There's nothing like a toe-curling
romp to leave you feeling oooh-oooooh so good. That is
until you detangle your bodies, roll over to the other side of the bed to cool
down, and realize your vagina is swollen AF.

Is she supposed to be that red? That plump? That...irritated?
As you've probably guessed, the answer is heck no. But (keyword
here!) there's no reason to spiral into a tizzy over a swollen vagina because,
although you and your friends might not talk about it on the reg, it's actually
pretty common and usually easily manageable. (Phew.)
So what does a swollen vagina
after mean? Turns out, there are a handful of reasons for that post-coital
puffiness—here, the possible culprits, plus how to treat:
1. Rough sex
Here's the thing: Every time you get
turned on, your vulva and vagina begin to swell because of all the amped up
blood flow down there, according to the Cleveland Clinic.
But if you notice other symptoms,
such as thin cuts around the vaginal opening—that might mean the swelling et.
al. is actually due to a rougher-than-usual sex sesh. If this is the case, you
might also experience a bit of bleeding and find that the area is a little
black and blue, explains Alyssa Dweck, MD, ob-gyn in Westchester, New
York, and coauthor of V Is for Vagina.
There's no reason to call it quits
if rough sex is your thing, but you don't want to leave an unhappy vagina,
well, unhappy.
To ease the swollen sitch, take an
OTC pain reliever, or soak your genital area in a sitz bath (a shallow bath
that fits over the toilet made for treating down-there probs). Or sit in a
regular bath filled with warm water for about 15 to 20 minutes, Dr. Dweck
recommends.
2. Allergic reaction
Upon further examination, you notice
that your red, swollen vagina has a...rash.
It's very possible your vagina is
having an allergic reaction or has a sensitivity to a product, such as a latex
condom, or even sperm, Dr. Dweck says. (A semen allergy, a.k.a. seminal plasma
hypersensitivity, is a rare allergic reaction
to the proteins found in semen that can cause redness, swelling, pain, itching,
and burning in the genital area, according to the International Society for Sexual Medicine.)
More often than not, however,
after-sex swelling is the result of your body's sensitivity or allergy to
common irritants, such as products with spermicide (nonoxynol 9), fragrances,
latex, and vaginal medications.
To figure out what's going on, Dr.
Dweck recommends first eliminating any of these items that you've been using
and observe how your body responds.
3. Yeast infection
Two words nearly every women dreads
hearing. But sorry, girl, but if you're swollen down under, yeast might be to
blame.
First, a quick refresher: Caused by
an overgrowth of the fungus candida (which is naturally
found in your vagina, btw), a vaginal yeast
infection is best known for its common symptom of, to put it lightly, extreme
itchiness in and around the vagina, according to the Office of Women's Health.
Other symptoms include:
·
Pain when urinating or during sex
·
Soreness and/or burning
·
Redness and swelling that, per Dr. Dweck,
can make your vagina look "beefy, inflamed, and blistered." (Eek.)
·
A minor rash
·
Thick, white discharge with no foul
odor
If you suspect this is your first
time with a yeast infection, it's best to consult your
doc, who can screen you for other problems to be sure. If it's truly a yeast
infection, they can prescribe strong, fast-acting anti-fungal meds.
But if you've been here before and
are positive your swelling (and other circumstances) are because yet another
yeast infection, skip the office visit and try an OTC anti-fungal treatment,
like Monistat.
4. Bacterial vaginosis
This condition happens when there is
too much of a certain bacteria in your vagina, according to the Centers for Disease Control and Prevention (CDC).
While similar in symptoms to yeast
infections (pain, itching, burning, and, yup, inflammation and swelling), bacterial vaginosis (BV) typically causes
a discharge that is gray, thin, and fishy-smelling, says Dr. Dweck. That being
said, BV can also be asymptomatic, meaning it doesn't produce any symptoms
(aside from the swelling you already noticed).
BV can technically go away without
any treatment, per the CDC. But if you're experiencing any of the
above symptoms, get checked by a doc, who can prescribe antibiotics to treat
the issue.
5. Vaginal dryness or atrophy
Having sex when you're dealing with
a Sahara situation down there (no shame!) can leave
your vagina red and painfully swollen.
The issue could be the result of not
enough foreplay, but low estrogen levels due to menopause, perimenopause,
lactation, or birth control can also cause vaginal dryness and atrophy
[thinning, drying, inflammation of the vaginal wall], says Dr. Dweck.
If it's the latter, your vag may
also feel somewhat thin, abraded, and inelastic, she adds.
To fix, start by bringing lube into
the bedroom, simply to increase moisture and decrease swelling-causing
friction. If that doesn't help, consider visiting your doctor—if low estrogen
is truly to blame, they may recommend treatment, such as taking additional
estrogen.
6. Sexually transmitted infections (STIs)
Certain STIs that, per Dr. Dweck,
cause "tissue inflammation"—such as chlamydia and trichomoniasis—can cause vaginal swelling.
While chlamydia frequently doesn't
cause symptoms, trichomoniasis is a common offender of a reddened, swollen
vulva that can also lead to bleeding after sex, irritation, odor, and, per the American College of Obstetrics and Gynecology (ACOG),
a yellow-gray or green discharge that may also smell fishy.
All you need to treat, per ACOG, is a single dose of an oral antibiotic,
so if anything of these symptoms show up with the swelling after sex, see your
gyno, stat.
And disclaimer? Regular STI
screenings are always a good idea.
7. Cellulitis
Cellulitis is a bacterial infection
of the skin and underlying tissues that may cause the skin to become swollen,
red, and tender, according to U.S. National Library of Medicine (NLM).
Cellulitis can happen when, say, normal bacteria that lives on your skin enters
through a cut or break in your derm layer, thereby causing a skin infection.
So while sex doesn't cause this
swelling, getting frisky can certainly aggravate it and even bring it to your
attention, especially if swelling continues to increase (meaning the infection
is spreading).
Other tell-tale signs of cellulitis?
Fever, nausea, vomiting, and a warm-to-touch, tight, glossy, or stretched
appearance of skin. Relief includes antibiotics (so call your doc!) and using a
warm compress on the area, Dr. Dweck explains.
8. Pregnancy
Hopefully this isn't the cause of
your after-sex vaginal swelling unless you're trying for a baby. But it can be
a common one: Thanks to all the hormonal changes brought on when you're
expecting, your body starts to swell in a variety of different places—your vagina
included.
During pregnancy, there's also increased blood
flow and pressure from the uterus, which can amp up this swelling, according to
the Office of Women's Health.
Once you ensure that the inflammation isn't
caused by, say, an infection, you can treat allover puffiness by avoiding
prolonged standing and wearing compression socks or support stockings.
Yep, compression socks can help you have a less
swollen vagina after sex. Who knew?!
- By
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