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4. Pelvic Inflammatory Disease (PID). If you have ruled out infections, STDs and vaginal dryness, Pelvic Inflammatory Disease can also cause painful sex. Pelvic Inflammatory Disease (PID) occurs when the âtissues deep inside become badly inflamed and the pressure of intercourse causes deep painâ (WebMD).
I did have rectal pain with the rectocele but never had a problem with painful sex until after my second prolapse repair. I agree that vaginal dryness and atrophy can be a problem. I did not do well with Premarin Cream, for me it caused more irritation and pressure.