 [ Symptoms ] after giving birth i have pain during intercourse had first degree tear during birth [ Disease ] conditions that can cause painful intercourse are injuries or irritation of the vagina due to any cause infections vaginismus muscle spasms of the vaginal wall muscles urinary tract infection it also may suggest abnormalities of the pelvic organs such as endometriosis adhesions or uterine prolapse so get usg done to rule them out applying lubricating gels to the outer sexual organs the vulva and labia as well as using lubricating products in the vagina may be helpful