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Pain during orgasm
Last reviewed: 04.07.2025

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The human body always signals with pain about any disorders or conditions that are dangerous for its functioning. Very often, pain during orgasm is a signal of hormonal dysfunction, infection of the genitourinary system, insufficient moisture of the vaginal mucosa, possible allergy to the partner's sperm, allergy to a condom, congenital anomalies of the pelvic organs, inflammatory processes or degeneration of the pelvic organs.
What causes pain during orgasm?
Quite often, a sexologist encounters complaints of abdominal pain after orgasm. One of the causes of pain may be excessive physical activity, which leads to overstrain of the abdominal wall muscles. Also, pain in the intestines (increased peristalsis), in the epigastric region, may be a consequence of stress after orgasm. With constantly occurring post-orgasmic pain attacks, a psychosomatic component can also be suspected. Feelings of abdominal pain may appear with a violation of innervation as a consequence of displacement of intervertebral discs and pinching of the roots of nerve processes.
If the cause of pain is hormonal dysfunction, it manifests itself in excessive muscle contractions of the uterus during and after orgasm. This disorder is corrected by taking hormonal agents that the gynecologist will prescribe after examination. Normally, during and immediately after orgasm, the uterus contracts slightly, “pulling” the contents of the vagina into itself, thereby increasing the likelihood of fertilization. Preparation for this muscle contraction in the female body begins with the moment of foreplay in sex. If orgasm has not been achieved, a feeling of heaviness may appear, followed by nagging pain in the groin as a result of the lack of discharge. Regular sex without discharge can lead to stagnation in the pelvis, which will manifest itself as pain during intercourse. Irregular sex, when needed, can lead to hormonal dysfunction and painful contractions of the uterine muscles.
Pain during orgasm in men
In men, pain during orgasm can also be associated with muscle contractions caused by ejaculation and changes in the position of the testicles in the scrotum during sexual intercourse. Very often, such sensations occur after sexual abstinence or as a result of unjustifiably large physical exertion.
Men often experience headaches during orgasm. This type of pain is caused by a sharp increase in blood pressure and general muscle tension. In women, this type of pain is less common. If any man has previously been prone to painful reactions to increased blood pressure, then he has a high probability of developing this pain syndrome. As an option for relieving the painful condition, we can recommend uniform, slow, deep breathing, relaxation, and massage of the spasmodic neck muscles (to restore the free outflow of venous blood).
As a variant of complaints about headaches, a complaint about pain in the back of the head during orgasm is often voiced. The cause of these pains is the same high blood pressure. However, if the pain occurs constantly, is pulsating, strong, unbearable, you should consult a neurologist. Very often, under such symptoms in extreme conditions (sex), symptoms of pathological changes in the blood vessels of the brain are manifested, up to the manifestation of symptoms of tumor changes in the brain. But most often, pain in the back of the head during orgasm is an individual reaction to increased physical activity and changes in hormonal levels.
In men, painful sensations during orgasm can also be associated with muscle contractions caused by ejaculation and changes in the position of the testicles in the scrotum during sexual intercourse. Very often, such sensations occur after sexual abstinence or as a result of unjustifiably large physical exertion.
If a woman or a man has any sexually transmitted infection, it may manifest itself during sexual intercourse in the form of painful or unpleasant sensations. In women, this may be a burning sensation, itching in the vagina during sexual intercourse, the appearance of discharge with an unpleasant odor, pain after sexual intercourse. In men, infections may manifest themselves in the form of painful urination, painful orgasm (pain during ejaculation), urethritis and prostatitis of any nature makes male orgasm painful and extremely unpleasant. Urethritis as an independent disease leads to inflammation and hypersensitivity of the urethra, which manifests itself in the form of painful sensations during ejaculation. In acute inflammation of the prostate, the pain is sharp, stabbing-cutting, in chronic prostatitis, the pain during ejaculation is somewhat muffled, but clearly noticeable.
Pain during orgasm in women
In women, pain during orgasm may be caused by insufficient vaginal lubrication, which is easily compensated for by a large selection of lubricants. Before using a lubricant, an allergy test should be performed. If lubricants are not used due to insufficient lubrication, then the woman's mucous membranes and the head of the man's penis are subject to microtrauma and, in addition to unpleasant sensations, cracks serve as a gateway for infection. Often, the woman's own opportunistic vaginal flora is the cause of dry mucous membranes and leads to infection in the man.
One of the reasons for painful orgasm in women may be an allergy to a partner's sperm or a condom. Like any type of allergy to a foreign protein, an allergy to a partner's sperm triggers a complex immune response that is aimed at destroying foreign protein compounds and leads to painful sensations when this protein gets on the mucous membranes, a burning sensation, swelling and hyperemia (redness). Symptoms will be similar with an allergy to latex, and allergies to sperm and latex can also manifest in men.
Another reason for painful orgasm may be congenital or acquired abnormalities of the pelvic organs, which are diagnosed only by specialists. For example, changes in the veins of the pelvis (varicose veins of the pelvis), cysts, oncological diseases of the pelvic organs.
Pain after orgasm
Some patients quite clearly track the localization of pain and indicate pain in the uterus after orgasm. With such complaints, one should suspect endometritis (inflammatory disease of the inner surface of the uterus), various organic changes (adhesions, uterine inversion), tumor-like changes (cysts, fibroids). Such localization of pain after orgasm occurs during ovulation. If the attack of pain was single, it may never recur and it will not be possible to find the cause. In the case of regularly occurring states of hypertonicity after orgasm, painful sensations can be dealt with using antispasmodics (papaverine, no-shpa), which should be taken shortly before sexual intercourse.
In any case, pain after orgasm may indicate dysfunction of the hormonal system as a whole, the development of endometriosis, the presence of a cystic formation in the ovaries. All these disorders lead to the appearance of sharp spasmodic pain, which lasts for up to several hours, pain can be relieved with analgesics and antispasmodics. Particular attention should be paid to pain after orgasm in endometriosis, which is a progressive disease. Very rarely, pain after orgasm occurs due to incompatibility of the sizes of partners, the true cause of pain can only be established with the help of a specialist.
Women experience lower abdominal pain after orgasm somewhat more often than men. This may be due to anatomical features. It is important to note that sexual intercourse does not necessarily end in orgasm for women, and discharge does not occur if there is insufficient arousal. Discharge may not occur if the body is exhausted (nervous or physical), at a certain phase of the hormonal (menstrual) cycle, and for other reasons that have not been studied so much. If discharge (orgasm) does not occur after sexual intercourse, then the discomfort from the blood filling of the pelvic organs is expressed as pain syndrome and can cause prolonged discomfort; complete discharge with subsequent relaxation is also difficult to achieve after prolonged sexual abstinence.
Sometimes a headache may occur after an orgasm. This type of pain is caused by a general non-specific reaction of the body to hormonal and psychophysiological stress. A headache may occur as a reaction to a change in the size of the lumen of blood vessels (both spasm and relaxation are possible). Since smooth muscles in the human body are controlled by hormones and signals from the nervous system, headaches after an orgasm should be attributed to both symptoms of hormonal disorders and psychophysiological problems. The need for medical intervention is determined by the intensity of headaches.
Unpleasant sensations or even pain during orgasm always indicate a serious and hidden disorder in the functioning of the body, which requires careful diagnosis.