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Heather Jeffcoat at Healthline
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orgams can be painful butt they don't have to be if you just do it right

Painful Orgasms: What are Some of the More Common Causes?

Healthline's latest article on painful orgasms includes Heather's insights into pelvic floor over-reactivity and its correlation to issues of painful vaginal and anal orasms.

Orgasms are always pleasurable, right? Actually, wrong.

For some people, orgasms aren’t even “just OK.” They’re downright painful. Officially known as dysorgasmia, painful orgasms are something someone of any anatomy can experience.

Pelvic floor over-reactivity

In vulva owners, the most common cause of dysorgasmia is pelvic floor dysfunction.

As a refresher: the pelvic floor muscles are located in the — you guessed it! — pelvis. They span from the pubic bone (in the front) to the coccyx (in the back) and from side to side.

They hold the pelvic floor organs — uterus, bladder, and bowels — in place.

During orgasm, these muscles contract really fast. Sometimes pain during orgasm happens because these muscles cramp.

“Sometimes, in patients with already tight, tense pelvic floor muscles, orgasm causes these muscles to become even tighter, which is painful,” says Ingber.

Other times, Heather Jeffcoat, DPT, who specializes in sexual dysfunction, pain, and incontinence, and author of “Sex Without Pain: A Self-Treatment Guide to the Sex Life You Deserve” says, “The muscle contractions can result in nerve impingement, which leads to pain during orgasm.” Ouch.

Pain during anal orgasm

Nerve impingement

Just as pelvic floor overactivity can cause nerve damage in the vagina, it can also cause it in the anus.

“There is a branch of the pudendal nerve called the inferior rectal branch,” explains Jeffcoat. “If there’s an entrapment or impingement of the pudendal nerve, it can create pain during anal orgasm.”

The full article is here.

 

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    • Testimonial by J.B.

      My husband and I were having problems with painful intercourse. My therapist recommended that I go and get a pelvic floor evaluation from a physical therapist. Having never been treated by a physical therapist, I wondered how this really was going to help me. My husband who is a physician was very supportive and agreed that a PT evaluation would be a great idea. So i made the appointment and was blown away by what i learned. I had no idea that pelvic floor muscles could get tight and have...

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      "I had a severe tear during childbirth that was not stitched together correctly and therefore healed poorly. Even after having a surgery a year later to remove the scar tissue, I was still having pain, and no one could explain why -- there was no overt 'reason' to explain the pain. I had tried other 'specialists' and even saw another physical therapist who had me do hip / leg stretches -- what a joke! I was about to give up and just 'live with it' until thankfully I kept searching online and...

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