaginal intercourse/tampon insertion and later experiences of vulvar pain. The study is based on questionnaire data from 1,259 Swedish female senior high-school students, aged 18 to 22 years old. Of these, 592 women reported present vulvar pain. Present vulvar pain was associated with first-time experiences of vaginal intercourse (pain, negative experience, against will) and with pain at tampon insertion. First-time experiences were also related to temporal aspects of present vulvar pain during vaginal intercourse (at the beginning, after a while during, and after). Implications of first-time experiences of vaginal intercourse for future symptoms of vulvar pain are discussed.

MeSH terms

  • Adolescent
  • Coitus*
  • Female
  • Humans
  • Menstrual Hygiene Products
  • Pain
  • Pain Measurement
  • Surveys and Questionnaires
  • Sweden
  • Vulvodynia*
  • Young Adult