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298579 tn?1192250448

Odd cramping after orgasm and bowel movements

This is quite odd but I experience an uncomfortable cramping in my lower abdomen after I have an orgasm or after a particularly intense bowel movement. It's somewhat painful but definitely more on the uncomfortable side. Occasionally I will also feel the cramping when I get sexually excited. It doesn't last for too long, a few minutes at most but I was curious if anyone else had experienced something like this.

Thank you for your feedback.
489 Responses
Avatar universal
It sounds like muscle spasms.
298579 tn?1192250448
But does anyone have any idea why I would be experiencing these muscle spasms?
274158 tn?1276350787
This is probably tmi, but when I am constipated (which I am preggos so I always am!) after I go, I guess it's my intestines, cramp. After I have an orgasm, my uterus gets crampy because of the "contracting". But I am preggos and it doesn't happen if I am not. Are you pregnant? Has this always happened to you??
298579 tn?1192250448
No I'm not pregnant (unfortunately..we ARE trying) and no it hasn't *always* happened to me. Probably within the last year or so.
Avatar universal
I am having sopme lower abdomen pain and Iam on my period know.  But whats weird this my first period since July 24.
Avatar universal
I have this same problem.  Nine out of ten times when I have an orgasm I have intense adominal pian then I have to have a bowel movement.  The pain doesn't necessarily go away for a little while. None of my doctors have heard of this or know how to treat it since some major problems were ruled out.  One of my doctors gave me this medication to place under my tongue to control the spasms but it doesn't help at all.  This has been happening for about 2 years now, and you're the first that I've heard of with the samee problem.  This is really effecting my sex life becasue I don't even want to have an orgasm due to the pain.
Please tell me you have found a cure. I'm really going crazy.. I've had the same thing for the last 5 years and no one is giving me answers
I've been having this for years followed by cold sweats and bad dull ache lower abdo and down one or both legs. Usually stops sex as I know what's coming (excuse the pun) so word if I have dreamt something sexual as I'm unaware just wake up in pain then need the loo
i started to get pain AFTER orgasm and sometimes i would get woken up with pain. Eventually it would happen more often and went on for years. I got a hysterectomy and they found endometrosis on a ligament that goes from my uterus to my sacrum bone. now i have no pain and had op. 4 months ago.
I discovered the most amazing help for this condition. While I don't know what causes it or what it is, I found something that BIGTIME reduces the pain after orgasm from erotic dreams. This helps me reduce the pain by about 99%.  Every month, like clockwork, for two weeks up until my period, I get erotic dreams, followed immediately by horrid cramps, sweating, shaking, the need for bowel movements, etc.   I discovered that if I sleep with my head and feet both elevated during the 2 weeks until my period starts, I WONT GET THE CRAMPING PAIN!! Its like a freaking miracle. I will still get the orgasms in my sleep, then it feels like my body wants to start the awful pain, but it DOESNT!! I feel myself sweating a bit, and a very slight twinge of pain in my abdomen, but nothing like when I sleep flat.  I have one of those adjustable beds where I can sleep with my feet above my abdomen and my torso elevated.  This makes me wonder if this all has something to do with blood flow to the lower abdomen?   I have no idea but if you get the pain after orgasm in your sleep, try this technique. I do not like sleeping with both my feet and head elevated, but anything beats that awful, horrendous pain that usually follows my sleep orgasms.  I would love to know if this works for anyone else.
Avatar universal
I have really, really bad PMS and two weeks before my period, I start getting a little constipated.  If I have sex or exercise or sometimes just walk, I get these horrible cramps in my lower abdomen and most of the time, I have to have a bowel movement.  The cramps last for about 3-5 minutes.  I have fibroids which may be pressing on my organs but it only happens during that two weeks before my period.  I haven't heard of anyone else with this problem until reading these posts.
Avatar universal
I feel so relieved that there are other people out there experiencing the same as me: I have abdominal pain, just like a period pain, after orgasm (whether sex is penetrative or not) which starts about 5 mins after and continues for about 10-15 mins. Its not so bad just after my period, but seems to get worse as the month progresses. Sometimes, it makes me feel like I need to move my bowels, sometimes it doesn't.
I also sometimes get the same pain, not connected to sex, when I have a bowel movement - agin 5 mins after for about 10-15 mins I've been to my doctor, who had never heard of this, did the normal tests and gave up. I've never heard of anyone who has the same thing before. I have no history of fibroids, cysts, etc, have never had children, used to have an IUD, but had it taken out about a year ago, thinking this might have been the cause. I'm 37.
I've had the pain for over 2 years, and it has definitely put me off sex. If any of you have had any sort of diagnosis or advice, PLEASE let me know... Thank you.
Did you ever solve this issue? I am looking for answers as I have the same thing and its driving me bonkers.
Avatar universal
This may not be entirely correct but I am pretty sure it is caused by:

While trying to reach climax, the muscles and the neurons associated with those muscles receives multiple Action Potentials.  Which in can simply be described as an "Activation Switch." The AP are caused by the constant stimuli they are receiving (i.e. the sexual stimulation).

During an Action Potential, there is an influx of Calcium ions pushed into the muscle fibers which allows them to contract. In order for them to relax back to normal, the free Calcium must be sequestered or taken back up. However, due to the repetitive stimuli, the Ca does not have enough time to be taken back up. In this case, temporal summation occurs. This basically means, the contraction builds and builds on top of each other sort of like a piggy-back effect causing an increase in contraction each time.

Once, orgasm is reached, the muscles or neurons are no longer receiving this stimuli. However, there is so much free residual calcium still left in the muscle cells, they are still in a contractile state. Until, this free Calcium is taken back up, your muscle will not relax which can cause cramps. Also during an orgasm, the pain receptors are blocked inside of your brain. This could mean, you could have the cramps during the orgasm, but you can not receive them in your brain, so you have no knowledge of them.

One more reason could be there is not enough ATP readily available after an orgasm. ATP is the body's energy source. It is also required for the muscles to relax after contraction. During the build of an orgasm, you use a lot of energy (ATP). So, after climax it may take a little longer to receive the energy required to have the muscles return to normal. During this time, the muscles stay contracted in the same state of "rigor mortis." Once, ATP is available the muscle will return back.

Hope this helped
What would you recommend doing to stop the pain from occurring?
I have never heard of any of this. How interesting.  So is there anything we can do to stop the pain? My body is forcing me to have about 5 orgasms a month in my sleep followed by excruciating pain and I am fed up.  I am afraid to sleep anymore.
298824 tn?1349958777

It is common to have mild cramping after an orgasm.... Never heard about a bowel movement maybe because you are relaxed...

Avatar universal
Hi - I just stumbled upon this forum and was very comforted to learn that I am not the only one out there with this problem - Marisa1, I have the exact same symptoms as you described in your post!  I have had this for about 8 years now and none of my doctors could ever seem to explain it. I was told to try and relieve my bowels before entering into a situation that would lead to having an orgasm....not really the best advice. I was wondering if you were able to find out any more info or ways to help alleviate the problem??  Thanks so much.
Avatar universal
I too experience the exact same symptoms, very intense cramping after orgasm ~ probably 85% of the time. The pain is so intense at times that I am in tears. I have tried Tylenol prior to sex, stretching before & after, but nothing seems to help. The pain at times lasts up to 30-45 minutes after.  This has been happening for 4-5 years (I am 39) so i'm not sure what changed in my body to trigger the onset of the pain later in life (I have never been pregnant)  My doctor has no clear cut explanation. I do, however, have endometriosis & fibroids. Although not officially tied to the orgasm pain they could be a contributing factor.  I even have pain at times waking up after having sexual dreams.  I can't offer any advice, however, I will report back in December as I am having a partial hysterectomy the end of November. If I still have the pain after removing my uterus & cleaning out the endo & fibroids then I would guess it's some sort of muscle issue.  The Calcium/ATP explanation above is intriguing. I wonder if there is a way to alter the calcium & ATP to trick the body into not feeling the pain.  I'm not a doc or scientist but will definitely try and look into that explanation further.  There needs to be more research & support groups for women like us. The medical profession seems to have no answers & there are a lot of us out there. probably many more than we think.  Good luck to you & others & I'll report back after my surgery.
How are things going now for you? Is the pain gone?
So is there anything we can do to stop the pain? My body is forcing me to have about 5 orgasms a month in my sleep followed by excruciating pain and I am fed up.  I am afraid to sleep anymore.
Avatar universal
I am 26 and have this same problem for probably two years, extreme cramping instantly and bowel movement. I too have asked doctors and they tell me nothing.  Its not just normal cramping like some people say above.  It is so extreme I try to avoid all sex.  I cannot avoid it however when it happens in dreams and I wake up in so much pain.  The only thing I have seen that helps the pain is an herbal wrap that you heat up(you can get them @ walmart), and I lay that on  my stomach.  I have been on the depo shot for four years, I have asked if this is a contributing factor and have been told no. I have no kids.  I hope someone comes up with an explanation, because I am too young to be giving up on my sex life!
Do you still get the pain?
Avatar universal
I am 27 and have the exact same thing! I can't believe I'm not the only one. I've never really mentioned it to doctors as it isn't all the time and my family has a history of irritable bowel syndrome (although I don't think I get it) so I'd put it down to that. For me, I wouldn't say it was every time I had sex but then, that may be due to lack of arousal sometimes!!! I do get it pretty much every time I orgasm through masterbation. Also a few times I have woken with the worst cramps and it would have to go and have a bowel movement and it would go after about 20mins.
Could I ask - do you do exercise regularly? - if it is the muscle thing - could regular exercise help? Although I'm not particularly overweight I am pretty un fit and never do any exercise so have been also blaming that!!!

Do you still have the pain? My body is forcing me to have about 5 orgasms a month in my sleep followed by excruciating pain and I am fed up.  I am afraid to sleep anymore.
Have you ever had an abdominal MRI?
Avatar universal
When I read all of your posts I wept with relief to finally discover that I am not alone in my suffering.  17hockeymom - I have the identical symptoms as you and have tried all the same things that you did but nothing worked.  I am 39 and mine started when I was about 23-24.  It started with the pain only occuring two weeks before my period and lasting 5-10 minutes. Over the years it grew worse until I now get the pain all month long and it lasts from between 15-30 minutes.  Although the pain would be non-existent during my period and for a few days after, that too changed when I stopped getting a period at all, roughly 3 years ago.  Doctors cannot find anything wrong and I appear to be fertile and healthy.

I too get the pain at times after walking or slight exercise or bowel movements but the one I hate most is when you get one in the middle of the night when you were fast asleep and suddenly wake in excrutiating pain because you had an erotic dream.

Interestingly enough, I had never mentioned the pain to my mother until recently and she told me that she had the same thing and is pretty sure my grandmother did as well.  She said that both she and my grandmother had also had hysterectomys and that for her the pain went away after that.

It is my fervent prayer that we may all find a cure to this thing, sooner rather than later.
Did you ever solve this issue? I am looking for answers as I have the same thing and its driving me bonkers. The dreams happen so often I am afraid to sleep.
Avatar universal
Since there are so many of us out there, why is this never covered in women's magazines? Why are doctors so ignorant about it? I thought the problem was related to menopause, since i only started experiencing symptoms (deep pelvic cramping after orgasm, of any kind, lasting about 10 minutes or more). Sorry to read about all these young 'uns having it too. Will definitely pressure my gyno for an ultrasound. I've had fibroids and cysts, but no one ever connected either to the pain.

Avatar universal
Merry Christmas to you all. I thought I would report back with some enlightening holiday news (at least for me & maybe a starting point for you all).  I am 4 weeks post surgery ~ a laproscopic vaginal partial hysterectomy. Surgery went off without a hitch, recovery has been super with minimal pain and I am extremely happy to report that I have not experienced any of the symptoms I posted above.  It appears that all my cramping and severe pain with orgasm is gone (let me add that I have only experienced a self-induced orgasm & none via intervaginal stimulation ~ 6 weeks before that they suggested).  My orgasms have been wonderful & I'm looking forward to getting back into a sexual relationship where I don't experience the pain I had.  (ironic thing is I'm now single after a divorce & 13 years of marriage ~ hee hee)  

I cannot, unfortunately, give you a specific medical cause ~ I can only share that they removed my uterus & cervix which had fibroids & endometriosis.  So it would seem that something relating to the uterus/fibroids/endo would be my best guess. My doctor hasn't been able to offer up much help.  I'm just so grateful the pain is gone (along with my periods!!).  I wish you all the best in your individual situations & hope that you can find a remedy that is best for you and your specific situation in the near future ~ best wishes to you all in 2009 !!
Avatar universal
ok, it's me again.  just thinking & reviewing my own personal history & the development of my pain. Like I mentioned above I had experienced severe cramping for the past 4-5 years. I was diagnosed with endometriosis back in the late 90's during infertility treatment (at that time I did not have fibroids). My diagnosis of fibroids is relatively recent.   So in a google search of fibroids & cramping I came across a link to a book titled 'What Your Mother Never Told You About Sex' by Hilda Hutcherson. In the google preview (I copied the link below) it specifically mentions fibroids & sex (page 308) ..... here is a quote "....Fibroids may cause a generalized discomfort or the urge to urinate or have a bowel movement as the uterus is forced against the bladder or rectum during intercourse. they may also cause intense cramping pain during orgasm that may last for several hours after intercourse has ended...."  it continues on but google only has a preview of page 308 and doesn't continue to 309. :(   My suggestion would be to head to the local library & check into this book and bring it to your ObGyn and discuss further with him/her.  Sounds like quite possibly this is a Fibroid issue that many Dr.'s are not well educated in ~ nor am I for that matter and just offering my own educated guess based on my own symptoms.  Link for the book is below or if you are not trusting of 'links' (which I understand) ~ I went to google and typed in "fibroids orgasm cramps"


Once again ~ good luck to all who are experiencing this debilitating condition. I wish that 2009 brings an end to your pain & suffering.  Happy Holidays!
Avatar universal
Man, I was so relieved to find this forum and to read your posts.  I'm 47 (lord how did that happen?) and just remarried after 20 years of being single in March of 08.  So, regardless of age, I be a NEWLYWED !  LOL

I've never had any pain or discomfort with sex until this past 6 months. The symptoms I have are identical to many posts here, severe debilitating cramps on the immediate heels of an orgasm, or when I become aroused much less severe.  I've entered menapause and so  menstral cycles are not an issue for me.  Needless to say, the timing of this could not have been worse.  My poor husband feels like a heel when I curl up in a knot and cry as my orgasm is ending !  I don't know which one of us is more worried at this point.

My doctor says there is nothing wrong with me, "healthy as a horse" are his words (gee thanks doc.......neigghhhhhh) and acts like I'm complaining about a paper cut.  He suggested I take advil or something before sex - like we plan the sessions on the kitchen floor & I'm supposed to say "No wait, stop.  I have to take a advil and wait 30 mins for it to take affect. Hate older male doctors..........

So I started my own research and located a couple of reputable sites where a great deal of information can be found.  Seems we are not as alone as some of us believed.  Don't have a solution yet, or a cure, but there has to be something I can do to make this either go away or lessen in intensity.  Try these links for more info:


There are others posts on reputable sites which indicate that some forms of birth control might cause pain, some bacterial infections may also cause pain.  But, at least I am now armed with information to take to my gynie and demand he either look to see if either of these are the cause, or I'll find one who will.

Good luck to all and here's to pain free sex again.


Did you ever get your pain figured out? I cant find any answers. :( So sick of the pain.
Avatar universal
Hi Girls,

Same thing with me for almost 10 years now. It has gotten worse and then better over the years and I do have a history of endo. Sever cramps after orgasm, not during and bowel movement about 10 minutes after. It is possible that the endo is also on my bladder and intestines and I will get this check this week.

Does anyone also have bladder pain, or the bladder feels a little swollen?

I think it could also be related to food allergies. When I eat veggies and not bread, low carb diet, no refined sugar, it is dramatically better.

My doc gave me buscopan, cramp pain pills - if it is possible to take them 30 minutes before that really does help as well.

So great to know I am not alone, although I would not wish this on anyone. I am avoiding sex at the moment and so I have finally decided to get serious and get to the bottom of it. I will report my progress.

Did your pain ever clear up for you?
Avatar universal
I feel relieved to find so many women with the same experience as me. I have the exact symptoms as described and was amazed to find that other women experience waking up in pain after an erotic dream. It's just so horrible. My boyfriend and I have been having less and less sex without really making a decision about it. The pain is awful but it's almost as bad waiting on it to happen. Of course, doctors have been useless. I have experienced the whole, try getting drunk before having sex approach(pretty bad considering it was a gynaecologist who suggested that one!) In any case, I have never been diagnosed with endo but I do have a fibroid. I'm now wondering whether I should go back to the doctor regarding endometriosis?  Anyway, the saddest thing for me is that I'm only 27. Really want to have children but find it so sad to think that I will have to live with this pain until a hysterectomy is an option.nx  
Avatar universal
You have no idea how glad I am I Finally figured out what exactly to google! I am 35 I have had the exact same thing for 5 years. 6 doctors, no sex (whats the point of crying and making him feel bad?) and waking up in my sleep. I am so tired of it all. I just started physical therapy but I am so much more leaning towards the partial. I don't want kids. but they won't do it, because i might change my mind. Trust me I have thought about this for a long 5 years and i am good with my decision. they removed 9 polyps and 2 fibroids on a D&C but won't do laprascopic surgery because i am a bigger woman. Thank you I am sending this site to my doctors.
Avatar universal
I am in tears reading this. I was diagnosed with endometriosis at 16, and at 25 started having excruciating cramps after orgasm when masturbating and after erotic dreams (almost never after sex and orgasm). The cramps are accompanied by an urge for a bowel movement, cold sweats, and nausea. Sometime they'd last so long (40+ min) that I would take the meds from when I had my wisdom teeth removed just to knock me out. I've told my gyn, but she says she's never heard of anything like it, and insists it must be a digestive tract problem. Has anyone tried anything that works (besides oxycontin, heh)?
Avatar universal
In an attempt to try and document some facts, I would appreciate it if everyone would answer the following questions so we can go back to our doctors armed with a few more facts.  If you have any other questions to add, please feel free to do so.

1 Are you underweight, normal weight, overweight or obese?
2 How old were you when the pains started?
3 How long have you experienced the pain for?
4 Do you get pain a) after sexual arousal, b) after a bowel movement, c) after urinating, d) after exercise, e) all of the above
5 Is the pain particularly bad after one of the above?
6 Do you only have the pain after orgasm or after arousal as well?
7 Do you experience pain all month or just at particular times?
8 Do you know if your mother, grandmother or sisters have the same pains?
9 Have you been diagnoised with fibroids?
10 If you are a mother, did you have the pains before, during and after pregnancy?
11 How long does your pain last?
12 When the pain passes, will it return if you resume sexual activity?
13 Describe the pain you feel.

Thanks Ladies
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