1. Anatomical Variations: Individual anatomical differences, such as a narrow cervical canal or vaginal atrophy, can make insertions more painful. 2. Anxiety and Tension: Psychological factors like anxiety and tension can lead to increased muscle tightness in the pelvic area, exacerbating pain. 3. Previous Trauma or Surgery: A history of trauma, surgery, or conditions like endometriosis can make the insertion process more painful. 4. Infections and Inflammation: Conditions such as vaginitis or cervicitis can cause inflammation, making insertions more uncomfortable.
