My girlfriend says my penis hurts her and that she will never adapt to my size. In certain positions, it gets better for her, but she thinks her insides are tilted. What can I do? I love her so much and would much prefer if she had no pain during lovemaking. Please help. Thank you.

There can be several causes of vaginal pain during intercourse, and the size of your penis may or may not be playing a part. The very first thing she must do is go to her gynecologist. She's guessing that her insides are tilted in some way, but she should find out for sure, as well as find out if some other physical problem is playing a role here.

Assuming that all is physically okay, then you have to rule out some other possibilities. It would be helpful to know whether she's encountered this problem before. Either way, you have to find out whether or not she is lubricating sufficiently, and the easiest way is to add some extra lubricant. Even if that works, she must still visit her gynecologist, because if using extra lubrication masks some underlying problem, that could have serious consequences.

Another possibility is vaginismus, an unconscious tightening of the vaginal muscles. If that's what is taking place, then a sex therapist may be of help, though a gynecologist might also. So if you do love her, begin the process of finding out exactly what is happening, and hopefully you'll soon be having pain-free intercourse.