His and Her Health

Hi when I have an orgasm or if I masterbate it is very very painful at the end.... I have just had breast cancer well 2 yrs ago and a mastectomy so was so worried it was cervical cancer hadnot had a smear for 6 yrs!!! Also have very low down adominal pain sometimes. I have had a scan and a smear nothing showed up.

Any ideas anyone. Asked the Dr she said its odd!!

If everything was cleared with the doctor, then it sounds very much like pelvic floor muscle tightness and spasm. When you orgasm the pelvic floor muscles contract. If the muscles are too tight or spasmed already then during orgasm the muscles can tighten and spasm more, resulting in pain. The abdominal and pelvic floor muscles work very closely together, it is common for people to complain of abdominal pain when they have pelvic floor dysfunction. Some people will also notice a change in their bladder and bowel function (slow transit, difficulty emptying, constipation, urgency, frequency, etc). These are all common symptoms of pelvic floor dysfunction. I recommend that you see a physical therapist that specializes in pelvic floor dysfunction for an evaluation. There are a variety of websites that can help you locate one: apta.org (FIND a PT); pelvicpain.org, nva.org
The quicker you get evaluated the better off you are, so that you can retrain the muscles to the way they used to be. Good luck!

Thanks Amy - maybe you are correct in your diagnosis.

Its wierd some days it seems ok and then others it is much worse. Mind you am not active sexually at the moment though! Poor me!

Anyway - thanks again and I will let you know if I manage to sort this out.

Cheers
x

I am experiencing something very similar, and as a newly wed it's (of course) horrible in more ways than one! I also have Crohn's Disease, so for the past 4 months I have undergone every type of GI related test known to man to figure out what is causing such severe pain at the time of orgasm. It's been ruled out that it's related to the Crohn's, and I'm wondering if I may have this Pelvic Floor Dysfunction. Many of the systems would be masked by my Crohn's. I recently got info from one of my doctors about going to a sexual pain center...searching under Vulvodynia. I don't know if anyone there will be able to help, but it's at least a start, right?

Here is a link to an article on our website that you may find helpful.

http://www.ourgyn.com/content/index.php?option=com_content&task=view&id=145&Itemid=92