[60F] Experiencing sharp pain during orgasm

What might be happening

Based on the information provided, possible explanations for your symptoms include:

• Ovarian Cysts: These are fluid-filled sacs that can form in the ovaries. They are common and often have no symptoms. However, they can sometimes cause pain, especially during sexual activity. The pain is often sharp and located in the lower abdomen.

  • Treatment: Most ovarian cysts go away on their own without treatment. If a cyst is large or causing symptoms, your doctor may suggest surgery to remove it.

• Endometriosis: This is a condition where tissue similar to the lining of the uterus grows outside of the uterus. It can cause pain during sexual activity, especially with deep penetration.

  • Treatment: Treatment options include pain relievers, hormone therapy, and surgery.

• Pelvic Inflammatory Disease (PID): This is an infection of the female reproductive organs. It can cause pain during sexual activity.

  • Treatment: PID is usually treated with antibiotics.

• Interstitial Cystitis: This is a chronic condition causing bladder pressure and pain. It can cause pain during sexual activity, especially with orgasm.

  • Treatment: Treatment options include physical therapy, medications, nerve stimulation, and surgery.

What you can do

1. Schedule an appointment with your healthcare provider to discuss your symptoms. They may want to perform a pelvic exam or order imaging tests like an ultrasound to investigate further.
2. Try over-the-counter pain relievers like ibuprofen (Advil, Motrin IB, others) or naproxen (Aleve) to help manage your pain.
3. Consider seeing a physical therapist who specializes in pelvic floor dysfunction. They can provide exercises and other treatments that may help reduce your pain.

What you should look out for

Seek immediate medical attention if you experience:

• Severe abdominal pain
• Fever or chills
• Nausea or vomiting
• Abnormal vaginal bleeding or discharge
• Painful urination or difficulty urinating

Please remember that this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.