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Understanding the duration, location, and nature of the pain is important in identifying the causes of the pain. Some people have always experienced pain with intercourse from their very first attempt. Washington: American Psychiatric Publishing. The cause of the pain may be anatomic or physiologic, including but not limited to lesions of the vagina, retroversion of the uterus , urinary tract infection, lack of lubrication, scar tissue, or abnormal growths. Endometriosis of ovary Female infertility Anovulation Poor ovarian reserve Mittelschmerz Oophoritis Ovarian apoplexy Ovarian cyst Corpus luteum cyst Follicular cyst of ovary Theca lutein cyst Ovarian hyperstimulation syndrome Ovarian torsion. People who experience pain with attempted intercourse describe their pain in many ways.

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