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Why Does It Hurt When I Orgasm?

An orgasm is a pleasurable sensation that happens at the height of sexual arousal. During orgasm, your body releases dopamine and oxytocin, which are feel-good hormones. You also experience muscle contractions in your genitals and anus.

But some people experience pain or cramping during or after an orgasm. This is called dysorgasmia and it can be caused by gynecological conditions like ovarian cysts, fibroids, or endometriosis.


Occasionally, it’s normal for pelvic pain to occur during orgasm. But if it’s chronic, you may have an underlying condition or pelvic floor issue that needs to be addressed, such as endometriosis.

Endometriosis is a disorder that causes uterine tissue to grow outside of the uterus, where it shouldn’t be. It can lead to scar tissue build-up, which in turn causes pelvic pain, including during orgasm. Some people with this condition also experience ovarian cysts, painful periods, bowel and bladder pain, and low back or pelvic girdle pain.

Another cause of pelvic pain during orgasm is epididymo-orchitis, an infection of the tubes that store and transport sperm in the testicles. This is common in teens and young adults. It can be caused by bacterial infections, such as STIs or sexually transmitted diseases (STDs).

If you’re experiencing pain during orgasm, talk to your doctor about it. They’ll be able to find the root cause of the pain and help you treat it so you can feel comfortable during sex. But remember, sex shouldn’t be painful in the first place! If you’re constantly feeling pain during sex, it’s important to seek treatment. Cramping during orgasm isn’t healthy or normal, and you should always see a gynecologist if you suspect a problem. Good luck!

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Ovarian cysts

Dysorgasmia is a term that describes pain in the pelvic region after or during orgasm. It isn’t a common issue, but it can occur in women of all ages. It can be caused by a variety of things, including endometriosis and other gynaecological problems. Dysorgasmia can also be caused by ovarian cysts, which are small sacs filled with fluid. If you have a cyst, it can be painful to orgasm because it may push against other parts of your body. The pain can also be caused by a low blood supply to your ovary, which can cause inflammation and numbness in your legs and arms.

If you are having painful orgasms, it’s important to see your doctor for a pelvic exam. The cause of your pain may be something simple, like an infection. A gynaecologist can also determine if you have an ovarian cyst, which may require treatment. The doctor may prescribe medication or recommend a combination of therapy.

It is important to note that orgasms are not supposed to hurt. It is a neurophysiological culmination that ends with an involuntary muscle spasm. But if you are having pain during orgasm, it’s not normal and it may be a sign of an underlying condition. Trying to troubleshoot the issue on your own could actually exacerbate your symptoms or lead to other complications.

See also:  How to Orgasm Without a Vibrator

Pelvic inflammatory disease

A bacterial infection of the uterus, fallopian tubes, or ovaries can cause pelvic pain, including painful orgasms. This condition is called pelvic inflammatory disease (PID). Infection can also cause a buildup of fluid in the womb, which is sometimes described as a “heavy period.” PID may also lead to an abscess—an accumulation of pus—in the fallopian tube or ovary. PID can be diagnosed by a gynecologist or primary care provider. The doctor will ask about your symptoms and perform a pelvic exam. If they suspect you have PID, they will prescribe antibiotics. They will also recommend that you avoid sex until the infection clears up.

If your orgasms are painful, you may have a condition that affects the lower urinary tract, including the bladder, prostate, seminal vesicles, and urethra. A common problem is painful ejaculation, which occurs when there is an inflammation or blockage of the prostate or a duct that delivers sperm into the urethra during sex.

Although researchers aren’t sure exactly what causes dysorgasmia, they believe it is due to underlying health conditions, infections, and certain medications. Dysorgasmia can be frustrating and embarrassing, but it’s important to talk to your gynecologist or primary provider about your symptoms. They will be able to help you find the underlying cause so that your orgasms can become pleasurable again.


We all want a satisfying sex life. That doesn’t mean that orgasms are the end-all-be-all of sexual pleasure, but it does mean that if you aren’t getting them, it’s worth opening up and talking to your doctor about it. In most cases, women who struggle to orgasm are dealing with a psychological issue that can be addressed by therapy or medication, and in other cases it’s due to a medical condition or medication (like antidepressants, high blood pressure meds or even the popular herbal remedy St John’s wort).

See also:  How to Orgasm For the First Time

Orgasm is the peak of sexual arousal characterized by intense feelings of pleasure in the genital area. During orgasm, blood flow to the vulva increases and muscles in the pelvic region contract rhythmically for a few seconds. It also triggers a release of hormones in the body that might make you feel happy, giddy, flushed or warm.

If you reach climax during sex, but experience pain right before or after it, this is called dysorgasmia and it’s quite common. The pain is usually in the vulva but can occur elsewhere in the body, too. The discomfort can last a few minutes to a few hours and is often described as feeling like tense spasms.

If you’re experiencing painful orgasm, start by chatting with your primary care doctor. They may refer you to a gynecologist or pelvic floor specialist for further evaluation. If your orgasms are accompanied by pain other than in the vulva, this is called dyspareunia and it’s just as common. The good news is that both of these conditions can be treated and, with proper care, you can find relief from the pain.