Yesterday I wrote a post detailing a phenomenon that remains a mystery to most doctors. Over the years, many women have complained of a phantom cramping pain that begins about 10 minutes after they engage in sexual intercourse or oral sex. The cramps increase in intensity to the point where some women are immobilized with pain.

Yesterday I wasn't clear in pointing out that the cramps are usually brought on by the female orgasm - not the physical act of having sex itself. When a female has an orgasm it produces the same minor uterine contractions as women in labor. Most women don't notice the contractions at all after they have an orgasm.

After I published my post on post coital cramps yesterday, I received a handful of emails from loyal readers who experienced pain during sex due to a medical condition called endometriosis. Women who are diagnosed with endometriosis usually experience sharp pain during and after sex.

This is different from the post coital muscle cramps in the lower abdomen that otherwise healthy women have complained about for years.

For most women who experience post coital (after sex) cramping, there is no known cause or cure.

More Medical Minute after the break...

Endometriosis is a medical condition characterized by tissue growth outside of the uterus. The tissue growth is similar to the endometrium which lines the inside of the uterus. The tissue adheres or sticks to other organs outside of the uterus. So when a woman has her period, this tissue reacts as if it were still inside the uterus and sloughs off causing pain, spotting and swelling.

The main symptom of endometriosis is progressive, sometimes stabbing pain. Other symptoms include debilitating menstrual cramps, painful sex, painful bowel movements, nausea and/or vomiting. Some women will experience no pain at all and usually aren't aware that they have the condition until later on in life.

There is no cure. So treatment depends on the stage and severity of your symptoms. Most sufferers elect to have partial or total hysterectomies. But because the tissue grows on other organs, a total hysterectomy may not resolve the problem.

If you experience sharp lower abdominal pain during intercourse or when having bowel movements, you may have endometriosis or endometriotic cysts on your ovaries. Always consult with your doctor if you experience progressive abdominal pain or lower back pain, abdominal swelling, urinary urgency or constipation lasting more than a day.

Sudden abdominal pain followed by abdominal bloating and/or rigid abdomen could indicate a ruptured cyst or other medical emergency which requires immediate attention.

This has been your Medical Minute.

  • omina-homina

    From what I understand rough sex can actually contribute to the development of this condition.

  • miamore73

    Menstrual cycles that are excessive in pain and other symptoms such as vomiting and such are also symptoms of Endometriosis.

  • 2bme

    It seems the older I get the worse it is..and i'm in my what's a girl to do..get w/ a little man..or stay with the preferred 9 inches and endure the pleasure/pain..cuz for the shorty doo wops and those that think it's the motion in the ocean..they forget one have to KNOW the ocean is there to feel it..pain it is

  • tkotuki

    Comment of my day: "you have to KNOW the ocean is there to feel it"

    Once upon a time, I was confused when a guy told me he had a good time inside me. I never felt a tickle and was shocked when he "released".

  • toosexy

    this just happened to me over the weekend and my boyfriend went to deep with a thrust i was hurting for about 2 hours and i felt it when it went to deep, i asked him did it feel like he touched something and he said yes, so i do think that size matters but also it could be the thrust, my man has a nice one but not gigantic!

  • kogletree

    I have endometriosis and I am SO GLAD Sandra did a medical minute about it. It hurts like HELL! It starts about a week before my cycle comes, and the pain gets so bad that my husband has to carry me to the bed (or the sofa, whichever is closer). I literally can't walk when the pain hits. I had surgery a few years to "scrape" off the excess tissue that had grown outside of my uterus. But after time passed, the pain gradually came back.

  • milly

    LOL Some of yall are off the chain

  • allhoney915

    Is there a possibility that the woman is not anatomically compatible with with sex partner? I know its supposed to stretch but how do you accommodate length? I know someone whose uterus was knocked out of place ( that's how the dr described it) because her boyfriend was extremely long...just something to think about when taking in all those extra

  • pinkvirgo

    I had a teacher who had this.She seemed miserable and never bore children.Does this make you infertile?

  • pinkvirgo

    My aunt had this as well and she ended up having a hysterectomy. ):

  • pinkvirgo

    omina-homina Says:

    From what I understand rough sex can actually contribute to the development of this condition

    I don't think so.

  • pinkvirgo

    Oh and btw ya'll went way off subject we are right back at the ruff sex big peter convo.

  • bklynchick

    I have a friend who has the same thing and it is no joke. But check this out ya'll her husband called me up late one night I picked up the phone thinking something was wrong with her cause she was in the hospital and had to get a blood transfusion from losing so I pick it up and ask was anything wrong and he said yeah my d is throbbing I wanted to know if you could calm it down. I was so in shock I hung up the phone. I started to call back and curse his a out but I was in shock that he would do his wife that is in the hospital like that. Now everytime I see him I want to choke the sh** out of him. She has been through so much with him and I am scared if I tell her what he said she will lose her mind or she won't believe me. I don't know. I know I am going to tell her even if I lose a friend!! What do you think?

  • bklynchick

    Also I know I was way off subject just needed to get it off my chest :)

  • browni007

    not everyone knows how to handle the truth. He will mess up again with the wrong chick and she will squeal on his a$$.

    Thank God I have never had this and pray I dont get it.
    Thanks for the medical minute.


    sandra you are smart. these medical minutes are informative and different that normal blogs. thank u.

  • Kymystry

    While I don't have endometriosis ... I do have menorragah (excessive bleeding) .... I'll be gettin surgery on Fri. to ease that condition .. Cryo-ablation .. and I am SOOOO looking forward to it .. they "freeze" the endometrial(sp) lining in a woman's uterus making the bleeding considerably lighter or even totaly disappearing .. (since I don't want anymore children One 6'5 15 y/o son is PLENTY) ... I'm cool .. yall just think about me on Fri :-)

  • pinkvirgo

    @ Kymystry good luck w/that.Is your son's father tall or are u an amazon urself?lol I know how uncomfortable it is to have heavy bleeding b/c I have uterine fibroids that used to give me the blues a couple of years ago I was going to have them removed and decided against it b/c the procedure would lower my chances of getting pregnant( I don't have any kids yet so I was mortified) in the future and they also would more than likely grow back eventually. .I know it sounds weird b/c I went from unbearable periods for years to normal ones.I really prayed about it and the Lord healed me.I am a testimony lol.

  • Kymystry

    pinkvirgo ... I'm the Amazon .. I guess .. LOL .. I'm 5'10 and I'm the shortest in my family Brother's are 6'6 ..6'5 ..6'4 and my sister is 5"11 ... lol
    Yes you ARE a testimony ... I don't have fibroids just swiftly approaching the big 4-0 ...

    God Healed you of the fibroids and Please let us know when you get knocked up so we can celebrate that too .. :-)

  • Sandra Rose

    bklynchick Says:

    I started to call back and curse his a out but I was in shock that he would do his wife that is in the hospital like that. Now everytime I see him I want to choke the sh** out of him.


    That used to happen to me a LOT when I was younger. I thought because I was a tomboy I was exempt from these no good husbands coming on to me. But that seemed to turn them on even more! A marriage license is like a license to cheat. :lol:

  • Sandra Rose

    Kymystry Says:

    yall just think about me on Fri


    It's good that you're taking care of the problem. You'll be fine! :)

    @ Pinkvirgo: yes