Women's Health Community

Or could I even be pregnant? Is that a symptom of early pregnancy? I'm on birth control, but missed a few pills and started a new pack. That was only a week ago though, so could symptoms show up that fast?
Or could it be that I'm ovulating? I don't know when I ovulate, but my next period is due on November 3rd or 4th.

Dear splendiforouslove: Thanks for awaiting a reply. Here are some POSSIBLE explanations for your pain with sex:

1. Pregnancy seems like a distant possibility given that you are on birth control pills (BCPs), however with a few pills missed it is reasonable to rule out pregnancy. Also when on BCPs ovulation should not be taking place.

2. An ovarian cyst is a less common reason for pelvic pain during intercourse among BCP users because BCPs tend to suppress cyst development. Yet they can still occur. More rarely there can be a fluid filled Fallopian tube which can create symptoms similar to an ovarian cyst.

3. An STD/cervical/pelvic infection is a common cause of pain with sex. However you have been in a long term monogamous relationship so this seems less likely in your specific case.

4. Scar tissue ("adhesions") inside the abdomen can trigger pain with sex. Adhesions form if there is endometriosis, a prior pelvic infection, ruptured appendix, or abdominal surgery.

5. A "tipped uterus" can be the cause pain in certain sexual position (eg back entry), yet the uterus would not change radically change position after a year. If you have just noted the pain in a specific new sex position then uterine position may be the culprit.

6. After GYN causes, the next most common cause of pelvic pain is a bowel condition (eg irritable bowel, or diverticulosis).

Bottom line, if you are having marked pain with the same partner that mandates an evaluation. You should expect a careful pelvic exam and perhaps an ultrasound to rule out an ovarian cyst or a fluid filled Fallopian tube. Unfortunately, neither adhesions nor endometriosis image well on ultrasound. Please go in to see the GYN or clinic who prescribes your BCPs.

In Concern,
Jane

Maybe ur uterus is down low.

I've always had sharp pain that is horrible if my partner jabbed too hard and from behind if too rough. I've had 3 abdominal surgery's (c-section, appendix removed, an ovary & tube removed from benign bleeding tumor) and I also have IBS and diverticulosis from Cat scan. Dr Jane explained all the pain. My ex-husbands are ex's because they didn't have much compassion for my pain in certain positions. I understand passion and excitement but now I'm 56 had 3 children with one ovary and single and may stay that way unless I can find a mate that won't hurt me during sex and realizes it can hurt.