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298579 tn?1192246848

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.
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Avatar universal
Any one know of a good way to get to the bottom of this thread FAST? I have to scroll down thru all 487 responses to get to the most recent and it takes forever. I use page down, and that helps, but I would like an instant way if anyone knows of one.
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There's no way to skip the scroll, unfortunately. If you're on a computer, you can use your End button, and hit it repeatedly (on a Mac, it's the FN + right arrow key), but that's it.

You could start your own thread, which would get you some responses. At the top of this page, on a computer, there's a button on the right that says, "Ask A Question", or if you're back in the main forum - https://www.medhelp.org/forums/Womens-Health/show/81 (so you don't have to scroll back up) - the Ask A Question button is just under the name of the forum.

If you're on a phone, the Ask A Question button is on the bottom of the screen.
Avatar universal
Is it connected to our pelvic floor muscles? I read about learning to relax them and going to pelvic floor physical therapy. Has anyone does this and been successful?
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Have you ever heard of the yoga classes specifically designed for pelvic floor muscles?  I'm sure you can do these at home through youtube or something??  I'll look to see what I can find.  If you find anything, come back and share.
Avatar universal
I think orgasmicPain above is on the right track! Hydrate, hydrate, hydrate!

Thanks to the awful heatwave this summer, I finally connected the dots between dehydration and my menstrual cramps always getting a little worse in the summertime. Now they got a LOT worse, but drinking more water (upping in the intake from 1-1,5 liters to 2,5-3 per day) helped with that very quickly. I went looking for further information about this connection, and bingo: it seems that when you get even slightly dehydrated, your body starts releasing a hormone very similar to the one that induces uterine cramping, and during the luteal phase, this anti-diuretic hormone is released in much larger quantities, which would explain why this pain after orgasms (or exercise) happens most often during the luteal phase. (Come to think of it, the worst pains I've had have always been first thing in the morning, when one is most likely to be dehydrated after not drinking anything for hours. It fits!)

Here's a good article from a runner's point of view explaining the chemistry behind these mystery cramps: http://realworldrunner.blogspot.com/2013/10/dehydration-causes-uterine-cramps.html

(I talked about muscle tightness in a comment above, and I do still feel that it's a major component (and also made worse by dehydration!), but this ADH vs oxytocin could be the mysterious hormonal element I wondered about that makes the muscles so much more prone to cramping during luteal phase.)
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Avatar universal
I have exactly what you describe. The pain is horrible.  Not so much a cramp, it’s an intense pain like I’ve been punched in the area. I also break out into a terrible sweat with the pain. This all can lasts several minutes. Do you? Were you able to find an answer? I did find out I had small cysts, but there has to be more.
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I believe this is a problem with the pelvic floor muscles specifically during the luteal phase of our cycle.  Someone a few posts up discussed this and shared some insight.  I am going to post a follow up as I don't believe I have checked back in for a few years.
Avatar universal
Hi again,

I'm beginning to believe this problem is mostly about hypertonus of the pelvic floor muscles, plus some hormonal component that makes one more prone to muscle cramps for some time before one's period.

I've noticed that when I manage to remain relaxed all through the orgasm (kind of not consciously helping it with muscle contractions, just letting it happen), the pain doesn't hit at all so bad, or maybe not at all. Others have already talked about learning to relax earlier in this thread - hear hear! It's a pity the too tight pelvic floor isn't something that is very often talked about - usually one just hears "your muscles are too weak, do some Kegels" but Kegels are the LAST thing one should do when you have this problem, it only makes it worse. Try to solve the tightness issue first, strengthening comes after that if it's even necessary.

Further reading and very sound steps to take:  https://nutritiousmovement.com/tootightpelvicfloor-2/

Katy's blog and books have really helped me figure this out (as well lots of other really weird things, like why I get a corn in just one particular spot in my foot, and believe it or not, it's kind of related to this problem...), and while the issue is still there (or at least keeps coming back often when I'm stressed), I've started to kind of feel the muscles where the tightness is the worst, and recognizing the tension is already half-way there to letting go of it. The book "Headache in the Pelvis" is also a good one, especially for figuring out the relaxation aspect.

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Avatar universal
*Strange
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4 Comments
Now I have found 4 that have had this post orgasm pain and then had a hysterectomy and now their pain has stopped. Im getting prepared to have hyterectomy soon and will report back here to let you know if it stops for me.

My pain has slowly increased from 30% post orgasm to everyday now even when i dont have a orgasm and 70% post orgasm

I have had more than three ultrasounds over the last 15 years on my uterus and ovaries have been  seen to be healthy
Has anyone here had a hysterectomy and their post orgasm pain got worse, continued, reduced or stopped?

i got the hysto. and they found endometriosis on a ligament that goes from my uterus to my sacrum bone. I now have no pain. its been 4 months since op.
I am glad you checked back in and are now pain free!
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