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Abdominal pain like cramps after orgasms
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An_250053 posted:
Hello.
First things first.
I had an abortion(which I regret) over 3 weeks ago. I bled a little bit then was done. Whenever I had an orgasm, external stimulation only and by myself, I'd get pretty bad cramps. I had read that orgams help because the contractions help your body to remove any left over clots or tissue leftover from the surgery.
However.
Now it's been three weeks. Yesterday I had an orgasm and it had some strong but short lived painful cramps. I did go to my 2 week checkup and came out fine, but I don't have another check up for another 3 weeks and I'm a bit worried.
Help?
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Jane Harrison Hohner, RN, RNP responded:
Dear An: It is reassuring that, at your two week check up, that your uterus was not tender (ie no sign of infection), and normal size and firmness (back to pre-pregnant norm). This is good news.

Actually a number of women have written us about having pain with orgasm (both with intercourse and masturbation). After reviewing the medical literature it seems that the most generally accepted explanation is muscular spasms of: uterus, pelvic floor muscles, neck of the bladder--or a combination there of. It's not clear to me if this cramping with orgasm was happening prior to the abortion--or just starting since the procedure. I am assuming that this is a new symptom---hope I am tracking you correctly.

IF this is the case, and you have no further signs of infection, then my best GUESS would be some residual uterine irritability. Multiple literature searches at the National Library of Medicine site did not yield any studies or case reports of pain with orgasm after a therapeutic abortion. If this symptom persists either call the GYN and/or be sure to keep your 6 week follow up visit so that other causes can be ruled out. Hopefully it will resolve as abruptly as it onset.

Yours,
Jane


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