Am having trouble having sex with my boyfriend, anytime he try to penetrate me, it feels like something inside of me is about to reap off and it’s so painful, in the end he can’t be able to penetrate me

Professional Assessment: The described symptoms strongly suggest vaginismus (involuntary tightening of vaginal muscles) or vulvodynia (chronic vulvar pain), which are common conditions in young women that can cause significant pain and difficulty with penetration. The pathophysiological mechanism likely involves involuntary pelvic floor muscle spasms and/or neurological hypersensitivity, potentially triggered by psychological factors, previous trauma, or underlying anatomical conditions such as endometriosis or vaginal septum. Given the patient's age and symptoms, additional considerations should include vaginal infections, hormonal factors (especially if on hormonal contraception), and structural abnormalities of the reproductive tract. Professional evaluation by a gynecologist is strongly indicated for proper examination and testing, including pelvic examination, cultures for infections, and possible pelvic ultrasound to rule out anatomical causes, followed by appropriate referral to a pelvic floor physical therapist if indicated.

Based on the symptoms suggesting vaginismus or dyspareunia, start with using vaginal dilators of gradually increasing sizes combined with water-based lubricants to help relax the vaginal muscles and reduce pain during penetration. Practice pelvic floor relaxation exercises daily, including deep breathing and gentle stretching techniques, which can help reduce muscle tension. Use of topical lidocaine gel 15 minutes before intercourse may help reduce pain and discomfort during initial penetration attempts. For additional treatment recommendations, ask in the chat.