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About Edward Joseph Ramirez, MD, FACOG
Expertise
I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.

Experience
I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 15 years.

Organizations
American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, Society of Assisted Reproductive Technology, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists,Resolve-National Chapter, Open Path - Northern California, Board of Directors Monterey Medical Society

Publications
American Journal of Obstetrics and Gynecology

Education/Credentials
Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco

You are here: Experts > Health/Fitness > Women's Health > Infertility/Fertility > Vaginal Tear/Pain

Pain

Expert: Edward Joseph Ramirez, MD, FACOG - 10/29/2009

Question
I have a girlfriend who I have been sexually active with for over a year. We live a few hours apart so we typically go 2-4 weeks between seeing each other.

When we have sex it usually goes fine for awhile, and because of no particular position or motion, she suffers pain, which usually last the rest of the time we have sex. It then hurts her for the remainder of the time we are together and makes having sex painful for her and she can not enjoy it. Usually the time apart allows her to heal but then it all happens again. She explained that it is a small tear or paper cut like cut slightly inside of her on the "bottom" side of her vagina if she was laying on her back.

We have tried everything. Different positions, lubes, thinner condoms, she was prescribed a cream that didn't help at all. She was also tested and came back negative for everything they checked for including latex allergies.

Is there anything that we have over looked? Or anything she can do to help this issue as it takes away from both of our enjoyment in the bed room when she is in pain. I know I am not tiny, but I am not "huge" either where it should be causing problems.

Answer
Dear Mike from the U.S.,

I'm afraid I can't answer this question for you without doing a thorough examination. Your girlfriend should undergo examination fairly soon after your episodes together so that the gynecologist can see if there is something torn or something else going on. It could be many different things.

Sorry,

Sincerely,

Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com

Monterey, California, U.S.A.

for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on facebook and twitter with me at @montereybayivf

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