This study examines associations between the first experience of vaginal intercourse/tampon
insertion and later experiences of vulvar pain. The study is based on questionnaire-data from
1259 Swedish female senior high-schools students 18-22 years old. Of these, 592 women
reported present vulvar pain. Present vulvar pain was associated with first-time experiences at
vaginal intercourse (pain, negative experience, against will) and with pain at tampon insertion.
First-time experiences were also related to temporal aspects of present vulvar pain during vaginal
intercourse (at the beginning, after a while during and after). Implications of first-time
experiences of vaginal intercourse for future symptoms of vulvar pain are discussed