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Tight muscles around the opening of the vagina are a common cause of pain during sex. Sometimes vaginal dryness during menopause can make intercourse painful. If a woman starts expecting pain with intercourse, the muscles in the body might tighten, including the ones at the opening of the vagina. This is called vaginismus and women don’t have a lot of control over it. It often starts because of reacting to pain when having sex again after being abstinent or having a medical problem that caused pain during intercourse. Sometimes, even after the body has healed from treatment, the muscle spasms stay.
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