The Truth Behind the Pain The next day, Kunle insisted they see a doctor. Ifunaya hesitated, nervous about what they might find. After listening to her symptoms, the doctor ran some tests and explained the possible causes: • Vaginal dryness—caused by hormonal changes, stress, or lack of proper foreplay. • Pelvic Inflammatory Disease (PID)—a result of untreated infections. • Endometriosis—where tissue similar to the uterine lining grows outside the womb, causing deep pain. • Vaginismus—a condition where the vaginal muscles tighten involuntarily.