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Severe cramping pain after erotic dreams & orgasms......help!
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CrampyMcCrampster posted:
About 2 weeks up until my period starts, I will wake in the middle of the night, (or morning) after a sexual dream, which causes me to orgasm, instantly I get menstural like cramps, which build in severity over the next 20 minutes or so......during this time I usually have about 3 bowel movements, spaced about 5 minutes apart each. Sometimes when this happens, I dont know if I am going into shock or what, but I start hyperventilating. Usually the pain lasts no longer than 30 minutes....but when its happening its so painful I can hardly stand it, and nothing makes me comfortable. Anyone know what this is? I think Dr's think I am nuts as they always dismiss it by saying its commom for cramps to happen after orgasm. But these cramps are so much more severe than any other cramps I have had. Help please ! This has been going on for about 15 years, and dont know how much more of this I can take. This happens several times a month. Sometimes I hate going to sleep afraid this will happen. Its cruel.

(39 years old, never had kids, never been on birth control. I think I have endo, and pretty sure I have IBS.)
4 Replies |Watch This Discussion | Report This| Share this:Severe cramping pain after erotic dreams & orgasms......help!About 2 weeks up until my period starts, I will wake in the middle of the night, (or morning) after a sexual dream, which causes me to orgasm, instantly I get menstural like cramps, which build in severity over the next 20 minutes or so......during this time I usually have about 3 bowel movements, spaced about 5 minutes apart each. Sometimes when this happens, I dont know if I am going into shock or what, but I start hyperventilating. Usually the pain lasts no longer than 30 minutes....but when its happening its so painful I can hardly stand it, and nothing makes me comfortable. Anyone know what this is? I think Dr's think I am nuts as they always dismiss it by saying its commom for cramps to happen after orgasm. But these cramps are so much more severe than any other cramps I have had. Help please ! This has been going on for about 15 years, and dont know how much more of this I can take. This happens several times a month. Sometimes I hate going to sleep afraid this will happen. <img src="http://img.webmd.com/community/images/frown.gif" align="top" border="0"> Its cruel. <br /> <br />(39 years old, never had kids, never been on birth control. I think I have endo, and pretty sure I have IBS.)
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Jane Harrison Hohner, RN, RNP responded:
Dear CrampMcCrampster: As you have correctly stated, many women will have strong uterine, and even anal, contractions during orgasm. In some women this contributes to the perceived intensity/pleasure; for other it can induce an intolerable pain. Yet usually bowel stimulation is not a part of uterine contractions from orgasm. Moreover you mention that these cramps are worse than other uterine cramps (eg menstrual cramps?).

Your surmise about probably having IBS may offer some clue. Bowel spasms can be very severe---such that people end up in an ambulance to the ER because they cannot be comfortable in any position. Giving a medication which can relax bowel spasm can help sort out what is pelvic pain vs bowel pain. Here is a good overview of IBS, including treatments:

http://digestive.niddk.nih.gov/ddiseases/pubs/ibs/#treatment

It is hard to know why orgasm during sleep (with probable pelvic muscle and uterine contractions) would trigger rapid, multiple stools, or initiate bowel spasms. If orgasm included release of prostaglandins THAT could explain the cramps and increased bowel activity.Multiple literature searches at the National Library of Medicine site did not yield any good answers.

If you have already raised this issue with your GYN to no avail, perhaps you might want to consult with a gastro-enterologist.

Yours,
Jane
Report This| Share this:Severe cramping pain after erotic dreams & orgasms......help!Dear CrampMcCrampster: As you have correctly stated, many women will have strong uterine, and even anal, contractions during orgasm. In some women this contributes to the perceived intensity/pleasure; for other it can induce an intolerable pain. Yet usually bowel stimulation is not a part of uterine contractions from orgasm. Moreover you mention that these cramps are worse than other uterine cramps (eg menstrual cramps?).<br /><br />Your surmise about probably having IBS may offer some clue. Bowel spasms can be very severe---such that people end up in an ambulance to the ER because they cannot be comfortable in any position. Giving a medication which can relax bowel spasm can help sort out what is pelvic pain vs bowel pain. Here is a good overview of IBS, including treatments:<br /><br /><a rel="nofollow" href="http://digestive.niddk.nih.gov/ddiseases/pubs/ibs/#treatment">http://digestive.niddk.nih.gov/ddiseases/pubs/ibs/#treatment</a> <br /><br />It is hard to know why orgasm during sleep (with probable pelvic muscle and uterine contractions) would trigger rapid, multiple stools, or initiate bowel spasms. If orgasm included release of prostaglandins THAT could explain the cramps and increased bowel activity.Multiple literature searches at the National Library of Medicine site did not yield any good answers.<br /><br />If you have already raised this issue with your GYN to no avail, perhaps you might want to consult with a gastro-enterologist. <br /><br />Yours,<br />Jane
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sarahxpettit responded:
This same exact thing has been happening to me for about a year now and im only 17, almost 18. My doctors can't figure it out and i also think they think im a little crazy. My pain is so intense that i throw up from it. If you find out what it is can you please let me know because it happened to me 2 times last week and i can't stand it. If you find out anything, please please please let me know. Thank you so much
Report This| Share this:Severe cramping pain after erotic dreams & orgasms......help!This same exact thing has been happening to me for about a year now and im only 17, almost 18. My doctors can't figure it out and i also think they think im a little crazy. My pain is so intense that i throw up from it. If you find out what it is can you please let me know because it happened to me 2 times last week and i can't stand it. If you find out anything, please please please let me know. Thank you so much
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sqeak45 replied to sarahxpettit's response:
I was surfing the web trying to find information on this same thing. It happened to me last night, though it has happened in the past. Always in the second half of my cycle, and always after a sexual dream. Once the cramping starts, I can't stop it. Last night I thought I was going to die. I managed to swallow 4 Advil but it took about an hour for the pain to subside. I was sweating, my heart was racing, and I felt nauseous. It felt like a really bad menstrual cramp that was followed by a bowl movement. It's crazy. I too am afraid to fall asleep tonight because I'm afraid it will happen again. How my husband slept through all of this is beyond me.
Report This| Share this:Severe cramping pain after erotic dreams & orgasms......help!I was surfing the web trying to find information on this same thing. It happened to me last night, though it has happened in the past. Always in the second half of my cycle, and always after a sexual dream. Once the cramping starts, I can't stop it. Last night I thought I was going to die. I managed to swallow 4 Advil but it took about an hour for the pain to subside. I was sweating, my heart was racing, and I felt nauseous. It felt like a really bad menstrual cramp that was followed by a bowl movement. It's crazy. I too am afraid to fall asleep tonight because I'm afraid it will happen again. How my husband slept through all of this is beyond me.
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Kelsiedduvall replied to sqeak45's response:
Chances are you have endometriosis and fibroids. The cramps from this usually last 20-30 mins. They are severe. I have had it for years and I try to just lay down breathe in and out and hope they go away soon. Advil does not help. You can go to your GYN and request am ultrasound to confirm cysts. You can also schedule a surgery to remove them. But that doesn't mean they won't come back. A low dose of hormones can also help with the cramps.
Report This| Share this:Severe cramping pain after erotic dreams & orgasms......help!Chances are you have endometriosis and fibroids. The cramps from this usually last 20-30 mins. They are severe. I have had it for years and I try to just lay down breathe in and out and hope they go away soon. Advil does not help. You can go to your GYN and request am ultrasound to confirm cysts. You can also schedule a surgery to remove them. But that doesn't mean they won't come back. A low dose of hormones can also help with the cramps.
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