[20F] Experiencing severe pain during intercourse

What might be happening

Based on your symptoms, here are a few possibilities:

• Endometriosis: This is a condition where tissue similar to the lining of the uterus is found outside of the uterus. It can cause severe pain during intercourse, especially with deep penetration. The pain can be sharp and stabbing, as you described. Some women with endometriosis also experience bleeding during or after sex.

  • Diagnosis typically involves a pelvic exam, ultrasound, or laparoscopy. Treatment can include pain relievers, hormonal therapy, or surgery.

• Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs. It's often caused by sexually transmitted bacteria. While you mentioned that you currently do not have an infection, it's possible that a past infection led to PID. PID can cause pain during intercourse and irregular bleeding.

  • Diagnosis typically involves a pelvic exam, lab tests, or imaging tests. Treatment usually involves antibiotics.

• Interstitial Cystitis: This is a chronic condition causing bladder pressure and pain. It can also cause pain during sexual intercourse. While it's less likely given your symptoms, it's still a possibility.

  • Diagnosis typically involves a pelvic exam, urine test, or cystoscopy. Treatment can include physical therapy, medications, nerve stimulation, or surgery.

What you can do

Given the severity of your pain, it's important to seek medical attention. Here are a few steps you can take:

1. Schedule an appointment with your healthcare provider: They can perform a physical exam and possibly order further tests to determine the cause of your pain.

2. Keep a symptom diary: Note down when you experience pain, its severity, and any potential triggers. This can help your healthcare provider in diagnosing your condition.

3. Over-the-counter pain relievers: Non-prescription pain relievers such as ibuprofen can help manage your pain in the short term. However, they should not replace a visit to your healthcare provider.

What you should look out for

Seek immediate medical attention if you experience:

• Severe lower abdominal or pelvic pain
• High fever (over 100.4°F)
• Foul-smelling vaginal discharge
• Nausea or vomiting
• Fainting or feeling faint

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult a healthcare provider for a formal diagnosis and treatment.