A member asked:

Sex normal while off birth control, but while on birth control has been painful due to tightness.

A doctor has provided 1 answer

Lubricants: Birth control pills don't tighten the vagina but the increase in sex hormone binding globulin can decrease the free hormone that produces natural vaginal lubrication. Water soluble lubricants such as KY jelly or paraben free Astroglide for those with chemical sensitivity or even saliva can help.

Answered 2/13/2015

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