Endometriosis UK
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Pelvic pain after orgasm

Hey ladies !

Just a quick and slightly embarrassing question. I've noticed sometimes when I stimulate my clitoris either during sex or whisky masturbating that during and after it causes pelvic pain - basically the same feeling as period pain and this recent time when I masturbated and then orgasmed it was so severe I felt like I was going to vomit! Anyone else experience this ?

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Hi,

Im going to take an educated guess that this is coming from the uterus first.

The uterus is a muscle that contracts during orgasm,so that wld be my first thought.

My second thought wld be an ovary,if under pressure of some sort,say by compression from something ie a vein can give you referral pain in that area,with sharp pain through the clitorus,either randomly,or during orgasm.

As you describe more pelvic pain i wld go with number one.

Kind regards

Rose

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Yes, after I have an orgasm I sometimes have severe endometriosis pain in my abdomen. I asked my OB-GYN about this and her explanation didn't make total sense to me, but she said it could be related to the fact that orgasm involves a lot of different muscles in the pelvic and abdominal area. Some of my organs are connected and in weird positions due to adhesions from endo, and she thought this could be causing unusual stresses on my pelvic floor muscles. Anyway, I don't totally understand it but it certainly does kind of suck! You're not alone in having this.

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Hi Belsy! I have this too and have been frantically searching everywhere on the internet to try and find out why. I saw my gyno today who said they didn't think it was related to any active endometriosis (as I am 3 months post-lap and on zoladex injections). He seemed to think it could be my colon going into spasm and said that it was very common for endo sufferers to have IBS and sensitive digestive organs... does that sound like you?

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That kind of Sounds like me. I was constipated for almost four days, which caused my vagina to leak. And i had bad cramping pains in my ovaries. Now that I'm not constipated any more, when i have an orgasm my ovaries still hurts.

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The contractions you feel with an orgasm are contractions of the pelvic floor. In fact it's considered a great way of strengthening the muscles! Except perhaps in the case of endo. When you have chronic pelvic pain your pelvic floor will tend to be unnaturally tense - sort of clenched in response to pain. This will apply with period pain hence the similarity of what you are feeling. As your pelvic floor muscles are already likely to be under strain without you necessarily knowing it, the sudden violent contractions of an orgasm will aggravate it.

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Thanks so much for your explanation. I think this is what my doctor was trying to say, but somehow the way you worded it made it clearer to me.

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Hi I have the same situation and i feel like crap. Ig is cery painful even if masturbate myself. Dr said is due to muscle contraction. I decide the histerectomy let's see if after surgery i comeback to myself in sexual life.

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Yes!!! I'm so glad I'm not alone....it almost feels like first stage labor pains...sometimes if i take Tylenol before sex it helps..

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I have also recently experienced pain during and after a clitoral orgasm. When my pelvic floor muscles contract it feels like something is tugging down in my uterus. I also end up with a period pain feeling after.

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I was diagnosed with severe endometriosis about 2 years ago that had been masked by severe Crohn’s Disease diagnosed 20 years ago. I’ve always had GI upset with my periods and we realized it was aggravating my Crohn’s so I’ve been on continuous birth control for most of the past 10 years. I’ve still had a few cysts, one that grew to 6cm that I had to have surgically removed and resulted in my endo diagnosis. But everything is so close together in that area it’s possible to have GI and Gyn upset that impact each other. The adhesions caused by the endo can affect the intestines and cause constipation, or severe IBS or even an inflammatory disease like Crohn’s can upset your ovaries and uterus and everything. I’m so intuned to my abdomen after 20 years of Crohn’s and 10 years of regular cysts rupturing I know when it’s my ovary hurting and when it’s my GI tract, but sometimes even I get confused. But I just had pain from orgasm from clitoral stimulation that was a 7 or 8 in my pain scale, and I don’t say 10 until I am losing consciousness from pain, yes I have been there. So it was pretty bad pain, but I know there’s nothing they can do about it and with the flu it will cause more harm to go to the hospital this late.

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I have been dealing with this for many years now. If I have a clitoral stimulated orgasm within 15 mins I am doubled over in extreme pain, sweating profusely and nauseous. Many times the pain is bad that I vomit. I always feel like I have to push something out but nothing ever happens. Sometimes I will wake up stimulated down there and just that sometimes results in having an episode. I havent had one in a while so today I decided to "try" since it has been so long and immediately after it happened again. I used to be a very sexual person and now Im scared to do anything. Ive spoke to doctors and they have no idea what it could be, although, I have not had a ton of testing yet. In ultrasounds there is nothing and my pap smears are normal. If anyone has had this issue and have figured out what it is, or been told of any possibilities that it could be, please share.

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This is exactly what I am also suffering with. I am scheduled for a laproscopic surgery in July to find out if endometriosis is the cause. Doctors also think I could have an issue called pelvic floor dysfunction. I have been back and forth with doctors and I tell them this and they think I am crazy. I also have orgasm as I wake up and am in immense pain.

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Yes, I too wake up feeling that way. I never know how to explain that part to the doctors. Lol. And yes, I also feel like the doctors think I am crazy most of the time. Everytime I have to explain it I just get this puzzled look and they say they dont know what it is. I already have depression issues, so hearing that makes it hard to continue going to all their appointments, when nothing seems to get the answers you need. I personally thought it could be endometriosis but Ive had a couple doctors say they didn't "think" it could be that (but they didn't rule it out either). I moved out of state after finally seeking help from a doctor and have yet to find a another. I have been reading about pelvic floor therapies and wondering if I should maybe contact a doctor that specializes in that and sexual issues. Its just so hard not knowing where to start and it becomes very disheartening when every doctor you talk to has never heard of it. You would think with all of the stories online of women going through this same issue that more doctors would be educated about it. Its sad because I was once a sexual person and even though it rarely causes issues when I have sex with my fiance, it still scares me and makes sex much less attractive. It is nice to know I am not the only one going through this. I hope that you get answers soon. It would be great if we could share what we learn with one another. I have an appointment with a new doctor this month, so all my testing will be starting soon and I think that I am also going to contact a doctor that specializes in pelvic floor issues as well.

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