[30F] Experiencing sharp and crampy cervical pain during intercourse

What might be happening

Based on the symptoms you've described, here are some possible explanations:

1. Cervical or Pelvic Inflammation

• Cervicitis: Inflammation of the cervix can cause pain during intercourse, especially if the cervix is touched. This can be due to infections, including sexually transmitted infections (STIs), or non-infectious causes like irritation from contraceptive devices.
• Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs and can cause pain during intercourse, as well as changes in bowel habits.

2. Endometriosis

• Endometriosis occurs when tissue similar to the lining inside the uterus grows outside of it. This can cause sharp, crampy pain during intercourse, as well as bowel symptoms like constipation and diarrhea.

3. Sciatic Nerve Involvement

• The sciatic nerve pain you mentioned could be related to pelvic issues, as inflammation or pressure in the pelvic area can sometimes affect the sciatic nerve, causing referred pain.

Typical Treatments and Testing

• Pelvic Exam: A healthcare provider may perform a pelvic exam to check for signs of infection, inflammation, or other abnormalities.
• Ultrasound: Imaging tests like an ultrasound can help identify issues like endometriosis or other pelvic abnormalities.
• Lab Tests: Tests for infections, including STIs, may be conducted.
• Pain Management: Depending on the cause, treatments may include antibiotics for infections, anti-inflammatory medications, or hormonal treatments for conditions like endometriosis.

What you can do

Pain During Intercourse

• See a Doctor: Given the sudden onset and the severity of your symptoms, it's important to consult a healthcare provider as soon as possible. They can perform the necessary exams and tests to determine the cause of your pain.
• Avoid Aggravating Activities: Until you see a doctor, try to avoid activities that trigger the pain, such as intercourse or the use of certain toys.
• Pain Relief: Over-the-counter pain relievers like ibuprofen (Advil) can help manage the pain temporarily. However, do not exceed the recommended dosage.

Changes in Bowel Habits

• Dietary Adjustments: Eating a balanced diet rich in fiber can help manage constipation and diarrhea. Foods like fruits, vegetables, and whole grains are beneficial.
• Hydration: Drink plenty of water to help regulate bowel movements.
• Monitor Symptoms: Keep track of your bowel habits and any changes in your symptoms using the MDandMe journal. This information can be helpful for your healthcare provider.

Sciatic Nerve Pain

• Gentle Stretching: Gentle stretching exercises can help alleviate sciatic nerve pain. However, avoid any movements that exacerbate the pain.
• Heat and Cold Therapy: Applying a heating pad or an ice pack to the affected area can provide temporary relief.

What you should look out for

Given the complexity and severity of your symptoms, it's important to seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe or Worsening Pain: If the pain becomes more severe or starts to interfere significantly with your daily activities.
• Fever or Chills: These could indicate an infection that needs immediate attention.
• Unusual Discharge or Bleeding: Any new or unusual symptoms should be evaluated by a healthcare provider.
• Numbness or Weakness: If you experience numbness or weakness in your legs, this could indicate a more serious issue with your sciatic nerve.

Remember, while I can provide information and suggestions, I am not a doctor. It's crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.