Painful sexual act
Doctor explains to the patient what has happened; including identifies the sites and causes of pain. He makes clear that the pain will, in almost all cases, disappear over the time or at least will be greatly reduced. If there is a partner, doctor explains him also the causes and treatment and encourages him to be supportive. Doctor removes the source of pain when needed. He encourages the patient to learn about her body, to explore her own anatomy and learn how she likes to be caressed and touched. Doctor  encourages the couple to add pleasant, sexually exciting experiences to their regular interactions, such as bathing together (in which the primary goal is not cleanliness), mutual caressing without sexual act, and using sexual books, pictures, and videos. In couples where a woman is preparing to receive vagina act, such activities tend to increase both lubrication of vagina and its dilation, both of which decrease friction and pain. Prior to sexual act, oral sex may also prove very useful to relax and lubricate the vagina (providing both partners are comfortable with it). Doctor prescribes very large amounts of water-soluble lubricant during sexual act. He discourages petroleum jelly. Moisturizing skin lotion may be recommended as an alternative lubricant, unless the patient is using a condom or other latex product. Lubricant should be liberally applied (two tablespoons full) to both the penis and the orifice of the vagina. A folded bath towel under the receiving partner's hips helps prevent spillage on bedclothes. Doctor instructs the receiving partner to take the penis of the penetrating partner in their hand and control insertion themselves, rather than letting the penetrating partner do it.